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28 Cards in this Set
- Front
- Back
Penicillin mechanism of action
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Inhibits cell wall synthesis
Usually bactericidal |
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Penicillin indication for use
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More effective on gram+
Strep infections Strep pharangitis Rheumatic fever |
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Penicillin general side effects
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ALLERGY
GI distress Superinfections Anaphylaxis |
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Penicillin education
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Call for allergic reaction
Complete entire doses MAY DECREASE ORAL CONTRACEPTIVE MEDICATION POTENCY Do not take with acidic fluid |
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Cephalosporins mechanism of action
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Interferes with bacterial cell wall synthesis
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Cephalosporins indications of use
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Gram + and -
Used for skin, bone, joint, CNS, GU and respiratory tract infection |
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Cephalosporins general side effects
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GI distress
N/V Nephrotoxicity C-diff infection |
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Cephalosporins education
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Take with food
Don't take with alcohol |
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Macrolides mechanism of action
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Bacteriostatic at moderate dose
Bacetriocidal at large dose Inhibits protein synthesis |
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Macrolides indications for use
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Broad spectrum antibiotic
Okay for PCN allergy Mycoplasmal pneumonia Lagionnarie's disease whooping cough Chlamydia |
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Macrolides general side effects
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Abdominal cramps
N/V/D Hepatotoxcitiy |
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Macrolides education
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Take with food
DO NOT take with fruit juices |
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Tetracycline mechanism of action
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inhibits bacterial protein synthesis
excreted primarily in the kidneys |
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Tetracycline indications for use
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broad spectrum
gram + and - treats rocky mtn spotted fever lyme disease acne h. pylori chlamydia many gram - have developed resistance |
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Tetracycline general side effects
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N/V/D
Photosensitvity Nephrotoxicity Superinfection No pregnancy No children under 8 |
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Tetracycline education
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Don't take with milk, iron or antacids
Stay out of sun May decrease the effectiveness of oral contraception |
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Aminoglycosides mechanisms of action
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inhibits bacterial protein synthesis
injected drugs are not metabolized, excreted unchanged in urine Oral drugs are excreted in feces |
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Aminoglycosides indications for use
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Aerobic gram - (psedomonas, proteus, e-coli, klebsiella, serratia)
Urinary, GI, Respiratory Serious systemic infections |
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Aminoglycosides general side effects
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Ototoxicity
Nephrotoxicity Superinfections |
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Aminoglycosides contraindications
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Severe renal disease
Elderly Neonates |
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Flouroquinolones mechanism of action
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interferes with two bacterial enzymes which are needed for the synthesis of bacterial DNA
Metabolized in liver, excreted in kidney and feces |
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Flouroquinolones indications for use
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gram + and -
Respiratory, GI, GU, skin and soft tissue ORAL ADMINISTRATION |
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Flouroquinolones general side effects
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N/V/D
Headache Dizziness Photphobia Prolong QT interval Hepatotoxicity |
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Flouroquinolones contraindications
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renal disease
seizure disorder Affects cartilage in children No one younger than 18 |
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Sulfonamides mechanism of action
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inhibits bacterial synthesis of folic acid
Metabolized in liver and excreted in kidneys |
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Sulfonamides indications for use
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Gram - and +
UTI, OM, pneumocystitis carnii Bacteriostatic |
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Sulfonamides general side effects
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Steven-Johnson syndrome
Blood dyscrasias Nephrotoxicity Photosensitivity Kernicterus |
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Sulfonamides education
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drink 2-3 liters of water a day
NOT for children under 2 months-causes jaundice Not for pts with renal failure |