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PHARM-EXAM2
Antibiotic
58
Pharmacology
Graduate
01/05/2013

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Cards

Term
Which is given IV?
Definition
Zinacef
Term
Which are used to against B. Fragilis and in triple antibiotic coverage
Definition
Cefmetazole and Cefoxitin
Term
Which are having additive affect against H.influenza and otitis infection
Definition
Cefamandole, Cefonicid, Cefaclor and Cefuroxime
Term
Which antibiotic is used to treat g(-) Klebsiella?
Definition
First and second generation of Cephalosporin
Term
Which antibiotic is used to treat Enterococcus or pseudomonas?
Definition
Neither first or second generation of Cephalosporin
Term
Which antibiotic is used to treat H. Influenza, primarily sinusitis and Lower respiratory infection, and otitis media?
Definition
First and second generation of cephalosporin
Term
Which antibiotic is used to treat Anaerobe?
Definition
Cefoxitin and Cefmetazole
Term
Which is used as an alternative for various UTI caused by E. coli, Klebsiella and proteus?
Definition
Cefoxitin and Cefmetazole
Term
Which is used for community acquired Pneumonia if related to H. Flu and Klebsiella or if its beta lactam resistant
Definition
Cefuroxime
Term
Which is used as an extended spectrum, more like first generation and for a lot of g(+) if complex infection and causes diarrhea more than other?
Definition
Cefdinir
Term
Which generation of Cephalosporin has primary extended G(-) spectrum and have the ability to cross BBB?
Definition
Third generation
Term
Which generation of Cephalosporin has primary extended G(-): Citrobacter, serratia, proidencia, and beta lactamases producing strains of H. influenza and Neisseria?
Definition
Third generation
Term
Which one don't work well against strep, Pneumococcus or Staph?
Definition
Third generation
Term
Which is used for Pseudomonas?
Definition
Ceftazidime and Cefoperazone
Term
Which is used for g(+) cocci with strep and drug is penicillin resistant?
Definition
Ceftriazone and Cefotaxime
Term
Which is used for Pen resistant Streptococcus and narrow spectrum streptococcus?
Definition
Ceftriazone
Term
Which is used for severe infection, g(-) ofeten resistant to other drugs?
Definition
third generation cephalosporin
Term
Which is given for N. gonnarrhea or strep, or pneumoniae and resistant to pen?
Definition
Ceftriaxone
Term
Which is given orally if Ceftriazone not working?
Definition
Cefixime
Term
Which is used orally and cross BBB by Pediatrists?
Definition
Cefixime, cefpodoxime, cefditoren
Term
Which is other drug that can across BBB?
Definition
Pen. G
Term
Which one is Fourth generation cephalosporin?
Definition
Cefepime
Term
Which one is Fourth generation cephalosporin and great against both g(+) and g(-), pseudomonas, staph, strep,stable against beta lactamases?
Definition
Cefepime
Term
Which is do not cover anaerobes and enterococcus?
Definition
Fourth ge. Cefepime
Term
What is the fifth generation of cephalosporin and only for MRSA?
Definition
Ceftaroline
Term
What are the side effects of using antibiotics?
Definition
GI
Diarrhea, nausea
Some electrolytes balances
Thrombophlebitis: burning at the injection site due to infusion of antibiotics
Suprainfection= secondary infec, fungal infection
Term
What are the side effects of using cephalosporin?
Definition
Hypoprothrombinemia-low thrombin levela dn get bleeding issue
Term
Which drugs inhibit acetaldehyde dedydrogenase to quit drinking alcohol?
Definition
Disulfiram
Term
What drugs have disulfiram like reaction when drinking alcohol?
Definition
Metronidazole
Cefoperazone
Cefotetan
Zyvox
Term
What drug should be stopped if the patient has anaphylaxis but give out if just only skin rash?
Definition
Cephalosporin
Term
How is Amoxicillin is taken?
Definition
Orally three times a day and can be taken with food
Term
How is Ampicillin is given?
Definition
IV, 4 times a day and taken on an empty stomach an hrs before or 2 hrs after meal
Term
What are the mixed combination b/w beta lactamase inhibitors and PCN?
Definition
Amoxicillin/Clavulante-orally
Term
What are the mixed combination b/w beta lactamase inhibitors and PCN?
Definition
Ampicillin/sulbactam-IV
Term
What are the mixed combination b/w beta lactamase inhibitors and PCN?
Definition
Ticarcilin/Clavulanate-IV
Term
What are the mixed combination b/w beta lactamase inhibitors and PCN?
Definition
Piperacillin/Tazobactam-IV
Term
What is the mechanism of Beta Lactamase Inhibitor?
Definition
Bind to receptors and prevent beta lactamase enzyme from attacking beta lactam ring
Term
What is the purpose of combination b/w Beta Lactamase Inhibitors and PNC?
Definition
Produce a broader spectrum for antibiotics
Term
What is augmentin?
Definition
Amoxillin/Clavulante-orally
and work better than aminopenicillins
Term
What is the indication of beta lactamase inhibitors?
Definition
Weak antibacterial activity
Inhibit many but not all B-lactamases
Most effective against encoded b-lactamases produced by S. Aureus, H.Influenza, N. gonnohrea, Salmonella, Shigella, E. coli, K. Pneumonia, bacteriodes
Term
What is beta lactamase inhibitors not use for?
Definition
Enterobacter, citrobacter, pseudomonas, serratia
Term
What drugs are used to treat ga (-) Enterobacter, citrobacter, pseudomonas, serratia?
Definition
Third generation of Cephalosporin esp for pseudomonas
Term
What is the indication of beta-lactamase antibiotics?
Definition
G (+), some g(-) and minimum anaerobes
and excellent for staph coverage
Term
What is another indication of beta-lactamase antibiotics, most likely augmentin orally?
Definition
For skin and soft tissue infection and primarily for immunocompromised patients b/c diabetics and HIV patients are going to have polymicrobial infection and culture is going to show more than one type of bacteria
Term
What is given for diabetic ingrown toenails?
Definition
Augmentin, orally (amoxicillin/Clavunic)
Term
What is given for healthy ingrown toenails?
Definition
First generation cephalosporin
Term
What do you when you do ingrown nail?
Definition
give 2g of augmentin before procedure
Term
What is the direction use for augmentin?
Definition
ALways give twice a day
Loading dose is 500 mg tables (2g) before and 1.5 g after procedure
or 4 times a day for 5 days 500mg before procedure to get the blood level
Term
do not take more than one augmentin at a time
and cannot load up b/c od clavulanic acid and get diarrhea
Definition
Term
What Beta lactamase Pen mainly affect G(-) but not G(+)?
Definition
Ticarcillin/Clavulanate-IV
Piperacillin/Tazobactam-IV
Term
What are the name of Ureidopenicillin also know as superpens?
Definition
Azlocillin (oral only)
Melzlocillin oral (only)
Piperracillin (oral only)
Term
What are drugs are not like beta-lactamase but also dover treament of severe type of infection, immunocompromised patients?
Definition
Ureidopenicillins
Term
What are the drugs used for triple antibiotic coverage: G(+), G(-) and anaerobe?
Definition
Pipercillin
Superpen
Third generation of cephalosporin
Metronidazole
Term
What are drugs used for g(-) coverage like e.coli, salmonella, shigella, and not great fro pseudomonas or citrobacteria coverage?
Definition
Ureidopenicillins
Term
Which Fluroquinolone inhibits DNA gyrase (baterial topoiisomerase II and IV) ?
Definition
Ciprofloxacin
Term
Which of the following drug use for mostly g(-), chlamydia, gonnorhea, inhibition of intracellular bacteria, UTI, Prostatisis?
Definition
Fluroquinolone-Ciprofloxacin
Term
Which drugs is toxicity to CNS stimulation, sensitivity to sunlight, interfere with xanthine derivatives, damage growing cartilage-bad for bones,
do not used under 18 or during pregnancy and cause pseudomembranous colitis, oral absorption by divalen cations, (Ca, Fe, Mg, Zn)
Definition
Fluroquinolone-Ciprofloxacin
Term
Which drug like ciprofloxacin used affective against G(+) and esp form community acquired Pneumonia caused by S. pneumonia
Definition
Levofloxacin
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