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ass1.13
1.13
| Question | Answer |
|---|---|
| Piperacillin/Tazobactam | Zosyn (IV) |
| Ticarcillin/Clavulanic Acid | Timentin (IV) |
| Cefazolin | Ancef (IV) |
| Cephalexin | Keflex (PO) |
| Cefaclor | Ceclor |
| Cefuroxime | Ceftin |
| Ceftriaxone | Rocephin; no neonates/ peds--> bilirubin buildup. Dont take with Calcium |
| Ceftazidime | Fortaz *pseudomonal |
| Cefepime | Maxipime *pseudomonal |
| Ceftaroline | Teflaro # anti-MRSA |
| Ertapenem | Invanz; longest half life, Q24, good for outpatient |
| Imipenem/Cilastatin | Primaxin |
| Meropenem | Merrem |
| Doripenem | Doribax |
| Aztreonam | Azactam |
| PO penicillins | 12,459 |
| IV penicillins | 4 is IV and PO, everything else besides 12,459 up to 11 |
| Type 1 | IgE; anaphylaxis |
| Type 2 | IgG, IgM |
| Type 3 | Antigen- Antibody |
| Type 4 | Not known T-lymphocytes |
| PCN drug interactions | tetracycline (antagonism), warfarin, aminoglycosides (same IV bag), and probenecid (prevents PCN elimination) |
| DON | NOT RENAL, positive only |
| B-lactamase inhibitors | clavulanic acid, sulbactam, tazobactam |
| Cefoxitin | Mefoxin, is a cephamycin |
| Cefotetan | Cefotan, is a cephamycin |
| Carbapenem "penems" ADR's and DI's | seizure and valproic acid; 5-10% cross allergic potential |
| What helps Imipenem from being broken down in renal tubule? | Cilastatin |
| Which Carbapenem isnt anti-pseudomonal? | Ertapenem |
| What do we give patients allergic to PNC? | Monobactam; Aztreonam (Azactam); gram negative and anti-pseudomonal |
| Polyenes | Ampho B (systemic) and Nystatin (not systemic) |
| Bind ergosterol--> pores that let in ions--> cell death | Polyenes (Ampho B and Nystatin) |
| Inhibits 14a- sterol demthylase--> no conversion lanosterol to ergosterol --> low ergosterol--> disrupted cell membrane | Azoles (Imidazoles and Triazoles) |
| Inhibit conversion of aqualene-->lanosterol--> squalene buildup (toxic) | allylamines/ benzylamines |
| Inhibits synthesis of B-1,3 glycan--> disrupts cell wall--> lysis --> death | Echinocandins (C.A.M-fungins) |
| Inhibits mitosis, may also inhibit RNA and DNA synthesis | Griseofulvin |
| Anti-fungal that inhibits DNA synthesis by messing with thymidylate synthase; converts to 5FU | Antimetabolites (Flucytosine) |
| Antifungal that inhibits transport of elements | Ciclopiroz (Tolnaftate) |