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16 Cards in this Set

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Antibiotics that inhibit DNA/RNA synthesis are considered (bacteriostatic/ bacteriocidal)
bacteriocidal
Fluorquinolones- Mechanism?
Inhibit DNA/RNA synthesis by either inhibiting DNA gyrase or topisomerase
Norfloxacin is a member of which type of antibiotic?
Fluoroquinolones (DNA/RNA synthesis inhibitors)
Ciprofloxacin is a member of which type of antibiotic ?
Fluoroquinolones (DNA/RNA synthesis inhibitors)
which drug can be used to treat anthrax?
Cipro
What must be remembered when prescribing cipro?
Limited use among children, adolescents, and pregnant women due to possible cartilage damage and tendon rupture
Sulfonamides- mechanism?
folic acid synthesis inhibitor
why is inhibiting folic acid synthesis and effective bacteriocidal effect?
Folic acid needed for synthesis of DNA/RNA
-bacteria synthesize their own folic acid (cannot utliize what they obtain from the environment)
Give an example of competitive inhibition
Sulfonamides compete with PABA (p-aminobenzoic acid) at the first step of folic acid synthesis
What was the first "magic bullet" ? What is the mechanism?
Sulfonamides
inhibit folic acid synthesis
what is the spectrum for sulfonamides? Give two examples
Broad spectrum (usually used for UTI, conjunctivitis, and toxoplasmosis)

sulfamethoxazole
silver sulfadiazine
What is a major counseling point for sulfonamides?
Drink LOTS of water!!! can crystalize in the kidney

May have cross-sensitivty to sunscreens with PABA
What are some adverse effects of sulfonamides?
skin rashes, especially in combo with trimethoprim (bactrim)
Mechanism of trimethoprim?
competition inhibition- inhibits the synthesis of tetrahydrophilic acid (a later step in folic acid synthesis)

RARELY used alone
Give an example of two synergistic medications
Sulfamethoxazole and trimethoprim
What adverse effects would you expect for bactrim?
skin rashes (esp in HIV)