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Flashcards for reviewing anti-infective drugs, including antibiotics, antifungals, antiprotozoals, and antivirals.
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Antibiotics
Drugs used to treat bacterial infections.
Antifungals
Drugs used to treat fungal infections.
Antiprotozoals
Drugs used to treat protozoal infections.
Antivirals
Drugs used to treat viral infections.
Bactericidal
Anti-infectives that destroy infective pathogens.
Bacteriostatic
Anti-infectives that prevent pathogens from reproducing.
Narrow Spectrum
Anti-infectives that are effective against a small group of pathogens.
Broad Spectrum
Anti-infectives that are effective against many pathogens.
Nephrotoxicity
Kidney dysfunction or renal failure caused by some anti-infectives.
Hepatitis
Liver inflammation or failure caused by some anti-infectives.
Neurotoxicity
Nerve tissue damage caused by some anti-infectives accumulating in those tissues.
Superinfection
Infection caused by opportunistic pathogens invading tissues after healthy bacteria is wiped out by antibiotics.
Penicillin
First antibiotic introduced for clinical use; interferes with bacteria's ability to build cell walls.
Penicillinase
Enzyme synthesized by bacteria to counteract the effects of penicillin.
Beta-Lactam Ring
Unique property of penicillin antibiotics in the molecular structure.
Gram-Positive Bacteria
Bacteria with a thick cell wall that stains purple in a Gram stain.
Gram-Negative Bacteria
Bacteria with a thin cell wall and an outer membrane that stains pink in a Gram stain.
Renal Impairment
Reduced kidney function, requiring cautious use and dose adjustments for penicillin antibiotics.
Aminopenicillins
A type of penicillin that can treat more gram-negative infections.
Antipseudomonal Penicillins
Penicillins with the widest spectrum of activity, effective against gram-positive and gram-negative bacteria.
Natural Penicillins
Original form of penicillin.
Penicillinase-Resistant Antibiotics
Modified versions of natural penicillin to counteract the effects of penicillinase.
Amoxicillin
An aminopenicillin used for a broad spectrum of uses in adults and children.
Ampicillin
An aminopenicillin with a broad spectrum of activity.
Piperacillin
An antipseudomonal penicillin used to treat infections.
Hyperkalemia
Elevated potassium levels, a potential adverse effect of high doses of penicillin G.
Hypernatremia
Elevated sodium levels, a potential adverse effect of IV ticarcillin-clavulanate.
Anaphylaxis
Severe allergic reaction that can occur with penicillin use, presenting with dyspnea and oral swelling.
Cross-Reactivity
Allergic reaction to cephalosporins due to similarity in structure to penicillins.
Aminoglycosides
Bactericidal antibiotics that inhibit protein synthesis, primarily treating aerobic gram-negative bacilli.
Ototoxicity
Adverse effect of aminoglycosides, causing hearing loss and loss of balance due to vestibular apparatus toxicity.
Nephrotoxicity
Adverse effect of aminoglycosides, causing acute tubular necrosis.
Neuromuscular Blockade
Complication of aminoglycosides, especially when combined with anesthetics or NMBs, leading to paralysis.
Carbapenems
Bactericidal antibiotics that inhibit cell membrane synthesis and are effective against gram-positive and gram-negative bacteria.
C. Diff
Carbapenems can commonly cause C. Diff.
Seizures
Carbapenems can cause an increased risk of seizures when combined with valproic acid.
Cephalosporins
Beta-lactam antibiotics similar to penicillins, effective against a range of bacteria.
Beta-Lactamase
Enzyme that destroys beta-lactam antibiotics, cephalosporins are less susceptible to beta-lactamase destruction as generations increase.
Ceftriaxone
A cephalosporin eliminated in the liver rather than the urine.
Cefazolin
A first generation cephalosporin.
Cholecystitis
Inflammation of the gallbladder, is an adverse effect of ceftriaxone.
Thrombophlebitis
Inflammation of a vein associated with thrombus formation can be an adverse effect of cephalosporins
Fluoroquinolones
Synthetic, broad-spectrum, bactericidal antibiotics that interfere with DNA enzymes.
Tendinitis
Inflammation of a tendon, is a serious adverse effect of fluoroquinolones, particularly Achilles tendon rupture.
Peripheral Neuropathy
Damage to peripheral nerves, is a serious adverse effect of fluoroquinolones.
QT Interval
Cardiac adverse effect of fluoroquinolones.
Phototoxicity
Severe skin reaction to sunlight, is an adverse effect of fluoroquinolones.
Cipro
An increased risk of C. diff with taking this medication.
Sulfonamides
Antibiotics that inhibit folic acid synthesis and are effective against gram-positive and gram-negative bacteria.
Teratogenic
Highly teratogenic, meaning it can cause birth defects.
Kernicterus
Brain damage in newborns due to jaundice, is a contraindication for sulfonamide use during pregnancy and lactation.
Crystalluria
Collection of crystalline in the kidneys/ureters/bladder causing irritation/obstruction developing into AKI, is an adverse effect of sulfonamides.
Blood Dyscrasias
Blood disorders (hemolytic anemia, aplastic anemia, thrombocytopenia, leukopenia) can be adverse effects of sulfonamides.
Stevens-Johnson Syndrome
Severe skin and mucous membrane reaction, is a rare but serious allergic reaction to sulfonamides.
Photosensitivity
increased sensitivity of the skin to sunlight.
Tetracyclines
Bacteriostatic antibiotics that inhibit protein synthesis, effective against a broad spectrum of bacteria.
Chelates
Nonabsorbable compounds formed by tetracyclines with milk products, calcium, iron, magnesium, and antacids.
Esophageal Ulceration
Pill esophagitis is an adverse effect of tetracyclines.
Hepatotoxicity
Fatal can be reported with administration of tetracyclines.
Lincosamides
Bacteriostatic antibiotics that interfere in protein synthesis of gram-positive bacteria and some anaerobic bacteria.
Lipoglycopeptides
Semisynthetic antibiotics that inhibit bacterial cell wall synthesis, effective against susceptible strains of gram-positive organisms.
Vancomycin
Semisynthetic drug that is an original drug of Lipoglycopeptides.
Redman Syndrome
Flushing, sweating, hypotension.
Macrolides
Bacteriostatic antibiotics that slow growth of organisms by inhibiting protein synthesis.
Erythromycin
Given with meals.
QT Interval
Potential adverse effect of macrolides (prolonged).
Monobactam
Bactericidal antibiotic effective against gram-negative enterobacteria, destroys bacterial cell walls.
Aztreonam
An example of a monobactam.
MRSA
Methicillin-resistant Staphylococcus aureus.
Linezolid
Bacteriostatic/bactericidal.
Thrombocytopenia
Caution of this adverse effect of linezolid.
Quinupristin/dalfopristin
Inhibits bacteria protein synthesis.
Mycobacteria
Pathogen that causes tuberculosis and leprosy.
Acid-Fast
Mycobacteria are can hold a stain even when a destaining agent is applied, therefore referred to as an acid-fast bacteria.
Rifampin
Can cause orange/copper tinted discoloration of body fluids.
Antiprotozoals
Medications that are used for parasitic infections.
Metronidazole
Broad-spectrum antimicrobial, bactericidal, for anaerobic micro-organisms.
Giardiasis
Protozoal infection (intestinal amebiasis).
Trichomoniasis
Protozoal infection that Metronidazole can treat.
Gardnerella Vaginalis
Anaerobic bacterial infection that Metronidazole can treat.
Disulfiram
Any alcohol will cause a dilsulfiram –like reaction (facial flushing, vomiting, dyspnea, tachycardia).
Antifungals
Medications that are used for fungal infections.
Candidiasis
A systemic fungal infection.
Aspergillosis
A systemic fungal infection.
Ringworm
Superficial fungal infection.
Onychomycosis
Superficial fungal infection.
Thrombophlebitis
Can be a reaction to Antifungals.
Nephrotoxicity
Can be caused by taking antifungals.
Hypokalemia
Potassium electrolyte imbalance that can occur with antifungal medications.
Hyperkalemia
Potassium electrolyte imbalance that can occur with antifungal medications.
Amphotericin B
Highly toxic, reserved for life threatening fungal infections.
Ketoconazole
Adverse effects with this medication are, sex hormone imbalance.
Antivirals
Medications that are used for viral infections.
HSV
Herpes Simplex Virus.
Acyclovir
Medication to treat HSV and Shingles.
CMV
CytoMegalo Virus
Ganciclovir
Medication to treat CMV
Oseltamivir
Medication to treat Influenza A and B.
Interferon alfa-2B
Medication to treat Hepatitis B and C.
Lamivudine
Medication to treat Hepatitis B and C.