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PHARMACOLOGY ANTIMICROBIALS
EXAM 3 DO NOT USE CONFUSING
11
Nursing
Not Applicable
04/05/2011

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Cards

Term
antibacterials antibiotics 4 categories
Definition
Penicillins
Cephalosporans
Carbapenums
Monobactams
Term
antibacterials / antibiotics dosage
Definition
-dosage may be reduced with renal impairment
-with hemodialysis need more because otherwise it is cleaned out
- use MIC
Term
antibacterials / antibiotics action
Definition
***Beta Lactam Ring

-binds with cell membrane of organism.
-cell wall becomes defective
-contents leaks out destroying the pathogen
Term
Adverse effects
penicillin (derived from molds and semisynthetic derivatives)
Definition
most common cause of analphylaxis
Term
Penicillin effective against
Definition
staph, strep, gonococci, meningococci, treponema pallidum.

More effective with gram positive
Term
Common penicillins
Definition
Penicillin G - strep pharyngitis (IV/IM)
Penicillin V - strep pharyngitis (PO)
Oxacillin - MRSA (PO/IV/IM)
Ampicillin - gram +/- (PO/IV/IM)
Amoxicillin - PO only
Term
Combo penicillin
Definition
1. Unasyn & Augmentum (inactivates the beta lactamase enzyme - resists)
2. Penicillin & Probenecid (increase serum levels and blocks renal excretion)
Term
Cephalosporans (derived from fungus)
-four generations
-each generation better than last because activity extended
Definition
PO - take with food/milk which delays absorption with little N/V
IV

Surgical prophylaxis 2 hrs before last 4 hrs

ContraI. - analphylactic rxn to penicillin

Target - broad spectrum but better for gram negative.

Not used with MRSA
Term
Common Cephalosporans
Definition
Cefazolin 1st
Cefoxitin 2nd
Cefixime 3rd
Cefepime 4th
Term
Cephalosporans: Cefepime 4th
Definition
-greater spectrum so used with serious infections
-greater stability and with each successive gen. greater stability /effectiveness
Term
Carbapenums
Definition
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