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term 4 > drug call > Flashcards

drug call Flashcards

1
Q

if prescribing imipenem add?

A

cilastatin
protect kidneys by avoiding inactivation of renal dehydropterase 1

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2
Q

chlamydia 1 and 2

A
  1. doxycycline
  2. *azrithromycin/ levoflo
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3
Q

bacterial prostasis

A

levofloxacin, flouroquinolones

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4
Q

bacterial prostasis and heart issues

A

co-trimoxazole

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5
Q

meningitis with petechia

A

ceftriaxone + vancomycin

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6
Q

meningitis with hib

A

ceftriaxone

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7
Q

bacterial meningitis prophylaxis

A

Cefrtiaxone
Ciprofloxacin
rifampin

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8
Q

emperic tx for endocardiits

A

vanco and gent

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9
Q

enterococcus endocarditits

A

vanco and gent

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10
Q

travelers diahrea but pregnant

A

amoxicillin-clav

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11
Q

2 options for emperic pneumonia

A

macrolide or tetracycline

(covers atypicals)

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12
Q

legionella pneumonia

A

respiratory fluoroquinolone +/- macrolide

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13
Q

acute sinusitis with failed tx attempts

A

ceftriaxone (think of the strep pneumo and hib that are the causal agents)

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14
Q

sepsis

if MRSA suspected

A

fluoroquinolone +/- gentamicin

if mrs is suspected vancomycin

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15
Q

cefazolin preop prophylaxis alternative

A

clindamycin

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16
Q

syphillus with severe penecillin allergy

A

macrolide

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17
Q

uti and pregnant

side effects of the original meds

A

amoxicillin

co-trimoxazole can cause neural tube defects in child via hyper kalcemia

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18
Q

uti allergic to penicillin and pregnant

A

nitrofurination

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19
Q

does monobactam cross react with penicillin alx
does bacitracin

which one is a beta lactam

A

no
no

monobactam is a beta lactam

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20
Q

atypical pneumonia and pregnant

A

macrolide

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21
Q

vaginitis

A

metronidazole

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22
Q

aspirational pneumonia tx

A

clindamycin

dont want to be too broad with the fluoroquinolone

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23
Q

prophylaxis foe endocarditis is allergic to amoxicillin

A

Macrolide
Clindamycin
Cephalexin

24
Q

ceftriaxone resistant gonorhea

A

*azrithomycin + gentamicin

25
Q

resistant herpes zoster

A

forscanet

otherwise can use acyclovir/valcyclovir

26
Q

hiv and pregnant

A

zidovudine (thymine analogue that causes neutropenia)

27
Q

myoclonic seizures
and adjunct

A

valporate

Levetiracetam adjunct

28
Q

atonic seizures

A

Valproate + lamotrigine + a benzodiazepine

29
Q

febrile convulsions

A

if more than 5 min duration

diazepam IV or rectal

30
Q

second stage status epilepticus (20-40 minutes of seizure)

A

phenytoin
levetriaban
valporic acid

Phenobarbital

31
Q

third stage status epilepticus (40+ min)

A

thiopental, midazolam, pentobarbital, proprofol

32
Q

first line for essential tremor

A

Primidone (AE similar to barbiturates)

propranolol

33
Q

inhaled anesthetics for myocardial impairment

A

DIS flurane

34
Q

which inhaled anesthetics have the highest risk for arrythmia

A

halothane and

35
Q

which inhaled anesthetic will have highest risk for tonic clonic seizures

A

enflurane

36
Q

used to facilitate endotracheal
intubation during induction of anesthesia

A

succinylcholine

37
Q

trigeminal neuralgia, neuro pain, bipolar, epilepsy

A

carbamazepine

38
Q

restless leg syndrom, near pain ,antiepileptic

A

gabapentin

39
Q

epilepsy and bipolar

A

lamotrigine

40
Q

neuropathic pain and epilepsy

A

prebalin

41
Q

migraine and epilepsy

A

topimarate

42
Q

bipolar disorder, migraine, and epilepsy

A

valporate

43
Q

campy jejuni

A

azithromycin

44
Q

neisseria meningitis pregnant and allergic to penicillin

A

aztronam

45
Q

aerobic, motile, catalase and
oxidase positive non-lactose fermenting gram negative rod

A

pseudomonas

46
Q

pharyngitis 2

A

macrolide

47
Q

pyllonephritis

A

cpirofloxain

48
Q

which cepholosporins have AE of disulfiram rxn and hypoprothrombinemia

A

teta and mandole

zone

49
Q

like Penicillin G(mostly all G+ and a few G-) and can use as alternative od staph penicillinase

A

1st gen cepholosporin

50
Q

abdominal cavity infections

A

anti-pseudomonas
2nd gen cepholospoin
4th gen cepholosporin

51
Q

most against G- and can adequately reach CNS

A

cefrotriaxone
think about how it works for meningitis and for disseminated Lyme but not regular

52
Q

empiric meningitis

A

ceftriaxone

53
Q

salmonella

A

ceftriaxone
fluoroquin

54
Q

c.diff

A

vanco
fidaxomicin
metronidazole

55
Q

tuleremia

A

strepomycin

56
Q
  • NS5A Inhibitor
A

Ledipasvit
inhibits phosphoprotein

57
Q
A

term 4 (13 decks)

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