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Flouroquinolones.txt
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What is the MOA for flouroquinolones?
DNA gyrase inhibitor (Topoisomerase II/IV)
What treats atypical PNA?
flouroquinolones
What types of bacteria does flouroquinolones treat?
Gram – aerobic (primarily)
Gram + (newer agents)
Which flouroquinolone is not excreted via renal?
Moxifloxacin
If you give Moxifloxacin, do you need to adjust the dose for a CC<50?
No, not excreted via renal
At what point does the dosage of flouroquinolone need to be adjusted?
CC<50ml/min (except Moxifloxacin)
Does flouroquinolone cross the placenta?
Yes
What pregnancy category is flouroquinolones?
C
What 3 things causes resistance to flouroquinolones?
Mutations (binding region of target enzyme & change in permeability of the organism)
Overuse of the agents (staph, strep, and enterococcus developed resistance)
Cross resistance to other quinolones
When should fluroquinolones be used?
Only when needed
What are fluroquinolones used to treat?
UTI
Multi-drug resistant bacteria
Bacterial diarrhea (salmonella, e. coli)
Bones, joints, soft-tissues
Atypical PNA
Are fluroquinolones used to treat gonococcal infections?
No
What is the choice tx/prophylaxis of anthrax?
Fluroquinolones
What are the adverse side effects of fluroquinolones?
GI
QT interval prolongation
Tendon rupture
Risk for SZ
What 3 things does fluroquinolones have a Black Box warning on?
Myasthenia gravis
Tendonitis
Tendon rupture
What Patient group is contraindicated in using fluroquinolones?
<18 years
What kind of drug is Ciprofloxacin?
Fluoroquinolone
What is the MOA of Cipro?
Inhibits DNA replication by binding to DNA gyrase & topoisomerase IV
What does Cipro treat?
UTI’s
Gastroenteritis
Osteomyelitis
Anthrax
How does Cipro toxicity manifest?
GI upset
Neurotoxicity
Tendonitis
Author
drtrouta
ID
198796
Card Set
Flouroquinolones.txt
Description
Flouroquinolones.txt
Updated
2013-02-08T02:25:40Z
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