| Term 
 | Definition 
 
        | Efflux, Change in PBP, B-Lactamase, alter porins |  | 
        |  | 
        
        | Term 
 
        | Amoxicillin/clavulanic acid (Augmentin) |  | Definition 
 
        | Clavulanic acid inh. B-lactamase. Use: Strep. Pneumo (+), H. Flu (-)
 Adverse: Colitis, superinfection. Rash IS NOT allergic.
 Pharm: Oral only. Renal excr.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Strep Pneumo, H. Flu (-), E. coli (-), Salmonella (-), Listeria (+), Proteus (-), Enterococci (+) Pharm: Oral, IV. Renal excr.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Strep Pneumo (+), Neisseria meningitides (-), Syphillis The class of drug don't work w/ chloramphenicol, macrolides, or tetracyclines (statics)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | MSSA (+) Pharm: IV. HEPATIC elimination
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Pseudomonas (-) Inhibits platelet coag
 Pharm: IV. Renal excr.
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Broader spectrum due to R group. Carbapenem. Aerobic or anaerobic G+ or G- rods. reserve tx
 Dizziness, headache
 Cilastatin prevents renal degradation
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 1st gen Cephalosporin. 2 R groups. Generally resistant to B-lactamase, broader spectrum
 Staph and strep (+)
 E. coli, proteus (-)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 3rd gen cephalosporin. 2 R groups Generally resistant to B-lactamase, broader spectrum
 Enterobacter, serratia, gonorrhea (-)
 Pseudomonas, meningitis
 NOT USEFUL: MRSA, enterococcus, listeria, legionella, clostridium, campy, acinetobacter
 Toxicity: Renal tubular epithelium
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 3rd gen cephalosporin. 2 R groups Generally resistant to B-lactamase, broader spectrum
 Enterobacter, serratia, gonorrhea (-)
 Pseudomonas, meningitis
 NOT USEFUL: MRSA, enterococcus, listeria, legionella, clostridium, campy, acinetobacter
 Toxicity: Renal tubular epithelium
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 3rd gen cephalosporin. 2 R groups Generally resistant to B-lactamase, broader spectrum
 Enterobacter, serratia, gonorrhea (-)
 Pseudomonas, meningitis
 NOT USEFUL: MRSA, enterococcus, listeria, legionella, clostridium, campy, acinetobacter
 Toxicity: Renal tubular epithelium
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Monobactam. ONLY G- aerobes No PCN allergy!
 |  | 
        |  | 
        
        | Term 
 
        | B-lactam drug Interactions |  | Definition 
 
        | EtOH, disulfiram effects (flushing, cramps, nausea, sweating) Bacteriostatics
 H2 blockers, antacids
 Enhanced nephrotoxicity, B-lactam inactivation
 Probenecid potentiates action
 GABA antagonists-irritability, tremors, seizures
 |  | 
        |  |