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NURS 3305 & 5005 Infectious Disease Drug Tables.

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NURS 3305 & 5005 Infectious Disease Drug Tables. Narrow vs Broad spectrum: Narrow is preferred to reduce resistance to antibiotics. - refers to the spectrum of what it can treat. Empiric Therapy: using what works. Bacteriostatic: suppress growth of bacteria, if pt if immunocompromised (wbc) – not as effective Bactericidal: kill bacteria ..work with patients works with patents to be immunocompromised Prototype Class Uses MOA SE Notes CELL WALL INHIBITORSBACTERIAL PENICILLINS (and related drug)- Inhibiting cell wall GI heart burn, diarrhea, stomatitis, discolored tongue, Penicillin G will not be affective towards a bacteria creating penicillinase penicillin G narrow-spectrum penicillinase sensitive penicillin Streptococcus; many G+ & some G- ; Syphilis MOA: Weaken Cell wall, causing bacteria to take up excessive water and rupture. Bactericidal, only killing dividing bacteria. Bind to penicillin binding proteins to weaken cell wall. Multiple DDI’s Increased bleeding time of anticoagulants; inactivates aminoglycosides in in same IV bag; potentially decreased efficient of oral contraceptive. Streptococcus sp. (Active against most Gram positive tentanus, gangrene and anthrax, syphilis Mechanism of Bacterial Resistance • Inability of penicillins to reach their target • Inactivation of penicillins by bacterial enzymes (penicillinase (nafcillin) (Nallpen) narrow-spectrum penicillinase resistant penicillin MSSA; staphylococcus MOA: Weaken Cell wall, causing bacteria to take up excessive water and rupture. Bactericidal, only killing dividing bacteria amoxicillin [Amoxil] ampicillin [Marcillin] broad-spectrum penicillin AOM, PUD; H. influenzae, E. coli,H. pylori, Gonorrhea, AOM MOA: Weaken Cell wall, causing bacteria to take up excessive water and rupture. Bactericidal, only killing dividing bacteria Inactivated by beta- lactamases not so helpful for staphylococcus.

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NURS 3305 & 5005 Infectious Disease Drug
Tables

NURS 3305 & 5005 Infectious Disease Drug Tables.

Narrow vs Broad spectrum: Narrow is preferred to reduce resistance to antibiotics. - refers to the spectrum of what it can treat.
Empiric Therapy: using what works.
Bacteriostatic: suppress growth of bacteria, if pt if immunocompromised (wbc) – not as effective
Bactericidal: kill bacteria ..work with patients works with patents to be immunocompromised
Prototype Class Uses MOA SE Notes
CELL WALL INHIBITORSBACTERIAL




PENICILLINS (and related drug)- Inhibiting cell wall
GI heart burn, diarrhea, Penicillin G will not be
stomatitis, discolored affective towards a
tongue, bacteria creating
penicillinase
Multiple DDI’s
MOA: Weaken Cell wall,
Increased bleeding time of Streptococcus sp. (Active
causing bacteria to take
anticoagulants; inactivates against most Gram
up excessive water and
narrow-spectrum aminoglycosides in in same positive tentanus,
Streptococcus; many rupture. Bactericidal, only
penicillin G penicillinase sensitive IV bag; potentially decreased gangrene and anthrax,
G+ & some G- ; Syphilis killing dividing bacteria.
penicillin efficient of oral syphilis
Bind to penicillin binding
contraceptive. Mechanism of Bacterial
proteins to weaken cell
Resistance
wall.
• Inability of penicillins
to reach their target
• Inactivation of
penicillins by bacterial
enzymes (penicillinase
MOA: Weaken Cell wall,
(nafcillin) narrow-spectrum causing bacteria to take
penicillinase resistant MSSA; staphylococcus up excessive water and
(Nallpen) penicillin rupture. Bactericidal, only
killing dividing bacteria
MOA: Weaken Cell wall, Inactivated by beta-
amoxicillin AOM, PUD; H.
causing bacteria to take lactamases not so helpful
[Amoxil] broad-spectrum influenzae, E. for staphylococcus.
up excessive water and
ampicillin penicillin coli,H. pylori,
rupture. Bactericidal, only
[Marcillin] Gonorrhea, AOM
killing dividing bacteria

, NURS 3305 & 5005 Infectious Disease Drug
Tables
Same as broad-
MOA: Weaken Cell wall, Penicillinase sensitive.
causing bacteria to take
extended-spectrum spectrum, plus UTIs;
(ticarcillin) up excessive water and
penicillin Pseudomonas
rupture. Bactericidal, only
aeruginosa
killing dividing bacteria
clavulanic acid penicillinase inhibitor Combined with MOA: Weaken Cell wall, [augmentin]
amoxicillin to treat causing bacteria to take Not a penicillin, but a
up drug used in conjunction
excessive water and

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Geüpload op
10 augustus 2023
Aantal pagina's
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Geschreven in
2023/2024
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