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48 Cards in this Set
- Front
- Back
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What is the definition of antibiotics?
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Antimicrobial substances produced by living organisms
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What organism produces Penicillin G?
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A mold called P. chrysogenum
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What is the mechanism Penicillin uses?
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Acts at last stage of bacterial cell wall synthesis; defective cell wall = cell lysis
2. bacteriocidal |
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What is Penicillin effective against?
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*Only actively growing & dividing bacteria
1. Gram +'s primarily 2. At high doses, Gram -'s |
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What are Penicillin's therapeutic limitations?
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1. Degraded by gastric acids (not administered orally)
2. Inactivated by B-lactamase made by Gram -'s and Staphylococci (Staph) |
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What is "special" about synthetic and semisynthetic penicillin?
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1. Overcomes some of the disadvantages of Pen/G
2. Broader spectrum of targets |
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What are the groups of synthetic and semisynthetic penicillin? (I think this is what these names are)
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1. Aminopenicillins
2. Carboxypenicillins 3. Ureidopenicillin 4. 6-methoxypenicillin |
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What are the types of aminopenicillins?
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1. ampicillin
2. amoxicillin 3. hetacillin |
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What are the types of carboxypenicillins?
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1. carbenicllin
2. ticarcillin |
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Penicillin as a group is toxic to what two types of animals? What 3 types of animals are hypersensitive to it?
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1. Toxic to guinea pigs & hamsters
2. Dogs, cats, horses are hypersensitive |
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How is penicillin administeres?
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IM, sub Q, IV, Orally, topically (depending upon class)
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What are cephalosporins?
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Semisynthetic derivatives of a compound produced by a fungus
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What is the mechanism of action for cephalosporins?
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1. Inhibit synthesis of a bacterial cell wall component
2. bacteriocidal |
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What is cephalosporins spectrum of targets?
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1. similar, but broader than penicillin
2. Gram +'s and Gram -'s 3. Less susceptible to B-lactamase |
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List the different "generation" of cephalosporins based on chronology of discover, chemical structure, and therapeutic activity
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1. cephalexin (keflex)
2. cephazolin (kefzol) 3. cephapirin (cefadyl) |
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What are Cephalosporins used to treat?
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Bacterial infections of the respiratory, urinary and genital tracts, soft tissues, bones, joints, and skin
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Is cephalosporin toxic to the animal? If so, what can it cause?
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Minimally toxic, can cause vomitiong, diarrhea when used orally
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What does Aminoglycoside target (ie: its mechanism of action)
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Interferes with bacterial protein synthesis by causing misreading of the genetic code of mRNA
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What is the spectrum of targets of aminoglycosides
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Certain gram +'s and Gram -'s
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Extensive bacterial resistance has developed to what four medicines?
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1. streptomycin
2. dihydrostreptomycin 3. neomycin 4. kanamycin |
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What are the two more frequently used forms of aminoglycosides?
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amikacin and gentamicin
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How are aminoglycosides administered?
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1. poorly absorbed from GI tract
2. Administered parenterally |
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What is the toxicity of aminoglycosides?
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High degree of toxicity
1. nephrotoxicity 2. ototoxicity |
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What is the mechanism of action of Tetracyclines?
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1. inhibit bacterial protein synthesis
2. bacteriostatic |
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What is Tetracyclines spectrum of activity?
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1. Broad
2. Certain aerobic, anaerobic, Gram +, Gram - bacteria, spirochetes, mycoplasmas, rickettsiae, chlamydia, and protozoa |
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What are the group members of tetracyclines?
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1. Tetracyclines (Panmycin, Achromycin, Tetracyn)
2. Oxytetracycline (terramycin) 3. Chlortetracyclin (aureomycin) |
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What are some problems associated w/tetracyclines?
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1. development of resistant bacteria
2. toxicities: GI disturbances such as vomiting and diarrhea due to altered gut flora, Nephrotoxicity, and Anaphylaxis 3. Staining of teeth |
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How does tetracycline stain the teeth?
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1. becomes fixed in growing osseous structures
2. may stain teeth of puppies & kittens if administered to bitch or queen during last 2-3 weeks of gestation or if given to the neonate in 1st months of life |
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What produces Erythromycin?
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Streptomyces erythreus (macrolides)
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What is the mechanism of action of Erythromycin?
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1. inhibits RNA dependent bacterial cell protein synthesis
2. bacteriostatic |
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What is the spectrum of activity of Erythromycin?
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1. Primarily against Gram +'s
2. Strep, Staph, Borrelia, Erysipelothrix, Clostridium Legionella |
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What are problems with erythromycin?
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Increasing bacterial resistance
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What is the toxicity of Erythromycin?
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1. Relatively low
2. Nausea, vomiting, diarrhea |
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How is erythromycin administered?
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Primarily orally
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What is Nitrofuran from?
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Chemical derivatives of 5-nitrofuraldehyde
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What is the mechanism of action of Nitrofurans?
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1. cause bacterial DNA strand to break
2. Interfere w/many bacterial cellular enzymes 3. Bacteriocidal or static (depends on susceptibility of organism and amount of drug at infection site) |
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What's Nitrofurans spectrum of activity?
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Broad spectrum
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Is bacterial resistance a problem in Nitrofurans?
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Rarely
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Nitrofurans are one of the few antibiotics that are effective in the presence of what?
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Blood and pus; this allows them to be used as a topical wound ointment
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When is Nitrofurans used pareterally (orally) and to treat what?
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Used most commonly to treat urinary tract infections when other drugs have failed
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What is the toxicity of Nitrofurans?
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May cause vomiting and diarrhea when given orally
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What is the mechanism of action of Trimethoprim?
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Interferes w/an enzyme necessary for the formation of normal nucleic acids
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What is the mechanism for Sulfonamides?
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Inhibits bacterial synthesis of dihydrofolic acid
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What's the result of using Trimethoprim and Sulfonamides together?
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Result is synergistic and results in a bacteriocidal drug
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What is Trimethoprim-Sulfonamides used for?
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Primarily in treatment of respiratory and urinary tract infections
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What is the toxicity of Trimethoprim-Sulfonamides?
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1. Relatively non-toxic
2. Especially effective for low does, long term therapy of urinary tract infections (SMZ/TMP; Tribrissen) |
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What things make an antibiotic effective?
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1. Organism should be susceptible or sensitive to the drug
2. Drug must distribute to site of infection in adequate concentrations 3. Environmental conditions at site of infection (pH, abscesses, blood supply, etc) 4. THe patient must be considered (age, condition, economics, etc) |
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What are reasons for antibiotic failure?
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1. Wrong drug
2. Wrong dosage 3. Wrong administration 4. Bacterial resistance |