Aminoglycoside Antibiotics Quiz

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Questions and Answers

Which type of infections are aminoglycosides usually used to treat?

  • Exclusively gram negative
  • Mostly gram negative, some gram positive (correct)
  • Equally effective for gram positive and gram negative
  • Exclusively gram positive

Why are aminoglycosides not given orally?

  • Due to poor absorption ability (correct)
  • High risk of drug interaction
  • Increased risk of liver toxicity
  • Rapid metabolism in the gastrointestinal tract

What adverse reactions are associated with aminoglycosides?

  • Neurotoxicity and hematotoxicity
  • Nephrotoxicity and ototoxicity (correct)
  • Hepatotoxicity and cardiotoxicity
  • Gastrointestinal toxicity and respiratory toxicity

How often are aminoglycosides usually administered to enhance synergy?

<p>Usually three times a day (D)</p> Signup and view all the answers

What is the main reason aminoglycosides are not given orally?

<p>They are poorly absorbed in the gastrointestinal tract (C)</p> Signup and view all the answers

Which adverse reaction associated with aminoglycosides is usually reversible?

<p>Elevated BUN (B)</p> Signup and view all the answers

In pediatric population, aminoglycosides are commonly used to treat which of the following conditions?

<p>Pneumonia (A)</p> Signup and view all the answers

What is the primary mechanism of action of aminoglycosides?

<p>Prevent protein synthesis by binding to 30S ribosome (C)</p> Signup and view all the answers

Which of the following is a bactericidal drug that prevents protein synthesis by binding to the 30S ribosome?

<p>Gentamycin (D)</p> Signup and view all the answers

What is the primary reason for not administering aminoglycosides orally?

<p>Poor absorption ability (C)</p> Signup and view all the answers

Which of the following are commonly monitored with aminoglycoside medications?

<p>Serum levels (B)</p> Signup and view all the answers

What are the indications for using aminoglycosides in treating infections?

<p>Gram-negative and some gram-positive infections (B)</p> Signup and view all the answers

How often are aminoglycosides usually administered to enhance synergy?

<p>Three times a day (A)</p> Signup and view all the answers

Which adverse reaction associated with aminoglycosides is usually reversible?

<p>Elevated BUN (A)</p> Signup and view all the answers

What is a common adverse reaction associated with aminoglycosides that is not reversible?

<p>Ototoxicity (B)</p> Signup and view all the answers

Which of the following is a common adverse reaction associated with aminoglycosides that is usually reversible?

<p>Elevated BUN (A)</p> Signup and view all the answers

What is the primary reason aminoglycosides are not given orally?

<p>They have poor absorption ability (C)</p> Signup and view all the answers

How often are aminoglycosides usually administered to enhance synergy?

<p>Four times a day (D)</p> Signup and view all the answers

Which of the following is a bactericidal drug that prevents protein synthesis by binding to the 30S ribosome?

<p>Aminoglycosides (E)</p> Signup and view all the answers

In pediatric population, aminoglycosides are commonly used to treat which of the following conditions?

<p>Urinary tract infections (B)</p> Signup and view all the answers

What adverse reaction associated with aminoglycosides is not reversible and not as common?

<p>Ototoxicity (A)</p> Signup and view all the answers

Which type of infections are aminoglycosides usually used to treat?

<p>Gram-negative and some gram-positive infections (D)</p> Signup and view all the answers

Flashcards

Aminoglycosides

A class of antibiotics used to treat infections, mainly targeting gram-negative bacteria.

Gram-negative infections

Infections primarily caused by gram-negative bacteria, often treated with aminoglycosides.

Oral administration limitation

Aminoglycosides are not given orally due to poor absorption in the gastrointestinal tract.

Nephrotoxicity

A harmful effect on the kidneys associated with aminoglycosides use.

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Ototoxicity

Harmful effect on hearing or balance linked to aminoglycosides.

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Dosing frequency

Aminoglycosides are typically administered three times a day to enhance therapeutic synergy.

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30S ribosome binding

The primary mechanism of action for aminoglycosides is to prevent protein synthesis by binding to the 30S ribosome.

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Gentamycin

A specific aminoglycoside antibiotic that prevents protein synthesis.

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Elevated BUN

A reversible adverse reaction associated with aminoglycosides indicating kidney function.

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Monitoring serum levels

Regularly checking the concentration of aminoglycosides in the blood to avoid toxicity.

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Pediatric pneumonitis treatment

Aminoglycosides are commonly used to treat pneumonia in children.

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Urinary tract infections

Aminoglycosides are also used to treat UTIs, especially in pediatric cases.

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Reversible vs Non-reversible

Some adverse reactions like elevated BUN are reversible, whereas ototoxicity is not.

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Poor absorption

The primary reason aminoglycosides are not effective when given orally.

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Therapeutic synergy

The collaboration between multiple drugs (like aminoglycosides) to enhance effectiveness.

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Bactericidal drug

Aminoglycosides kill bacteria rather than merely inhibiting growth.

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Adverse reaction monitoring

Keeping track of side effects from aminoglycoside usage to prevent harmful outcomes.

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Multiple routes of administration

Aminoglycosides can be administered intramuscularly or intravenously but not orally.

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Gram-positive infections

Infections caused by gram-positive bacteria that can also be treated with aminoglycosides.

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Study Notes

Aminoglycosides

  • Aminoglycosides are usually used to treat life-threatening infections, particularly those caused by Gram-negative bacteria, such as Pseudomonas aeruginosa and Klebsiella pneumoniae.
  • Aminoglycosides are not given orally because they are not well-absorbed from the gastrointestinal tract and may cause gastrointestinal disturbances.

Mechanism of Action and Administration

  • The primary mechanism of action of aminoglycosides is to prevent protein synthesis by binding to the 30S ribosome, making them bactericidal.
  • Aminoglycosides are usually administered every 8 hours to enhance synergy with other antibiotics.

Adverse Reactions

  • Aminoglycosides are associated with adverse reactions such as ototoxicity (hearing loss) and nephrotoxicity (kidney damage).
  • Ototoxicity is usually not reversible, while nephrotoxicity is usually reversible.
  • Aminoglycosides can also cause neuromuscular blockade, which can lead to respiratory failure.

Pediatric Use and Monitoring

  • In pediatric population, aminoglycosides are commonly used to treat meningitis, sepsis, and Pseudomonas infections.
  • Peak and trough levels of aminoglycosides, as well as renal function, are commonly monitored during treatment.

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