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LECOM Pharm 32 Abx DNA translation transcription

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Question
Answer
Mnemonic for 50s vs 30s inhibitors and what they stand for   CLEan TAG: Clinda/Chloramphenicol, Linezolid, Erythro, Tetra/Tigecycline, AG= aminoglycosides  
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Ending and MOA of quinolones   -floxacin; Topoisomerase II inhibitors  
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What do you used quinolones to treat   gram negatives  
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6 SE of Quinalones   cartilage/tendon rupture, peripheral neuropathy, increased ICP, seizure, sever hypersensitivity reactions  
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MOA of rifampin and rifabutiin   bind bacterial DNA dependant RNA polymerase  
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Used for meningitis prophylaxis   rifampin  
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2 SE of rifampin.rifabutin   thrombocytopenia and hepatotoxicity  
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Group of Abx that is bactericidal causing mRNA misreads   Aminoglycosides  
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Use AG to treat?   serious gram negative bugs  
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4 serious SE of aminoglycosides   ototoxicity, acute renal failure, NM blockade, repiratory paralysis  
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Spectinomycin: MOA and use   inhibits translocation, Alternative gonorrhea therapy  
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You can’t use these 2 drugs with active Neisseria infections   rifampin and rifabutin  
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Abx used in malaria prophylaxis   doxycycline  
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Abx class that is actively transported into bacterial cells   tetracyclines  
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The only tetracycline that can be used in renal patients   doxycycline  
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Use tetracyclines to treat these 7 bugs   C. acnes, H flu, vibrio cholera, spirochetes, mycoplasma pneumonia, and rickerrsial species  
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Class that causes bulging fontanelle, discoloration and stunting of bone growth, hepatotoxicity, and pseudotumor cerebri   tetracyclines  
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Use tigecycline for   skin infections and complicated abdominal infx  
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4 Keto-Macro-lides   Azithromycin, Clarithromyciin, Erythromycin, Telithromycin  
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Clarithromycin has increased activity against   H. flu  
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Azithromycin has increased activity against   H.flu and Moraxella cattarrhalis  
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Class that can cause ototoxicity, acute cholestatic hepatitis   macro/ketolides  
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SE specific to telithromycin   fulminant hepatic necrosis  
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Macrolides effect digoxin how?   increases oral absorption  
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3 SE of chloramphenicol   hemolytic anemia w/ G6PD def., gray baby, aplastic anemia  
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Clindamycin has good coverage of what   anaerobes  
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3 SE of clindamycin   C. diff, increased LFTs and jaundice  
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Used to treat VRE, and staph and strep   daldopristin/quinupristine  
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daldopristin/quinupristine should not be used with what 2 drugs   SSRIs= serotonin syndrome; pimozide=torsades  
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Use for diabetic foot Infx, VRE, MRSA, S. pneumo, nosocomial pneumonia   linezolid  
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Can cause myelosupression, peripheral neuropathy, and optic neuropathy   linezolid  
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