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pharm ch. 4 antibiot
pharm ch. 4 antibiotics
Question | Answer |
---|---|
WHAT ARE BACTERIA | SINGLE CELL ORGANISMS |
HOW DOES BACTERIA AFFECT HUMANS | PENETRATE AND COLONIZE TISSUE,ESTABLISH INFECTION THAT MAY CAUSE TISSUE DAMAGE |
HOW DOES THE BODY'S IMMUNE SYSTEM RESPOND TO INFECTION (FIGHT BACK) | RESULTS IN FEVER AND INFLAMMATION |
ANAEROBIC BACTERIA | SURVIVE WITHOUT OXYGEN |
AEROBIC BACTERIA | NEED OXYGEN |
DEFINE INFECTION | CONDITION WHERE BACTERIA GROW IN BODY TISSUE AND CAUSE TISSUE DAMAGE TO HOST BY THIER PRESENCE OR BY THE TOXINS THEY PRODUCE |
SIGNS OF INFECTION | TEMP 101 WBC COUNT ABOVE 12,000/MM |
TOXIN THEY PRODUCE | C-DIFF, BOTULISM, TETANUS, WHEN BACTERIA KILLED THE SPORES BURST AND TOXIN RELEASED |
SUPER BUG | MERSA - METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS |
SUPER INFECTIONS | CAN'T USE REGULAR TREATMENT (GET VANCOMYCIN) |
SUPER BUG | VRE - VANCOMYCIN-RESISTANT ENTEROCOCCUS |
SUPERINFECTION | A NEW INFECTION COMPLICATTING THE COURSE OF THERAPY OF AN EXISTING INFECTION - MAY OCCUR - |
SUPERINFECTIONS OCCUR | MICROORGANISM BECOMES RESISTANT TO AN ANTI-INFECTIVE OR DESTROYS AND ORGANISM THAT IS A PART OF THE NORMAL FLORA ALLOWING ANOTHER MICROORGANISM TO FLOURISH (SIMPLE EXAMPLE YEAST) |
ANTIBIOTIC | A CHEMICAL SUBSTANCE WITH THE ABILITY TO KILL(BACTERICIDAL)OR INHIBIT THE GROWTH(BACTERIOSTATIC) OF ORGANISMS |
EMPERICAL TREATMENT | TREATING WITHOUT KNOWING DIAGNOSIS OR SPECIFIC PATHOGEN |
BROAD SPECTRUM ANTIBIOTICS | COVER MULTIPLE SPECIES OF BACTERIA |
ANTIBIOTICS WORK IN SIX WAYS 1ST | BLOCK PROTEIN FORMATION: MACROLIDES, TETRACYCLINES, AMINOGLYOCOSIDES |
ANTIBIOTICS WORK IN SIX WAYS 2ND | INHIBIT CELL WALL FORMATION: PENICILLINS, CEPHALOSPORINS |
ANTIBIOTICS WORK IN SIX WAYS 3RD | INTERFERE WITH DNA FORMATION: NALIDIXIC ACID, QUINOLONES |
ANTIBOITICS WORK IN SIX WAYS 4TH | PREVENT FOLIC ACID SYNTHESIS: SULFONAMIDES |
ANTIBOITICS WORK IN SIX WAYS 5TH | DISRUPTING CELL MEMBRANES: CYCLIC LIPOPEPTIDES |
ANTIBOITICS WORK IN SIX WAYS 6TH | DISRUPTING DNA STRUCTURE: METRONIDAZOLE |
GENERAL RULE WITH ANTIBOITICS | TAKE ON EMPTY STOMACH FOR FASTER ABSORPTION, FINISH ALLL MEDICATION |
ANTIBIOTICS THAT ABSORB BETTER W/FOOD | NITROFURANTION, CEFUROXIME, ERYTHROMYCIN AND AMOXICILLIAN CLAVULANTE POTASSIUM. (WILL MAKE YOU SICK) |
PREVENTING FOLIC ACID SYNTHESIS | SULFONAMIDES |
IMPAIRING CELL WALL FORMATION | PENICILLINS AND CEPHALOSPORINS |
BLOCKING PROTEIN FORMATION | MACROLIDES, TETRACYCLINES AND AMINOGLYCOSIDES |
INTERFERING WITH DNA FORMATION | QUINOLONES |
DISRUPTING CELL MEMBRANES | CYCLIC LIPOPEPTIDES |
DISRUPTING DNA STRUCTURE | METRONIDAZOLE |
UTI'S, MIDDLE EAR INFECTION, ULCERTIVE COLITIS, LOWER RESPIRATORY INFECTIONS AND PROPHYLAXIS IN PNEUMONIA IMMUNOCOMPROMISED PATIENTS. THE CHOICE OF DRUG WOULD BE | SULFONAMIDES |
ARE THE SULFA DRUGS TODAY BETTER THAN THE PAST | YES LESS SIDE EFFECTS |
COMMON SIDE EFFECT FOR SULFA IS | RASH |
OTHER SIDE EFFECTS FOR SULFA DRUGS | N/V DRUG FEVER, JAUNDICE BLOOD COMPLICATIONS, KIDNEY DAMAGE, AND STEVENS-JOHNSON SYNDROME |
IF A RASH OCCURS WHILE TAKING SULFA DRUG WHAT SHOULD PATIENT DO | STOP TAKING IMMEDIATELY |
WARNING LABLES FOR SULFA DRUGS | AVOID SUN EXPOSURE, TAKE WITH FLUIDS |
WHAT CAN HAPPEN IF PATIENT DOES NOT INTAKE ADEQUATE AMT OF FLUIDS | SULFONAMIDES CAN CRYSTALLIZE IN THE URINE AND DEPOSIT IN THE KIDNEYS (DRINK AT LEASE 6-8 GLASSES A DAY) |
PENICILLIN IS MOST ACTIVE AGAINST WHAT | GROWING AND REPRODUCING BACTERIA, GENERALLY G+ AEROBES AND ANAEROBES. |
PENICILLIN MOST USED OFTEN TO TREAT | STREP THROAT, REPIRATORY INFECTIONS, STD'S(SYPHILIS, GONORRHEA), ENDOCARDITIS CAUSED BY STREPTOCOCCI, OTITIS MEDIA, PNEUMONIA, MENINGITIS, ABSCESSES, TOOTH AND GUM INFECTIONS |
1997 A.D.A. RELEASED NEW PROCEDURES FOR PROPHYLACTIC THERAPY | 2g DOSE AMOXICILLIN BE ADMINISTERED BEFORE DENTAL PROCEDURE. IF ALLERIGIC 600mg CLINDAMCIN OR 500mg AZITHROMYCIN |
MOST COMMON SIDE EFFECT IN THE PENICILLIN GROUP | DIARRHEA |
PENICILLINS ALLERGY MAY VERY FROM | ITCHY, VERY RED MILD RASH TO WHEEZING AND ANAPHYLAXIS |
WARNING LABLES | TAKE ON EMPTY STOMACH |
OTHER PRECAUTIONARIES FOR PENICILLIN | NO FRUIT JUICES OR COLAS, ACIDS COULD DEACTIVE THE DRUG |
PENICILLIN ALLERGY EFFECTS | 7-10% OF POPULATION |
PENICILLIN G | INJECTABLE ONLY |
PENICILLIN V | ORAL FORM DRUG OF CHOICE FOR STREP THROAT |
AMPICILLIN | ORAL AND INJECTABLE TAKE QID |
AMOXICILLIN | ORAL TID USED MORE FRENQUENTLY |
RESISTANT PENICILLINS | DICLOXACILLIN, NAGCILLIN, OXACILLIN |
EXTENTED-SPECTRUM PENICILLINS | CARBENICILLIN, PIPERACILLIN, TICARCILLIN |
PENICILLIN COMBINATIONS (MOSTLY USED IN PENICILLIN RESISTANT MICROBES) | AMOXICILLIN/CLAVULANATE, AMPICILLIN/SUBBACTAM, PIPERACILLIN/TAZOBACTAM LAST TWO USED IN HOSP AND NURSING HOMES |
WARNING FOR PHARM TECH IF PATIENT WITH PENICILLIN ALLERGY WARNING IS PRESCRIBED CEPHALOSPORIN | ALERT PHARMACIST, EVEN IF PRESCRIBER WANTS THE DRUG DISPENSED, IT IS IMPORTANT THAT THIS COMMUNICATION BE DOCUMENTED IN CASE THE PERSON FALLS INTO THE 1% WHO DOES HAVE A CROSS REACTION |
CEPHALOSPORIN MOST COMMONLY USED TO TREAT | ORAL, RESPIRATORY INFECTIONS, PROPHYLAXIS FOR SURGERIES, UPPER RTI'S AND SINUS INFECTIONS, UTIs MENINGITIS |
CEFHALOSPORINS 1ST GENERATION DRUGS | CEPHALEXIN, CEFAZOLIN(INJECTION) |
CEFHALOSPORINS 2ND GENERATION DRUGS | CEFACLOR, CEFOTETAN(INJECTION), CEFUROXIME |
CEFHALOSPORINS 3RD GENERATION DRUGS | CEFOTAXIME(INJECTION), CEFTAZIDIME(INJECTION), CEFTRIAXONE(INJECTION)LAST ONE IS ADMINISTERED WITH LIDOCAINE. IT IS USED IN EMERGENCY RM FOR STDs |
CEFHALOSPORINS 3RD GENERATION DRUGS | OMNICEF(BRAND NAME) CEFDINIR - ORAL SUSPENSION WITH HIGH SUGAR CONTENT (NO GOOD FOR DIABETICS)NO REFRIDGEATION NEEDED |
CEFHALOSPORINS 3RD GENERATION DRUGS | SUPRAX(B-NAME) CEFIXIME - ORAL SUSPENSION NO FRIDGE, ONCE DAILY DOSING |
CEFHALOSPORINS 4TH GENERATION DRUGS | CEFEPIME - INJECTION |
RELATED DRUGS to CEFHALOSPORINS-NEWER BETA-LACTAM DRUGS (USED IN HOSPITAL) TAKE ON EMPTY STOMACHE | IMIPENEM-CILASTATIN - INJECTION MAY CAUSE SEIZURES, MEROPENEM-ALTERNATIVE TO imipenem-cilastatin, AZTREONAM-INJECTION, LORACARBEF-ORAL SUSPENSION STABLE AT ROOM TEMP TAKE BEFORE MEALS, ERTAPENEM-IV |
WARNING LABEL FOR CEFHALOSPORINS | REFRIDGERATE |
TETRACYCLINES WARNINGS | DO NOT TAKE EXPIRED MEDICATION AS IT MAY CAUSE A FATAL RENAL SYNDROME, DO NOT TAKE WITH ANTACIDS, AVOID SUN EXPOSURE, NO DAIRY |
TETRACYCLINES PRIMARY SIDE EFFECT | GASTRONINTESTINAL UPSET, N/V |
TETRACYCLINES WARNING | PREGNANT WOMEN OR CHILDREN UNDER 9 SHOULD NOT TAKE TO PREVENT DISCOLORED TEETH OR EFFECTS ON BONE GROWTH |
TETACYCYLINES COMMONLY USED TO TREAT | ACNE, ANTHRAX, LIME DISEASE, ROCKY MOUNTAIN SPOTTED FEVER, CHLAMDIA INFECTIONS |
TETRACYCLINES DRUGS | DOXYCYCLINE, MINOCYCLINE(CAN BE USED IN MENINGITIS)-DON'T WORRY ABOUT FOOD, TETRACYCLINE, DEMECLOCYCLINE |
RELATED DRUG TO TETRACYCLINE | TIGECYCLINE (NEW CLASS OF DRUGS CALL GYLCYCLINE) USED TO TREAT SKIN AND INTRA-ABDOMINAL INFECTIONS--INSURANCE WILL ASK IF SKIN INFECTION SEVERE |
MACROLIDES OVER PENICILLINS | USED WHEN PATIENTS ARE ALLERGIC TO PENICILLINS |
MACROLIDES GENERICS | AZITHROMYCIN(Z-PAK) ONCE DAILY DOSING-LOADING DOSE 2TABS(500MG)THEN ONE TAB(250MG) FOR 4 DAYS |
MACROLIDES WARNINGS | TAKE WITH FOOD(WILL MAKE YOU SICK) |
MACROLIDES GENERICS | CLARITHROMYCIN, DIRITHROMYCIN (ONCE DAILY),ERTHROMYCIN, ERTHROMYCIN ETHLSUCCINATE |
MACROLIDES USED TO TREAT | CHLAMDIA, STREPTOCOCCUS, H INFLUENZAE, PULMONARY INFECTIONS, LEGIONAIRES DISEASE |
QUINOLONES TREAT | BONE AND JOINT INFECTIONS, INFECTIOUS DIARRHEA, OPHTHALMIC INFECTIONS(TOPICALLY, SOME STDs UPPER RESPIRATORY INFECTIONS, UTIs |
MACROLIDES AND QUINOLONES STD TREATMENT | THAT ALL SEXUAL PARTNERS BE TREATED AT THE SAME TIME AND AVOID SEXUAL CONTACT FOR 3-4 DAYS |
QUINOLONES OR FLUORQUINOLONES ARE | STRONGEST FAMILY OF ANTIBIOTICS |
QUINOLONES WARNING LABELS | AVOID SUN EXPOSURE, DO NOT TAKE WITH ANTACIDS, TAKE WITH FLUIDS, MAY CAUSE THEOPHYLLINE TOXICITY,NOT RECOMMENDED FOR CHILDREN OR PREGNANT WOMEN |
QUINOLONES GENERICS | CIPROFLOXACIN(1ST OUT)PO, CILOXAN-OPHTHALMIC, CIPRODEX-OTIC W/DEXAMETHASONE, LEVOFLOXACIN-PO(MEDICARE WON'T COVER THIS DRUG),OFLOXACIN-OPHTHALMIC, FLOXIN-OTIC SINGLES |
QUINOLONES GENERICS | MOXIFLOXACIN-OPHTHALMIC, GATIFLOXACIN-OPHTHALMIC, NORFLOXACIN |
QUINOLONES SIDE EFFECTS | GASTRO, N/V, JOINT SWELLING, DIZZINESS, UNPLEASANT TASTE |
STREPTOGRAMINS (WHAT ARE) | NEW CLASS OF ANTIBIOTICS, ALTERNATIVE TO VANCOMYCIN |
STREPTOGRAMINS GRANTED ACCELERATED APPROVAL FROM FDA BECAUSE | OF THEIR ABILITY TO TREAT LIFE THREATING CONDITION. |
STREPTOGRAMINS SIDE EFFECTS | GASTRO, N/V, JOINT SWELLING, DIZZINESS |
STREPTOGRAMINS GENERICS | QUINUPRISTIN/DALFOPRISTIN-IV LINES MUST BE FLUSHED W/D5W,CYTOCHROME P450 INHIBITOR(DRUG INACTIVE IN THE LIVER)refridge also alterntive to vancomycin |
STEPTPGRAMINS WARNING LABEL | REFRIDGRATE |
AMINOGLYCOSIDES MOST COMMONLY USED FOR | SEPSIS, LIFE THREATENING INFECTIONS |
AMINOGLYCOSIDE MAJOR SIDE EFFECTS | NEPHROTOXICITY(KIDNEY), OTOTOXICITY(ORGANS OF HEARING), NEUROMUSCULAR BLOCKAGE CAN BE A PROBLEM, SO TOXIC |
AMINOGLYCOSIDES EVIDENCE ON DOSES | DOES ONCE OF DAY(INSTEAD OF 2OR3)REDUCES THE CHANCE OF TOXICITY, CHECK TROUGH LEVELS BEFORE NEXT DOSE MAKE SURE ELIMINATING QUICKLY ENOUGH |
AMINOGLYCOSIDES DRUGS | TOBRAMYCIN-INJECTION, STREPTOMYCIN-IV, GENTAMICIN, NEOMYCIN-TOPICAL, ORAL LIQUID, AMIKACIN-IV |
CYCLIC LIPOPEPTIDES COMMON USE | COMPLICATED SKIN INFECTIONS, LIFE THREATENING W/MRSA OR SUPERBUG AND DIALAYSIS PATIENTS |
CYCLIC LIPOPEPTIDES SIDE EFFECTS | HYPOTENSION, NAUSEA, DIARRHEA, PHLEBITIS AND RASH |
CYCLIC LIPOPEPTIDES WARNINGS | DO NOT TAKE WITH STATINS, FLUSH IV LINES |
CYCLIC LIPOPEPTIDES DRUGS | DAPTOMYCIN |
CYCLIC LIPOPEPTIDES IV MIXING | CAN TAKE UP TO 30 MIN FOR DRUG TO DISSOLVE BEFORE IN CAN BE MIXED AS AN IV |
VANCOMYCIN USED | MRSA,VRSA, CE DIFF |
VANCOMYCIN OVERSUED | BACTERIAL RESISTANCE IS INCREATING, ALSO OTOTOXIC AND NEPHROTIC |
RULES FOR INFUSING VANCOMYCIN | INFUSE WITH AT LEASE 250ml AND NO MORE THAN 1g PER HOUR, BETTER TO MIX WITH MORE FLUID, VERY SLOWLY(TO FAST REDMAN SYNDROME) |
CLINDAMYCIN COMMONLY USED | ALTERNATIVE TO PENICILLIN IN DENTAL PROPHYLAXIS, TOPICALLY FOR ACNE |
CLINDAMYCIN WARNING | IF PATIENT DEVELOPS DIARRHEA, DISCONTINUE MAY CAUSE CE DIFF |
METRONIDAZOLE(FLAGYL) PRIMARILY USED TO TREAT | H PYLORI, (THE BACTERIA IMPLACATED IN PEPTIC ULCERS AND C DIFF |
METRONIDAZOLE WARNING | DO NOT TAKE WITH ALCOHOL, MAY CAUSE METALLIC TASTE, MAY CAUSE DIAHHREA, NAUSA TAKE WITH FOOD IF NECESSARY |
METRONIDAZOLE AND ALCOHOL WARNING LABEL | ALCOHOL INTERACTS IN THE SAME WAY AS ANTABUSE, PATIENT REACTION N/V, BLOOD VESSELS DILATE CAUSING A FLUSHED REACTION AND HEADACHE(HA) |
METROGEL (VAGINAL AND TOPICAL GELS) USED | STDs, MUST TREAT SEXUAL PARTNERS OR CYCLE CONTINUES, ALSO USED FOR ROSACEA |
PENTAMIDINE (MISCELLANEOUS ANTIBIOTIC) USED FOR | P. CARINII INFECTION SEEN IN HIV PATIENTS-IM ONCE DAILY OR INHALATION ONCE EVERY 4 WEEKS |
PENTAMIDINE (MISC ANTIBIOTIC) WARNING | MAY DEVELOP SUDDEN HYPOTENSION, HAVE EMERGENCY DRUG ON HAND(EPINEPHRINE)ALSO MAY CAUSE WHEEZING OR COUGHING WHEN INHALED(BREATHING TREATMENT) |
LINEZOLID (MISC ANTIBIOTIC) NEW CLASS CALLED OXAZOLIDINONES USED TO TREAT | MRSA, VRE - USED IN IV LINE ALONE AND KEEP OUT OF LIGHT----VERY EXPENSIVE |
DROTRECOGIN ALFA (MISC DRUGS) NOT ANTIBIOTIC - USED FOR | SEPSIS - BECAUSE OF IT ANTICOAGULANT PROPERTIES, |