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Flashcards in AHA Premed Guidelines Deck (10)
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1

What's the standard general prophylaxis?

Amoxicillin

Adults: 2gm orally, 1 hour before procedure

Children: 50mg/kg orally before procedure

2

What are the standard general prophylaxis when the patient is unable to take oral medications?

Ampicillin

  • Adults: 2gm IM or IV within 30 minutes before procedure
  • Children: 50mg/kg IM or IV within 30 minutes before procedure

3

What is prescribed for prophylaxis when the patient is allergic to penicillin?

  • clindamycin (Cleocin)
  • cephalexin
  • azithromycin
  • clarithromycin (Biaxin)

4

What is the dose regime for clindamycin (Cleocin)?

  • Adults: 600mg orally 1 hour before procedure
  • Children: 20mg/kg orally 1 hour before procedure

5

What is the dose regime for cephalexin (Keflex)?

  • Adults: 2gm orally 1 hour before procedure
  • Children: 50mg/kg orally 1 hour before procedure

6

What is the dose regime for azithromycin (Zithromax) and clarithromycin (Biaxin)?

  • Adults: 500mg orally 1 hour before procedure
  • Children: 15mg/kg orally 1 hour before procedure

7

What could you give to a patient for prophylaxis that is allergic to penicillin and unable to take oral medications?

  • clindamycin - IV
  • cefazolin - Ancef, Kefzol, Zolicef
  • ceftriaxone - Rocephin

8

What is the dose regime for clindamycin (IV - allergic to penicillin and cant take orally)?

  • Adults: 600mg IV within 30 minutes before procedure
  • Children: 20mg/kg IV within 30 minutes before procedure

9

What is the dose regime for cefazolin (Ancef, Kefzol, Zolicef) (IV or IM)?

Adults: 1gm IM or IV within 30 minutes before procedure

Children: 50mg/kg IM or IV within 30 minutes before procedure

10

What is the dose regime for ceftriazone (Rocephin) (IM or IV)?

Adults: 1gm IM or IV within 30 minutes before procedure

Children: 50mg/kg IM or IV within 30 minutes before procedure