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Vocabulary-style flashcards covering peaks/troughs, pharmacokinetics/pharmacodynamics, drug classifications, and common antibiotic concepts from the notes.
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Peaks and troughs
Drug level monitoring for medications with a narrow therapeutic index (e.g., aminoglycosides and vancomycin); trough is drawn before dosing, peak is drawn about 30 minutes after dose completion.
Narrow therapeutic index
A small range between therapeutic and toxic drug levels; requires careful monitoring of drug concentrations.
Aminoglycosides
A class of antibiotics requiring monitoring of drug levels; commonly associated with nephrotoxicity and ototoxicity.
Vancomycin
Potentially toxic drug used only for serious infections (ex. MRSA)
Therapy assessment
Evaluating effectiveness via WBCs, cultures, fever reduction, symptom improvement, and monitoring for adverse reactions or recurrence.
ADME
Abbreviation for Absorption, Distribution, Metabolism, and Excretion; the pharmacokinetic processes.
Pharmacodynamics
Study of how drugs exert effects on the body, including drug-receptor interactions and dose-response.
Antagonists
Drugs or substances that oppose or block the effect of another drug or body system.
Agonists
Drugs that activate receptors to produce a biological response; can enhance the effect of another drug.
Loading dose
A high initial dose given to rapidly achieve therapeutic drug levels.
Contraindication
A reason to avoid or hold a medication to prevent harm.
Adverse reaction
Harmful or unintended reaction to a medication.
Therapeutic effect
The desired health outcome produced by a medication.
Therapeutic index/level
The range of drug concentration in which the drug is effective without being toxic; often guided by serum levels.
Bactericidal
Drugs that kill bacteria (e.g., aminoglycosides, penicillins, cephalosporins, fluoroquinolones, vancomycin).
Bacteriostatic
Drugs that inhibit bacterial growth (e.g., tetracyclines, macrolides, sulfonamides).
Prophylactic therapy
Antibiotics given to prevent infection rather than to treat an existing infection.
Normal flora disruption
Antibiotics can destroy normal flora, leading to overgrowth by opportunistic pathogens; yogurt can help mitigate this effect.
Yogurt/probiotics
Nonpharmacologic measure to help maintain normal gut flora during/after antibiotic use.
Tetracyclines
Class of antibiotics; suffix -cycline; bacteriostatic; examples include doxycycline and tetracycline.
Sulfonamides
Sulfa antibiotics; prefix sulfa-; generally bacteriostatic.
Cephalosporins
Antibiotics with prefixes -cef- / cef-; part of the beta-lactam class.
Penicillins
Antibiotics with suffix -cillin; another beta-lactam class.
Aminoglycosides & Macrolides suffixes
Suffixes -MICIN and -MYCIN indicate these antibiotic groups (e.g., gentamicin, erythromycin).
Fluoroquinolones
Antibiotics with suffix -FLOXACIN; examples include ciprofloxacin and levofloxacin.
Normal flora
Microorganisms normally living in the body; antibiotics can reduce these populations, potentially causing complications.