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32 Cards in this Set

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wat r anti-bacterial

drugs that are active against BACTERIA, aka, anti-infectives(use to treat stuff that cause infections)




anti-bacterial commonly is refered to as antibiotics

sulfonamides - the first

first anti-biotic, use has recently declined


prefix-sulfa




available as single ingredient product

action of sulfonamides

BACTERIOSTATIC




stop the para-aminobenzoic acid that some bacteria need to multiply



uses of sulfanomides

OFTEN USE TO CONTROL UTI cause by bacteria such as, ecoli, klebsi, staph aureus




also treat malaria, meningococcal meningitis, rheumatic fever




silver sulfa r use to treat partial/full thickness burn

srs adverse of sulfonamides

variety




hematologic changes r srs:


agranulocytosis: decrease in granuloctyes (WBC)




thrombocytopenia: decrease plateletes




aplastic anemia: anemia cause by deficient RBC production in bone marrow




leukopenia: decrease of WBC

mild adverse of sulfonamides

anorexia




hypersensitivity reactions: steven johnson syndrome(coughs, fever, myo-aches, pain, headache, ect can b seen by LESIONS on skin and other body parts




crystal uria (in this case, increase fluid intake)




most COMMON reaction to application of mafenide is BURNING sensation/pain to the skin.



penicillin

discovered by sir ARTHUR FLEMING




now there r 4 groups of penicillin:


natural, penicillinase-resistant, aminopenicillins, xtended-spectrum

drug resistant bacteria

natural penicillin are being resisted by bacterias bc it has been use over a long period of time




baterial resistance is the ability of bacter to produce substances that inactivate and destroy an anti-infective drug




some bact can produce penicillinase

action of penicillin

prevent bact from using a substance that maintain their outter cell wall ---swell-->rupture---> unusual shape--->death




penicillin is both bactericidal and bacteriostatic

uses of penicillin to infectious disease

natural AND semi synthetic r used to treat:




UTI, septicemia, meningitis, intra abd infection, gonorrhea, syphilis, pneumonia, resp infections.





uses of penicillin in the prophylaxis of diseases

can't do sh it abt viral/fungal infection so dont try




bACTERIA ONLY. HCP use this to prevent secondary inf. caused by viral infect.




sometimes prescribed to high risk patients with rheu fever or chronic ear infc




can b given before n after precedure to prevent infct

adverse of penicillin

COMMON: mild nausea, vomit, diarrhea, sore tongue/mouth, fever, pain at injection site




the most imp. is superinfection - a secondary infection that occur during antibiotic treatment.




also hematopoietic

hypersensitivity reaction penicillin

anaphylactic shock - most likely occur with parental use but also oral use (resp distress, hypotension, unconsciousness)




cross sensitivity

superinfection w most antibiotic

the 2 most common superinfection r pseudomembranous colitis and candidiasis

cephalosphorin and its action

a wider range of antibiotic, structurally and chemically related to penicillin.




1st,2nd,3rd, 4th, 5th generation




affect the bacterial cell wall, usually bactericidal




cephalo - cell wall

uses of cephalosporin

used in the treatment of susceptible microorganisms: streptococci, shigella, clostridia, staphylococci




usually best treating a specific strand of bact.




sometimes use b4 and after surgical procedures to prevent further infections

adverse of cephalosporins

the most common is GASTRO INTESTINAL DISTURBANCES, like nausea vomitting n diarrhea




cross sensitivity with penicillin is more common with first and second gen cephal.




hemolytic anemia may occur

BROAD SPECTRUM ANTIBIOTIC



tetracyclines, macrolides and lincosamides




all may cause pseudomembranous colitis





tetracyclines action

ANTI-INFECTIVES- natural and synthetic compound


inhibit bacterial protein synthesis (necessary for reproduction)----> multi rate slows, or bact r destroyed

tetracycline uses

useful with bact that r sensitive to its components (cholera, rickettsiae aka rocky mountain sp fever, typhus)




especially effective with gram- and gram +




also used in situations where penicillin in contraindicated, amebiasis




oral tetrcy. r used for uncompli. urethral, endocervical, rectal infections

tetracyclines adverse

GASTROINTESTINAL REACTIONS: diarrhea, nausea, vomit, stomititis, ect




photosensitivity as well (deme- most, mino- least)




can cause teeth discoloration in children under 9 years

macrolides action

affect a wide variety of organisms




RESPIRATORY and GENITAL TRACT




bacteriostatic and cidal, bind to cell membranes and cause changes in protein function

macrolides uses

effective with gram- and gram +




prophylaxis if patients r allergic to penicillins




treat acne, skin infection, and upper resp tract together wif sulfanomides



adverse reactions of macrolides

gastrointestinal reactions: nausea, vomitting, diarrhea, abd pain




pseudomembranous colitis may occur (as with any antibiotic drugs

lincosamides action n uses

effective with many gram + and gram -




inhibit protein synthesis --->death




HIGH TOXICITY - only use for SERIOUS infct. when penicillin n erythromycin/macrolide is not effective





adverse lincosamides

abd pain, esophagitis, nausea, comiting, diarrhea, skin rash




blood dyscrasia




may cause pseudomembranous colitis

wat r Fluoroquinolones and aminoglycosides ... how do u pronouce dis

powerful broad spectrum drug

fluoroquinolines action

suffix - cin




bactericidal, interfere with DNA gyrase necessary for bacteria synthesis or DNA---> no cell production ---> death



fluoroquinolines uses

gram + and gram -






PRIMARILY treat lower resp infections, skin, UTI n STDs

fluoronoqunolines adverse

bacterial superinfct, and pseudomem colitis




hypersensitive reactions




MOST COMMON ADV: nausea, disrrhea, headache, abd pain, and dizziness

aminoglycosides action n uses

action: bactericidal, block a step in protein syn ---> disrupt functuon of cell mem -- > death




uses: effective towards gram - , supresses gastro intestinal bact., reduce blood ammonia level



aminoglycosides adverse

nephrotoxicity, ototoxicity and neurotoxicity