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Pharm 33 Cell Wall

LECOm Pharm Ch 33 Abx Cell Wall Synthesis

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