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94 Cards in this Set

  • Front
  • Back
Cephalosporins: 4 generations?
1. more G +, hardly G -

2. less G+ more G -

3. hardly G+ mostly G -, CSF

4. Broad spectrum, resistance to beta lactimases, CSF
Cephalosporins: main adverse effect?
c. diff
Cephalosporins: allergic rxn
1% cross allergy with pen's
Cephalosporins: toxicity
neuro in high doses
Macrolides: Mech of act?
50S- reversable
Macrolides: metabolized by?
liver
Macrolides: serious side effects?
Long QT

CYP enzyme inhibitor=increases other drugs
Macrolides: toxicity
oto

hepatic
Tetracyclines: mech of act
30s ribosomes-reversable
Tetracyclines: don't take with?
Ca++
Tetracyclines: risks in preg?
baby=brown teeth
Tetracyclines: side effects
heartburn
photo-sensitivity
Clindomycin: derived from?
lincomycin
Clindomycin: mech of act
50s ribosome- irreversible
Clindomycin: metabolized?
liver
Clindomycin: main cause of___
c. diff
Clindomycin: toxicity
hepato
Linezolid: mech of act?
inhibit protein synthesis
Linezolid: approved for only____
MRSA, VRE
Linezolid: don't use for people with
PKU
Linezolid: interacts with what meds?
MAOI, SSRI
Linezolid: can cause _____ suppression
myelosuppression
Fluoroquinolones: mech of act.
disrupt DNA synthesis
Fluoroquinolones: static or cidal?
BACTERIOCIDAL
Fluoroquinolones: excretion
renal + hepatic
Fluoroquinolones: new black box?
achilles tendon rupture
Fluoroquinolones: main CNS warning?
can cause neurotoxicity in elderly
Sulfonamides: excretion?
renal
Sulfonamides: can cause what syndrome?
Steven Johnson
Aminoglycosides: mech of action
30s ribosome, irreversible
Aminoglycosides: excretion
renal
Aminoglycosides: toxicity
oto, renal
Aminoglycosides: risks for increased toxicity
prolonged therapy
vanco: toxicity
oto kidney
vanco: static or cidal?
cidal
aminogly: cidal or static
cidal
vanco: excretion
kidney
vanco: G__ only
+
vanco: mech of act. close to?
penicillins
vanco: can cause _____ syndrome
red man
Rifampin: used primarily for
TB, leprosy, MRSA
Rifampin: can cause
orange tears, pee
Metronazole: main tx for___
c. diff
Daptomycin: mech of act
injury to cell membrane
Daptomycin kills almost all G ___
+
Azoles: take with
cola
Azoles to tx___
athletes foot
Amphotericin B: will almost always cause?
renal injury, bone marrow suppression
Amphotericin B: primarily used in patients with?
immune-compromised
Amphotericin B: stays in the body?
1 yr +
Azole: can increase___
amt of other drugs in the body
2006 consumer protection act?
regulates serious adverse effects and reporting
2007 good mfg processes
labeled a supplement
no adulterants
all ingredients listed
Whats not regulated in supplements
adverse effects
dosage
safety
Aloe uses?
constipation
skin problems
aloe drug interactions?
latex
don't take with diuretics
black cohosh taken for?
menopause
don't take black cohosh if you have?
cancer or are on antiestrogens
Co Q10: taken for
myopathy from statins
Co Q10 is similar to vit__
K
Co Q 10 and warfarin?
co Q10 antagonizes warfarin
Cranberry may increase?
INR
echinacea: allergy?
don't take if allergic to daisy
feverfew taken for?
migrane prevention
feverfew adverse rxn?
post feverfew syndrome
flaxseed may decrease
LDL
flax seed should not be taken____
1 hr a meds
2 hr p meds
Garlic and platelets?
anti-platelets
Ginger and platelets?
suppress platelet aggregation
Ginko used for?
memory & DAT & ED
Ginko action
vasodilation
Ginko and coagulation?
supression coagulation
Ginko can decrease effects of?
seizure meds
Ginko can lower ___ threshold for some meds
seizure
St. JOhns wort used for?
depression
St Johns Wort interactions?
interacts with MANY drugs
Valerian root used for?
insomnia
Don't take glucosamine if you have a ____
shell fish allergy
Goldenseal interacts with?
anticoagulants
Saw Palmetto?
tx of BPH
saw palmetto and platelets
anti-platelet effects
3 main harmful supp?
comfrey
kava
Ma huang
The highest daily intake that can be consumed by nearly everyone without a sig. risk of adverse effects?
Tolerable Upper Intake Limit (UL)
Vit a deficiency causes?
night blindness (rare)
Vit A is highly____
teratogenic
vit E has __properties
antioxidant
vit E supp recommended for people who can not____
absorb fat
excess vit E can cause?
bleeding
Vit K is produced by?
normal gut flora
Vit K theraputic use?
warfarin OD
in neonate to prevent bleeding
B3 deficiency?
pallegra
B1 deficiency?
beriberi
B12/b9 plays a role in?
DNA synthesis
b12/b9 deficiency can cause?
anemia