| Term 
 | Definition 
 
        | peptidoglycan exposed outside, appears biolet |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | peptidoglycan covered so takes up alternet stain pink |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | discovered penicillium fungi |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | work with peptidoglycan bacteria, inhibits cell wall synthesis penicillins
 cephalosporins
 carbapenems/monobactams
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | extended spectrum: ampicillan, amoxicillin anti-staph: methicillin, Oxacillin
 administration depends on acid stability
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | one of only penicillin that can oral administer poorly absorbed in GI tract, kidney elimination sole
 |  | 
        |  | 
        
        | Term 
 
        | Penicillin resistance includes... |  | Definition 
 
        | B lactamase to metabolize antibiotic altered penicillin binding ptn
 decreased permeability to drugs
 clavulanic acid, sulbactam, tazobactam
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | two different R-groups, functional diversity
 more resistant to B lacatmase
 lower allergy reaction
 improved oral availability
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | carbapenem: so broad B lactam Monobactam: narrow ass spectrum B lactam
 Highy resistant to B lactamase
 |  | 
        |  | 
        
        | Term 
 
        | B lactams are innefective against |  | Definition 
 
        | myobacteria, fungi, viruses, humans |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | any infection with gram + - bacteria |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Allergic Reaction Diarrhea - kills GI tract flora
 Platelet dysfunction
 Interstitial nephritis
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | cant really do much about it altered penicillin binding proteins
 decreased permeability to drug
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | does what a B lactam does but is not a B lactam, for peopel allergic to them. must IV
 renal elimination
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | local pain thrombocytopenia
 nephrotoxicity
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Tetracycline, Doxycycline, Minocycline jews the 30s ribosome
 GI irritation, hepatic toxicity, renal toxicity, bone growth depression
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Streptomycin Neomycin, limited spectrum only aerobics jews 30s, interfere with proofreading
 disrupt integrity of bacterial cell membrane
 poor F oral, collects in ears
 upset GI
 fucks with your ears(deafness)
 nephrotoxicity
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Erythromycin, Azithromycin, Clarithromycin jews 50 ribosome,
 metabolized in liver
 safe, but upset GI, cardiac, cholestatic jaundice
 |  | 
        |  | 
        
        | Term 
 
        | Dont use macrolides if... |  | Definition 
 
        | except azythromycin, patient has liver dysfunction cuz inhibit cyp450 carbamazepine, cyclosporine, warfarin, corticosteroids, digoxin
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 50s subunit broad spectrum, inhibits peptidyl transferase reaction
 cross BBB, metabolized by liver
 rarely used - low therpeutic index and bone marrow supression, gray baby syndrome and cyp450 inhibitor
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 50s same spectrum as penicillin and erythromycin
 metabolized by liver
 cause diahrrea
 |  | 
        |  | 
        
        | Term 
 
        | Rifamycin: Inhibits mRNA transcription |  | Definition 
 
        | TB induces cyp2d6
 hepatotoxicity, induces cyp45
 respiratory
 cutaneous
 abdominal irritation
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | anti metabolites sulfonamides inhibit folate synthesis
 broad spectrum,
 convulsions and hyperglycemia
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -oxacin bone infection, anthrax, UTI, STD
 dizziness, photosensitivity, tendon rupture, joint disease
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | very safe, binds ergosterol oral troche or cream
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | severe systemic infection Toxic (binds to ergosterol but also cholesterol)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | antifungal creams miconazole
 ketoconazole
 rash, burning
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | GI problem CNS problem
 Hepatic problem
 DecreaseImmune System
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | stops virus from mounting cell, influenza
 
 useful for parkinsons
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | fake DNA building blocks Guanosine Aciclovir |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | herpes virus well tolerated
 |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | reverse transcriptase inhibitor headache, poor apetite
 rash
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | teratogenic confusion, memory loss, depression, psychosis
 |  | 
        |  | 
        
        | Term 
 
        | saquinovir, ritonavir, indinavir, darunavir |  | Definition 
 
        | inhibits viral protease required for assembly of new virions diabetes, high cholesterol
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | who knows what the fuck this does will mutate the shit out of your babies
 dry mouth, changes in taste, bone pain
 |  | 
        |  |