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Chapter 49
Chapter 49
18
Nursing
Graduate
10/12/2012

Additional Nursing Flashcards

 


 

Cards

Term
Growth slowing drugs are known as
Definition
Bacteriostatic
Term
Whats important to know about conjugation?
Definition

A mutated bacteria may pass its resitance gene to oterh bacteria thru this method. 

 

It is the direct transfer of small circular DNA called plasmids. 

 

Term
Most common sites of HAI's are:
Definition

1.  Urinary Tract

2. Surgical Wounds

3.  Respiratory Tract

4.  Bacteremia

Term
The 2 types of resistant strains important to pharmacotherapy are:
Definition

1.  methicillin-resistant Staphylococcus aureus

 

2.  Vancomycin resistant enterococci (VRE)

 

 

Term
Difference b/w HA-MRSA and CA-MRSA
Definition

HA-MRSA:  acquired in hospitals and long-term care facilities:  occur primarily in patients with weakened immune systems.

 

CA-MRSA:   acquired non-hospitalized settings.  Occur in "healthy" people and are manifested as skin and soft tissue infections, such as pimples and boils.

 

The strains that are responsible for HA-MRSA infections are distinctly different from those that cause CA-MRSA.  Therefore, pharmacotherapy differs for both.

Term
Culture and Sensitivity (C & S)
Definition
The process of isolating the infectious organism and identifying the most effective antibiotic
Term

Things good to know:

 

  • Narrow spectrum antibiotics have less of an effect on host flora
  • Should not prescribe antibiotics to patients who have a cough due to chronic bronchitis
  • The use of multiple antibiotics can promote the emergence of MDRS's and produce unnecessary adv effects
Definition
Term
Antagonism in response to drug prescribing:
Definition
In some cases combining two antibiotics may actually decrease each drug's effectiveness
Term
A drug class that has the highest incidence of allergic reactions
Definition
Penecillins
Term

For the breastfeeding mother:

 

She should avoid which two antibiotics b/c of what effects?

Definition

1.  Tetracylclines:  will cause teeth discoloration in NB

 

2.  Aminoglycosides:  can affect hearing

Term

The  various flora are in competition with each other for physical space and nutrients.

 

The term used to describe how the host defense mechanism is used to protect itself from being overrun by pathogenic organism

 

 

Definition
microbial antagonism
Term
Organisms that commonly cause super infections are: (3)
Definition

1.  Clostridium albicans (vagina)

2.  streptococci (oral cavity)

3.  Clostridium difficile (colon)

Term

Cell Wall Synthesis Inhibitors

 

Examples of Cell Wall Synthesis Inhibitors

Definition

1.  Penecillins

2.  Vancomycin

3. Cephalosporins

4. Carbapenems

5.  Isoniazid

 

1.  Penicillin G, Cefotaxime, Imipenem, isoniazid, vancomycin

Term

Protein Synthesis Inhibitors

 

Examples:

Definition

1.  Macrolides

2.  Aminoglycosides

3. Tetracyclines

4.  Ketolides

5.  Streptogramins

 

"GET-L"

Gentamicin, tetracycline, erythromycin, linezolid

Term

Metabolic Pathway Inhibitors

 

Examples:

Definition

1.  Sulfonamides

2.  Trimethoprim

 

dapsone (DDS), trimethoprim-sulfamethoxazole (Bactrim, Septra)

Term

Inhibition of Nucleic Acid Synthesis

 

Example:

Definition

Fluoroquinolones

 

Ciprofloxacin

Term
Disruption of cell membrane function
Definition
Antifungals
Term

Disruption of plasma membrane (chemical class):

 

 

Examples:

Definition

1. Azoles

2.  Polyenes

 

 

Amphotericin B

Fluconazole

Nystatin

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