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Anti-Infective Drugs

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Question
Answer
What Drugs are used for Tx of UTI, sinuses, lower resp. tract, GI, skin, bones, joints and Gonorrhea?   QUINOLONES:ciprofloxacin (Cipro), levofloxacin (Levaquin)  
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If pt is allergic to other antibiotics use this durg?   QUINOLONES  
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Before initiating a quinolone...?   C&S tests should be drawn to identify the causative organism.  
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Side effects of quinolones include:   N/V/D, abd pain, colitis, headache,dizzy Crystalluria, Superinfection, Phototoxicity, cartilage or tendon damage.  
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Use caution w/ quinolones and...?   elderly, GI disease, or arteriosclerosis, Strenuous exercise, (Tendon rupture)Seizure disorder. renel impairment  
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A broad-spectrum antibiotic used in Tx of rickets, chlap, Rocky Mtn. Fever, ACNE...?   Tetracyclines  
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Used to treat H. pylori infection?   Tetracyclines  
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Unfortunate sided effect of tetracyclines? Take it at what time of day?   discolored teeth in the young. Cant take if younger than 8yo. b/c of bone retard. Morning  
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Avoid taking________ with tetracyclines?   Antacids, Ca, Mg laxatives, Fe, Zn, Antidearrhea agents kaolin pectin or bismuth. Dairy products, Oral Contraceptives  
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If you dont discard expired drugs, _____ can result form taking outdated drugs.   Nephrotoxicity  
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What durgs are used to treat specific susceptible fungi?   Antifungals  
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What is the antifungal of choice? ppl w/ AIDS   Amphotericin B (IV)  
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Amphotericin B has severe side effects so... pt require...?   close medical supervision (hospitialization)  
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Side effects fo Amphotericin B include?:   Headache, chills, Fever-tachypnea, hypotension. Nephrotoxicity-(BUN, Cretine, Output measured) Hypokalemia  
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lipid based product that increases tolerability of antifungals ?   Abelcet  
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What drug is used to treat candidial infections? (yeast infections)   Fluconazole (Dyflucan)  
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What drug will cancel Fluconazole?   Rifampin- leads to clincal failure of fluconazole  
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Extreme caution w/ fluconazole and ...?   kids <13, preg, nursing, Hepatic or renal disease. Nephrotoxic!  
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What durg is administered PO, Tx of specific fungi causing tinea infections..? (Ringworm)   Griseofulvin  
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Side effects of Griseofulvin include:?   THIRST, headache, hypersensitivity reactions, photosensitivity.  
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Use caution w/ on Griseofulvin?   Kid <2, Preg, Liver dysfunction, Porphyria, Penicillin hypersensitivity  
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Avoid _____ while taking Griseofulvin.   Alcohol, Phenobarbital, coumarin, oral contraseptives  
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This drug is used to Tx (PO), of intestinal candidiasis. Or topically for Tx of Diaper Rash?   Nystatin (Mycostatin)  
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Antituberculosis agents are given for 2 purposes:   1)Tx asymptomatic infection 2)Tx of active clinical TB & to prevent relapse  
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For asymptomatic TB. Tx consist of ...? How long?   daily isoniazid (INH) alone for 6-12 mths to prevent devel. of disease.  
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Alternate Tx of asymptomatic TB or INH-resistant use these drugs for Tx?   rifampin w/pyrazinamide  
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Tx of clinical TB is challenging for 2 reasons:?   1)Increasing incidence of TB,high-risk pop. 2)resistant to drugs or imcompletion of 6-24 mth Tx.  
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