Beta-Lactams

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Year 2 Flashcards on Beta-Lactams, created by gina_evans0312 on 16/04/2014.
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Flashcards by gina_evans0312, updated more than 1 year ago
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Created by gina_evans0312 about 10 years ago
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Question Answer
Bacterial Walls- Structure NAG-NAM chains linked by varying peptide chains
Bacterial Walls- Peptide Chains Bound to NAM, usually with two d-Alas at the end
Bacterial Walls- Linking Peptide Chains (Enzyme) Transpeptidases
Bacterial Walls- Linking Peptide Chains (Sequence) L-Lys of one chain links to the 2nd to last d-Ala of the other (terminal d-Ala is cleaved off)
Role of B-Lactams Prevent Transpeptidation
Example Penicillin
Structure of B-Lactams Almost identical to D-Alanine
Effect of Beta-Lacatams Bind irreversible to transpeptidases so they cannot function, weakening the cell wall, & cause autolysin production which destroys the cell wall
Penicillin- Bacteria Effected Gram +ve (no effect on Gram -ve)
Penicillin- Pharmacokinetics (Method of transmission) Cannot be given orally due to gastic acid
Penicillin- Pharmacokinetics (Distribution) In extracellular fluid
Penicillin- Pharmacokinetics (Excretion) Rapid renal tubular excretion
Penicillin- Pharmacokinetics (Half-Life) Short
Penicillin- Drug Reactions (Theraputic Index) Wide theraputic index
Penicillin- Drug Reactions (Allergies) Can be severe and unrelated to dose
Advantage of Procaine Penicillin Long Half Life
Advantage of Penicillin V Can be given orally
Advantage of Amoxycillin Gram -ve coverage
Cephalosporins Class of Beta Lactams
Advantage of Cefuroxine Gram -ve & +ve coverage
Advantage of 3rd Generation Cephalosporins Gram +ve & -ve coverage, but more effective than Cefuroxine
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