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28 Cards in this Set

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  • Back
What is the definition of Anti-biotics
Antibiotics are chemicals used to kill or suppress growth of micro organisms causing infection
Explain Broad spectrum Anti-biotics
The drug has a range of activity against gram positive and gram negative bacteria
explain Narrow spectrum Anti-biotics
The drug is active against a select group of bacteria
What are two potential issues for broad spectrum anti-biotics
They have an issue with bacterial resistance and they are more damaging to normal flora
Name the two types of antibiotic therapy
prophylactic and empiric
Treatment of an infection before specific culture information has been reported or obtained is the definition for what type of antibiotic therapy?
Empiric
Treatment with antibiotics to prevent an infection as in orthopaedics etc is the definition for what type of antibiotic therapy?
Prophylactic
What is the definition of a superinfection (secondary/opportunistic infection)
Infection occurring during antibiotic therapy. The antibiotic destroys normal flora which leads to overgrowth of microorganisms resistant to antibiotics
Who is at risk of superinfections?
Elderly, on multiple antibiotics, broad spectrum, large doses for long time
There are three ways that antibiotics kill bacteria?
Bacteriostatic, bactericidal or both
What is the definition of bactericidal?
kills bacteria directly
What is the definition of bacteriostatic?
Inhibits growth of susceptible bacteria allowing the hosts defenses to eventually cause bacterial death
What is the name of the antibiotic that works in a similar way to penicillin?
Ceflosporin
What is penicillins mechanism of action?
Interferes with bacterial cell wall synthesis by disrupting the ridged cross links structure causing lysis and cell death
Is penicillin bacteriostatic or bactericidal?
Bacteriocidal
Penicillins are the treatment choice for what type of infection?
Gram +
what has been combated to prevent bacterial resistance to penicillin? and what is the name?
Betalactam inhibitors were developed eg clavulanic acid
Amoxicillin + Clavulanic acid = ammoxicillin clavulate
= Augmentin/Synermox
List some ADRs to penicillin?
Nausea, vomiting, abdominal pain, candidia, allergic reaction
The effectiveness of oral penicillins is decreased when taken with?
caffeine, citrus fruit, cola beverages, fruit juice
What are some patient education information about penicillins drug interactions?
may decrease the effectiveness of oral contracetives, incompatable with aminoglycosides, anticoagulants
What is the definition of antibiotic resistance?
bacteria develop highly sophisticated ways to overcome the effects of antibiotic therapy over time
What are some symptoms of a superinfection?
Fever, unusual discharge, perineal itching, sore mouth, cough, lethargy, diarrhea
What is a virus?
a virus particle is composed of a piece of DNA or RNA inside a protein coat, it cannot replicate on its own and must attach and enter a host cell. It then uses the host cell to synthesize protein DNA or RNA
What are antiviral drugs used for?
to treat people who have been infected by a virus and to prevent ot limit infection when given before or shortly after exposure before illness occurs
What is the definition of antivirals?
viruses controlled by current antiviral therapy
What are some nursing education for someone taking antivirals?
remind patients antivirals don’t substitute annual flu vaccine, take as prescribed, instruct patients re preventative self care
What is the mechanism of DNA polymerase inhibitors?
inhibit viral DNA synthesis. Used fro herpes simplex virus
What is the mechanism of action for retroviral drugs?
suppress the replication of the human immunodeficiency virus (HIV)