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25 Cards in this Set

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Examples of BACTERIOSTATIC abx?
Sulfonomides & Tetracycline.
Name 2 bacteriocidals-killers.
PCN, Streptpmycin.
One portion of the lipopolysaccharide that can induce fever, platelet aggregation, vasc permeability.
Endotoxins
What are the most widely used Beta lactam abx?
PCNs, cephalosporins, beta-lactamase inhibitors.
Name the 4 Beta-lactam abxs.
Carbapenems
Cephalosporins
Monobactam
PCN
Spectrum of Pen G & Pen V?
Narrow.
Name 2 penicillinase-resistant penicillans.
Dicloxacillin
Nafcillin
Is Amoxcillin an extended spectrum PCN?
Yes.
Pen G route of administration.
Intramuscular-severely affected by gastric acid.
Typical uses for Pen G.
STREP, Syphilis (T. Pallidu), endocarditis (V. strep, enterococci), pneumonia (pnemococci) meningococci also.
Pen V route of admin?
Oral.
Indications for pen V
Pharyngitis (Strep)
Procaine Pen G. (IM)
Produces higher plasma concentrations for for about 24 hours.
Benzathine Pen G. (IM)
Provides low plasma concentrations for several weeks.
Uses for Pen G?
Syphilis, edocarditis, meningitis, pneumonia.
Use for Pen V?
Pharyngitis.
Inications for Dicloxacillin?
PCN-resistant strains of staphy (osteomyelitis or skin and soft tissue infections)
Uses for Amoxicillin?
Resp infxs, OM, sinusitis, bronchitis & CAP.
3 ways by which bact restist PCNs & other Beta-lactam abxs.
Inactivation of the drug by Beta-lactamase enzs (cleave amide group), reduced afinity of PBPs, alteration of membrane porin size so drug can't go in cell.
List major adverse effects of PCNs.
Skin rashes, papules, urticaria, anaphylactic shock, serum sickness, interstital nephritis, & hepatitis.
Microbes killed by 1st gen Cephalosporins?
Strep & methicillin-sensitive staph. (G + -) : enteric bacili, E. Coli, Klebsiella peumoniae.
Infections txd by 1st gen Cephalosporins?
Skin & ST (G +), uncomplicated UTIs.
Microbes killed by 2nd gen Cephalosporins?
Greater G negative bacilli, incl H. I.
Infections Tx'd with 2nd gen Cephalosporins?
Resp tract infxs, OM (H.I), CAP, intra abd, gynecologic, & biliary tract infxs.
Surgical prophylaxis (G neg).
another use for 2nd gen Cephalosporins.