Shared Flashcard Set

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PHARM Lehne
Drugs Used to Treat Infection Part 3, drugs
20
Nursing
Undergraduate 3
09/09/2014

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Cards

Term
These drugs disrupt cell wall synthesis and activate autolysins(enzymes that cleave bonds in the cell wall)
Definition
Cephalosporins
Term
Cephalosporins do their best work when bacterial cells are dividing or not dividing?
Definition
When b. cells are undergoing ACTIVE cell growth and division
Term
Are cephalosporins used for gram+ or gram- infections?
Definition
Both
Term
T/F There are 4 generations of cephalosporins with INCREASING activity against GRAM- bacteria?
Definition
TRUE
Term
The 2nd generation drug cefoxitin (Mefoxin) is used for what 3 infections?
Definition
Otitis (ears)
Sinusitus (sinus)
Respiratory(lungs)
Term
What is the 3rd generation drug of choice for meningitis?
Definition
Ceftazidime (Fortaz)
Term
What generation is the drug of choice for nosocomial infections resistant to other drugs?
Definition
3rd generation
Term
What is the resistance problem with cephalosporins?
Definition
Bacteria produce beta-lactamase or cephalosporinase
Term
In cephalosporins, which generations are better able to reach CSF?
Definition
Later
Term
Are the 3rd and 4th generations of cephalosporins highly resistant to beta-lactamase?
Definition
YES
Term
Are the 3rd and 4th generations of cephalosporins less sensitive to beta-lactamase?
Definition
YES
Term
Are the first generations 'CEFS' susceptible to beta-lactamase?
Definition
YES
Term
Are the 1st and 2nd generations of CEFs considered to be more sensitive to beta-lactamase?
Definition
YES
Term
What is the best route for CEF's?
Definition
parentally
Term
Is it okay to give cephasporins to a patient with SEVERE penicillin allergies?
Definition
NO, cross-sensitivity will produce a reaction
Term
Is it okay to give cephasporins to a patient with MILD penicillin allergies?
Definition
YES
Term
After a cephalosporin is given, what lab value should we check?
Definition
PT & PTT because of increase in bleeding due to Vit K interference. CAUTION: PT's on blood thinners too
Term
These adverse effects are associated with what drug? Allergic, bleeding, thombrophlebitis, colitis, nephrotoxicity
Definition
Cephalosporins
Term
What other drug given with cephalosporins will interfere with renal excretion of the ceph?
Definition
Probenicid
Term
If alcohol is ingested while on a cephalosporins & the pt experiences, N/V, flushing,sweating, and pain, what is this type of reaction called?
Definition
Disulfiram reaction
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