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patho antibiotics
antibiotics to know
| Question | Answer |
|---|---|
| PCN + beta lactamase inhibitor | augmentin- amoxycillin+ clavulanate protects beta lactam ring of antibiotic from enzyme breakdown |
| Penecillin Family naming | have "cillin" ending can cause serious anaphylaxis |
| Cephalosporin naming | "cef" prefix 1st generation targeted G+, later generations targeted G- |
| Nitrofurantoin use | used for chronic UTIs |
| Macrolides naming | "micin, mycin" in name azithromycin, erythromycin |
| Aminoglycosides naming | end in "micin, mycin" gentamicin |
| Aminoglycosides ADR | nephro, oto and neurotoxic |
| vancomycin use and mechanism | inhibits cell wall synthesis historical drug of choice for C Diff |
| Flouroquinolone/ quinolones naming | "floxican in name" |
| sulfonamides mechanism | block folic acid synthesis thereby inhibiting nucleic acid synthesis antimetabolites |
| sulfamethoxazole is... | Septra |
| tetracycline naming | have "cline" in name |
| tetracycline ADRs | disrupt tooth enamel, kidney and liver damage, pregnancy risk to mom and baby |
| Rifampin and Isoniazid target organism | m. tuberculosis other mycobacterium's |
| metronidazole trade name and mechanism | trade name is Flagyl produces free radicals to disrupt DNA synthesis |
| mupirocin trade name and use | trade name is Bactroban ointment used for Impetigo or Staph |
| Families that inhibit DNA synthesis | fluroquinolones metronidazole |
| Families that inhibit protein synthesis | aminoglycosides, tetracyclines, macrolides |
| Families that inhibit cell wall synthesis | PCN, cephalosporin |
| Penecillin mechanism | inhibit cell wall synthesis and lower integrity of cell wall |
| beta lactams include | cephalosporin and PCN inhibit cell wall synthesis |
| Macrolides | bind to ribosome to INHIBIT PROTEIN SYNTHESIS |
| Aminoglycosides mechanism | block early steps of PROTEIN SYNTHESIS |
| quinolones mechanism | inhibit enzymes of DNA SYNTHESIS |
| sulfonamides naming | have "metho" in name |
| tetracylcine mechanism | inhibit ribosomal PROTEIN SYNTHESIS |
| RTI- nucleoside | zidovudine |
| RTI- nonnucleoside | efavirenz- targets the enzyme itself |
| RTI- nucleotide | tenofovir- targets the nucleotides of the transcription process |
| HAART highly active antiretroviral therapy | Reverse Transcriptase inhibitors Protease Inhibitors (never given alone) |
| secondary HAART mechanisms | CCR5 co receptor antagonist, fusion inhibitor, integrase inhibitor |
| filgrastim for HIV treatment | increases neutrophils production (Neupogen) |
| interleukin 2 for HIV treatment | stimulates T cell production but people can't tolerate |
| erythropoietin | increases RBC production |
| mechanism of antifungals | damage cell wall by binding to sterols and interfere with DNA synthesis |
| antifungal ADRs | liver damage |
| antifungal naming | have "azole" in name |
| systemic fungal infections treated with | amphotericin B- severe ADRs (bone marrow suppression, low BP) pretreatment with Benedryl to suppress inflammation required |
| antiviral mechanism | block fusion or suppress replication not very effective |
| antiviral naming | end in "vir" Tamiflu |
| ceflexin generation | 1st generation G+ trade name is Keflex |
| ceftriaxone generation | 3rd G- |