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MICRO PHARM
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102
Accounting
Kindergarten
04/20/2013

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Term
MOA of Penicillin
Definition
1. Blocks Penicillin binding proteins
2. Blocks cross linking (transpeptidation)
3. Activates autolytic enzymes
Term
4 Penicillinase Resistant drugs and compare to penicillin
Definition
Dicloxacillin
Nafcillin
Methicillin
Oxacillin

Narrow spectrum/Bulkier R group
Term
2 Aminopenicillins and compare to penicillin
Definition
Ampicillin (IV) and Amoxicillin (oral)

Wider spectrum
Term
Ampicillin given with
Definition
Sulbactum
Term
Amoxicillin given with
Definition
Clavulanic acid
Term
4 Antipseudomonal Penicillins
Definition
Pipercillin
Azlocillin
Carbenicillin
Ticarcillin
Term
Ticarcillin give with
Pipercillin given with
Definition
Claculanic acid
Tazobactum
Term
What are the antiseudomonals used in combonation with
Definition
aminoglycosides
Term
Spectrum of Aminopenicillins
Definition
HELPSS
H. flu
E. coli
Listeria
Proteus
Salmonella
Shigella
Term
Spectrum changes between generations of cephalosporons
Name bacteria uses for 1st and 2nd gens
Definition
1st generation better against G positive
Later generations better against G negative

1. PEcK
Proteus
E. coli
Klebsiella

2. HENS PEcK
H. flu
Enterobactor
Neisseria
Serratia
Term
name 2 1st generation cephalosporins
Definition
PHatZO
cePHalexin
cefaZolin
Term
name 3 2nd generation cephalosporins
Definition
FACKing FOX is FURry

ceFAClor
ceFOXitin
ceFURoxime
Term
name some 3rd generation cephalosporins
Definition
anything with a "T"

ceftriaxone
cefotaxime
ceftazidine
cefdiner
cefixime
Term
4th gen cephalosporin and use
Definition
cefapime

pseudomonas
Term
What Don't 3rd gen cephalosporins treat
Definition
1. Listeria
2. Atypicals: chlamydia/mycoplasma
3. Methicillin Resistant
4. Enterrococcus

Special:
Neisseria- ceftriaxone
Pseudomonas-ceftazidime
Term
MOA of Monobactums and what are they synergistic with
Definition
Binds PBP3 inhibiting cell wall synthesis
synergistic with aminoglycosides
Term
Imipenem is give with
Definition
Cilistatin to reduce renal breakdown
Term
Carbapenams spectrum
Definition
In the hospital in severe cases. spectrum covers almost all bacteria except MRSA and Mycoplasma
Term
Vancomycin MOA
Definition
Inhibits cell wall mucopeptide formation by binding D-ala D-ala
Term
Vancomycin Spectrum
Definition
MRSA
enterococci
clostridium difficile
Term
Aminoglycosides MOA
Definition
Bacteriocidal of the 30S
1. misreading of the mRNA
2. inhibiting initiation complex
Term
Name 5 aminoglycosides
Definition
Gentomycin
Neomycin
Amikarin
Tobramycin
Sterptomycin
Term
Aminoglycosides are ineffective against
Definition
Anearobes because they use an oxygen uptake transporter
Term
Uses:
Neomycin
Tobramycin
Streptomycin
Definition
Neomycin-skin
Tobramycin-Pseudomonas
Streptomycin- TB (2 line), Plague, Tuleremia
Term
Tetracyclines
Definition
Bacteriostatic of 30s
1. prevents attachment of aminoacyl-tRNA
2. chelates cations
Term
USES of Tetracyclines
1. Doxycycline
2. Minocycline
3. Demeclocycline
Name any other uses
Definition
1. Doxy: prostatitis
2. Mino: Meningococceal
3. Deme: SIADH
Lyme disease
H. pylori
M. pneumonia
Rickettsia
Chlamydia
B. henselae
Term
Macrolide MOA
Definition
Bacteriostatic
1. Blocks translocation @ the 50s subunit
Term
Macrolide Spectrum
Definition
Atypical Pneumonias
1. Legionella
2. M. avium
3. Chlamydia
B. henselea
Term
Chloramphenicol MOA
Definition
Bacteriostatic:
Inhibits peptidyltransferase of ATP->AMP
Term
Chloramphenicol Spectrum
Definition
Meningitis, G+, G-, anearobes
Pregnancy with RMSF
Term
Lincosamides MOA
Definition
clindamycin and Lincomycin
Bacteriostatic:
1. Blocks Translocation of 50s subunit
Term
Clindamycin use
Definition
Anaerobes: B. fragilis and C. perfringens
Term
Sulfonamides MOA
Definition
inhibit PABA dihydropteroate synthetase
Term
Trimethoprim MOA
Definition
inhibits dihydrofolate reductase
Term
Why do you give Azythromycin in HIV
Definition
<50 cells for M. Avium
Term
Uses of Sulfonamides
Definition
Nocardia asteroides
Sulfasalazine->UC and RA
Sulfadiazine-> Burns and T. gondi
Term
Flouroquinolone MOA
Definition
Bacteriocidal inhibits DNA gyrase 2 and Topoisomerase 4
Term
Flouroquinolone uses
Definition
Gonorrhea
Chlamydia
UTI
Diarrhea
Term
Drug used in surgery prophylaxis
Definition
Penicillins
Term
Gram negative rod infection with Penicillin allergy
Definition
Aztreonam
Term
Used to wipe out gut flora with liver failure
Definition
Neomycin
Term
What two drugs have very similar spectrums
Definition
Macrolides
Tetracyclines
Term
Dind divalent cations and decrease absorption
Definition
Tetracyclines
Term
Only macrolid that is good for pregnancy and does not inhibit P450
Definition
Azythromycin
Term
Which Antibiotics are lipid soluble
Definition
Nafcillin
Cefoperazone, Ceftriaxone
Doxycycline
Chloramphenicol
Term
Resistance in Penicillins - 3 ways
Definition
1. Beta lactamases which cleave the beta lactam ring
2. change PBP (MRSA)
3. change in porins (gram -)
Term
Resistance to Aminoglycosides
Definition
Enzymes that inactivate the drugs via conjugation rxn that transfers acetyl, phophoryl, or adenylyl groups
Term
Resistance to Macrolids and Clindamycin
Definition
Formation of methyl transferases that inhibit drug binding sites on the 50s subunit
Term
Resistance to tetracyclines and -azoles
Definition
Drug being pumped out of cell
Term
2 antibiotics which cause phototoxicity
Definition
Sulfonamides and tetracyclines
Term
Penicillin SE
Definition
Hypersensitivity reaction
Term
MOA Lenezolid
Definition
Inhibits formation of initiation complex of 50s
Term
MOA of streptogramins
Definition
Binds to 50s ribosomes subunit prevents the interaction w/ acceptor site and stimulates its dissociation
Term
Causes Intersitital Nephritis
Definition
Methicillin
Term
What is a Jarish-Herxheimer Rxn
Definition
When penicillin is given in syphilis, all syphilis toxins released at the same time
Term
Disulfirum like effects
Definition
Cefoteton, cefopearazone (3rd gens)
Metrondiazole
Term
Aminoglycoside Toxicity
Definition
Nephrotoxic
Ototoxic
Tetratogenic
Term
neomycin Toxicity
Definition
Contact dermatitis
Term
Causes discolored teeth
Definition
tetracycline
Term
Gray baby and bone marrow suppression
Definition
Chloramphenicol
Term
Increased QT interval
Definition
Macrolids
Flouroquinolones
Term
Stimulates motolin and causes acute jaundice (cholestatic)
Definition
Macrolid
Term
Causes pseudomonas colitis
Definition
Clindamycin
Ampicillin
3rd gen cephalosporins
Term
Vit K deficiency
Definition
3rd gen cephalosporins
Term
Name the SE of Sulfonamides (5)
Definition
1. Crystaluria
2. Kernicterus
3. Phototoxic
4. Steven Johnson
5. G6PD
Term
Causes tendonitis
Definition
Flouroquinolone
Term
Gives a metallic taste
Definition
Metrondiazole
Term
MOA of Metronidazole
Definition
Free radicle metabolites in the bacterial cell damaging DNA
Term
Uses of Metronidazole
Definition
Giardia
Entamoeba
Trichomonas
Gardnerella vaginalis
C. Difficile (colitis)
H. pylori
Term
Isoniazide MOA
Definition
Decrease synthesis of Mycolic acids and needs bacteria catalase
Term
Only drug that can be used solo for M. tuberculosis
Definition
Isoniazide
Term
Isoniazide Toxicity (4)
Definition
Neurotoxic
Hepatotoxic->hepatitis
Lupus like
Sideroblastic anemia
Term
Rifampin MOA
Definition
inhibit DNA dependent RNA polymerase
Term
Causes Red fluids and is hepatotoxic
Definition
Rifampin
Term
Causes Optic neuropathy->loss of red/green color
Definition
Ethambutal
Term
Pyrazinamide MOA
Definition
Activated by bacteria pyrazinamidase and decreases mycolic acid. Used for TB engulfed by macrophages
Term
MOA of Ethambutal
Definition
decrease carbohydrate polymerization of mycobacterium cell wall. Blocks arabinosyltransferase
Term
increase porphyrin synthesis and not CI in pregnancy
Definition
Pyrazinamide
Term
Depolarization of cell membrane
Definition
Daptomycin
Term
What drug for Leprosy colors tissue red
Definition
Clofazimine
Term
Drugs used for Leprosy
Definition
1. Rifampin
2. Dapsone
3. Clofazimine
Term
Drugs used for Staph aureus
1st line
2nd line
resistant
Definition
1st: Nafcillin/Oxacillin
2: Quinopristine/Dalfopristine
Resistance: Vancomycin
Term
Drugs: Strep agalactia
Definition
1st line Ampicillin/aminoglycoside
Allergy: Macrolide
Term
Drugs: Strep pneumonia
Definition
Meningitis: 3rd gen cephalosporin
pneumonia: macrolide
Term
Drugs. Strep Viridans
Definition
1. Penicillin/aminoglycoside
Term
Drugs Enterococci
Definition
1. Vancomycin
2. Daptomycin
Term
Drugs Bacillus anthrax
Definition
1.Ciproflaxacin/Doxycycline
Term
Drugs C. tetani
Definition
1. Metronidazole/Penicillin/Diazepam (antispasmic)
Term
Drugs: C. difficile
Definition
1. Metronidazole/Vancomycin
Term
Drugs: listeria
Definition
Ampicillin/Gentimycin
Term
Drugs: Corynebacterium
Definition
Erythromycin
Aminoglycoside for endocarditis
Term
Drugs: actinomyces
Definition
Penicillin
Term
Drugs: Nocardia
Definition
Sulfonamides
Term
Drugs: Francisella Tularemia
Definition
Streptomycin
Term
Drugs: Moraxella
Definition
Augmentin
Term
Drugs: Legionella
Definition
Flouroquinolone/azithromycin
Term
Drugs: Bordetella pertusis
Definition
Macrolids @ cararrhal stage
Term
Drugs: Brucella
Definition
Rifampin
Doxycycline
Term
Drugs: Klebsiella
Definition
3rd gen ceph
Aminoglycosies
Term
Drugs: Vibrio cholera
Definition
Doxycycline
Term
Drugs: pasteurella
Definition
Amoxicillin
Term
Drugs: H. fly meningitis
Definition
Ceftriaxone
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