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Chapter 29 - Penicillins and Cephalosporins
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20
Pharmacology
Undergraduate 3
09/12/2011

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Term
Broad-spectrum penicillins are also known as
Definition
AMINOpenicillins
Term
Examples of broad-spectrum penicillins (aminopenicillins) are:
Definition
Amoxicillin (Amoxil)
Ampicillin (Principen)
Amoxicillin-clavulanate (Augmentin)
ampicillin-sulbactam (Unasyn)
Term
Penicillinase-resistant penicillins are also known as
Definition
Antistaphylococcal Penicillins.
They are used to treat penicillinase-producing S. aureus.
Term
Examples of penicillinase-resistant penicillins (antistaphylococcals) are:
Definition
Dicloxacillin (Dynapen)
nafcillin (Nallpen) (IM or IV prep)
oxacillin (Bactocill) (IM or IV prep)
Term
Extended-spectrum penicillins are also called
Definition
Antipseudomonal penicillins.
These are effective against many gram-negative organisms that are difficult to erradicate
Term
Examples of extended-spectrum penicillins are
Definition
carbenicillin indanyl (Geocillin)
piperacillin-tazobactam (Zosyn)
ticarcillin-clavulanate (Timentin)
Term
Examples of basic penicillins are
Definition
Penicillin G (Crysticillin, Wycillin, Bicillin, Pfizerpen)
Penicillin V (Veetids)
Term
Penicillins have what type of structure?
Definition
Beta-lactam
Term
What does penicillin's beta-lactam structure have to do with its method of action?
Definition
It interferes with bacterial cell wall synthesis by inhibiting the bacterial enzyme that is necessary for cell division and synthesis. The bacteria die of cell lysis.
Term
Penicillins and cephalosporins have a (bacteriostatic/bactericidal) effect on bacteria.
Definition
Bactericidal
Term
Cephalosporins are effective against
Definition
Gram-positive
Gram-negative
and are resistant to beta-lactamase
Term
Cephalosporins method of action is
Definition
inhibition of cell wall synthesis. Lysis occurs
Term
First generation cephalosporins are effective against
Definition
gram-positive bacteria
most gram-negative bacteria
Term
Second generation cephalosporins are effective against
Definition
Gram-positive bacteria (same as first gen.)
But they have a broader spectrum against other gram-negative bacteria
Term
Third generation cephalosporins are effective against
Definition
Same effectiveness as first and second gens.
Just less effective against gram-positive
Term
Fourth generation cephalosporins
Definition
Are similar to third generation
Broader gram-positive coverage than third gen.
Term
T/F Approximately 50% of people allergic to penicillin are also allergic to cephalosporins.
Definition
False. Only approximately 10% of those allergic to penicillin are also allergic to cephalosporins. However, a client who is allergic to PCN should be watched for a possible allergic reaction to cephalosporin.
Term
Few cephalosporins are administered orally. The rest are administered IM and IV. These that are given orally include:
Definition
cephalexin (Keflex)
cefadroxil (Duricef)
cephradine (Velosef)
cefaclor (Ceclor)
cefuroxime axetil (Ceftin)
cefuroxime sodium (Zinacef)
cefdinir (Omnicef)
cef-tibuten (Cedax)
Term
Side effects and adverse reactions to cephalosporins include
Definition
- N/V/Diarrhea (GI disturbances)
- Increased bleeding (alteration in blood clotting time with administration of large doses)
- Nephrotoxicity in those with preexisting renal disorder
Term
What common drug (not Rx) may have an interaction with cephalosporin?
Definition
Alcohol
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