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LECOm Pharm Ch 33 Abx Cell Wall Synthesis

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Question
Answer
PEP analogues that inhibit bacterial enol pyruvate tranferase (2)   fosfomycin, fosmidomycin  
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2 drugs used to treat gram neg. UTIs i.e. E.coli, Klebsiella, Serratia, Clostridia   fosfomycin, fosmidomycin  
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Used to treat m.tuberculosis, M.avium complex and can cause seizures   cycloserine  
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Used for skin and eye infections, or to irradicate C.diff or VRE, but not absorbed systemically   bacitracin  
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Used to treat MRSA or C.diff, can cause neutropenia, ototoxicity, nephrotoxicity or Red Man syndrome   Vancomycin  
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Penicillin can cause (8)   seizure, C.diff, drug-induced eosinophilia, hemolytic anemia, neuropathy, acute interstitial nephritis, anaphylaxis  
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5 beta lactam resistant Penicillins and what they treat   Oxacillin, Cloxacillin, Dicloxacillin, Nafcillin, Methicillin; skin and soft tissue Infx and MRSA  
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Treat invasive enterococcal Infx or Listeria meningitis with   ampicillin  
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Use amoxicillin for   ENT, dental and endocarditis prophylaxis  
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4 penicillin based drugs used for P.aeruginosa or hospital-aquired gram negative pneumonia   Carbacillin, Ticarcillin, Piperacillin, Mezclocillin  
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Over view of cephalosporin 1st-3rd gen coverage of Gram positive/neg   increased in Gram negative coverage from 1-3 and decrease in gram positive coverage in 1-3  
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1st gen cephalosporins (2) and what they treat   cefazolin and cephalexin; proteus, e.coli, klebsiella, skin soft tissue, surgical prophylaxis; good gram +  
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4 SE of 1st gen cephalosporins   C.diff, leukopenia, thrombocytopenia, hepatotoxicity  
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2nd gen ceph.. used for community acquired pneumonia   cefuroxime  
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2nd gen ceph (2) used for intra abdominal and pelvic infxs   Cefotetan and Cefoxitin  
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Highest CNS penetration of the cephalosporins   3rd gen  
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3rd gen cephalosporin that may cause cholestatic hepatitis   ceftriaxone  
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2nd and 3rd gen ceph that can cause disulfiram like reaction   cefotetan and cefoperazone  
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Cephalosporin that can cause production or erythrocyte Ab with little hemolysis   cefepime  
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Used for gram negative coverage w/ PCN allergy   aztreonam  
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High levels of this drug, caused by taking probenecid can lead to seizures   meropenem  
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Used against mycobacterium and can cause Optic neuritis, blindness, peripheral neuropathy, neutron/thrombocytopenia   ethambutol  
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Do not take this anti-mycobacterium drug with antacids   ethambutol  
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The mycobacterium drug can cause anemia and hepatotoxicity and shouldn’t be used in gouty Pt’s   pyrazinamide  
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Neurotoxicity of this anti-mycobacterial drug can be prevented by co-administering pyridoxine   isoniazid  
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2 drugs causing hepatitis, neurotoxicity, SLE, seizure, and hematological abnormalities   Isoniazid and ethionamide  
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