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56 Cards in this Set
- Front
- Back
- 3rd side (hint)
Penicillin
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Transpeptidase blocker- gram pos- rash, allergy, Coomb's positive
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Syphillis-spirochetes and Strep
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Ampicillin
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amino penicillin, wider coverage- periplasmic space, rash and allergies, orally
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Enterococcus
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Amoxcillin
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Transpeptidase blocker, amino modified, for gram-negative(can get into periplasmic space), rash, allergies, IV administered
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Naficillin
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Methicillin(nephrotoxic)- B-lactamase resistant, interstitial neprhotoxic (-Oxacillin)
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Strep and Staph
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Clavulanate
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Inhibits B-lactamases, used with ampi and piper, not protective of chromosomal
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extends toH. influenzae, Klebsiella
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Vancomycin
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Binds lipid 2, Need a lot, IV, Nephro and Ototoxic, Red Man's
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C.dificile, MRSA, penicillin allergic
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Pipericillin
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Ureidopenicillin, Psuedomonas, better than ticaricillin
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Psuedomonas
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Ticaricillin
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Carboxypenicillin, Psuedomonas, Platelet aggregation
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Psuedomonas
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Cephalosporins (general)
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B-lactamase resistant, Increasing generation more gram negs, penicillin allergies
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Reason for enterococcus prevelance
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Cefaparazone
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Bleeding, Bile, Psuedomonas
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Cefepime
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Enterobacter
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Cefazolin
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Surgical Prophaylactic
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ceftaxime
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Meningitis
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Cefamandole
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Bleeding/disulfirim
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cefotetan
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Bleeding/disulfirim
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Ceftazidime
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psuedomonas
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Ceftriaxone
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Meningitis and Bile
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Ceftaroline
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MRSA
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Ceftbiprole
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MRSA
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Imipenem
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Blactamase resistant, Seizures (cilastatin-prevents metabolism)
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Kills all but MRSA and VRE,
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Meropenem
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Same as Imipenem- no seizures - no renal dehydropeptidase metabolism
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Kills all but MRSA and VRE,
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Aztreonam
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Monobactam, only gram negs, good for those with B-lactam allergies
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Ertapnem
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Same as Imipenem-Narrower, Longer halflife, No Psuedomonas
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Aminoglycoside examples:
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30S, Gentamycin, Streptamycin, Tobramycin, Neomycin, Amikacin
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Aminogylcosides Counterindications
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Pregnancy, Anerobes (O2 dependent transport), LoopDiuertics(ototoxcitiy), Nm blockers(be careful)
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Gentamycin
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30s mistranslation, Synergy with Blactams- Irreverisble ototoxic, nephrotoxic, Nm blockers
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Amikacin
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Aminoglycoside- better than gentamycin - Psuedomonas-
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Tobramycin
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Aminoglycoside- better than gentamycin - Psuedomonas-
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Streptomycin
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Aminoglycoside- Y. pestis and Mycobacteria (ototoxic)
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Tetracyclines
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30S- Blocks Amino acyl Trna - less potent than doxycycline
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Tetracyclin group counterindications
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Pregnancy- Fatty liver, Teeth and calcium absorption probs, When using penicillins- antagonistic
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Doxycycline
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30S, - can be pumped out, Rikettsia and Chylmadia - not for preg, fatty liver, teeth and Ca problems, don’t use with penicillin
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Demeclocycline
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Tetracyline, SE: causes diabetes inspidus ADH antag (For SIADH-)
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Tigecylcine
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Tetracyline- Resistant to RPPS and efflux pump - No Psuedomonas
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Cholramphenicol
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50S, blocks peptidyl transferase, Aplastic Anemia, Gray baby, Bone marrow suppresion
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Menigococcal, H. infleunze an Pneumococcola Meningitis (BBB)
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Name Macrolides
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50 S Azithromycin, Erythomycin, Clarithromycin
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Erithromycin
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Reversible 50S, Translocation inhibition, Bile, CYP inhibitor Increased Gi- motilin receptor agonist, Cholestatic hepatitis,
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Clarithromycin
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Same as Erthro -less GI
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Azithromycin
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Same as Erthro -less GI
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Clindamycin
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Lincosamide, Irreversibly binds 50S, great for anerobes, Causes c. dificile
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Sulfamethaxodole
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Stops folate no DNA - Hemolytic Anemia with G6PD , hypersensitivity, Kerticterus
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Trimethoprim
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Stops Folate, selective for bacterial, Megablastic Anemia
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Cipro
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Blocks Dna gyrase topoisomerase, no anerobes, Can inhibit Gaba- nitemares, cartilage issues
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Potentiates Phenytion and Warfarin
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SAFE Mothers Take Care
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Sulfonamides, Aminoglyc, Fluoroquin, Erythomy, Metronidaz, Tetracyclines, Chloramphenicol
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Nocardia, weird ones
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Buy AT 30, CELL at 50
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Aminoglyc,Tetraycy- ---Cloramphen, Erythryomy, Lincosamides, Linezolid
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Linezolid
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Kils MRSA, 50 S, Kills VRE
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Metronidazole
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Activated by reduction of drug via ferrodoxins in Anaerobes, creates cytotoxin intermediates, DISULFARIM Like reaction
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Isoniazid
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Screws mycolic acid making, baceriocidal, Hepatitis and peripheral neuropathy, inhibits Cyp
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Ethambutol
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bacteriostatic, Prevents arabinogalactan synth, Optic Nueritis
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Pyrazinamide
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Bacteriocidal, mycolic acid synt, tuberculosis SE: Hyperuricemia
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Dapsone
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Paba analog, - Hansen's disease, SE: Hemolysis, Erythema nodosum, don’t give to G6PD deficient
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Rifampin
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Transcriptional inhibitor, Tuberculosis, hansen's disease, eradication of H. influenze, Secretions=orange- induces CYP450
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