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Antibiotia > Antibiotika > Flashcards

Antibiotika Flashcards

1
Q

Pneumoni - Samhällsförvärvad (po+iv)

A

PcV (po) eller PcG (iv)

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2
Q

Pneumoni - Samhällsförvärvad vid Pc-allergi

A

Klindamycin eller Erytromycin

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3
Q

Pneumoni - KOL-patient (+Pc-allergi)

A

Amoxicillin, vid Pc-allergi Doxycyklin

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4
Q

Pneumoni - Vårdrelaterad (>2d sjukhusvård) + vid Pc-allergi

A

Pip-tazo, vid Pc-allergi Klindamycin + ciprofloxacin

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5
Q

KOL exacerbation

A

Amoxicillin eller Doxycyklin

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6
Q

UVI - Nedre UVI (K+M)

A

Pivmecillinam (selexid)/Nitrofurantoin (furadantin)

Längre behandlingstid hos män

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7
Q

UVI - Febril/hög

A

Ciprofloxacin (K 7d, M 14d)

Trimetoprim-Sulfa vid odlingssvar

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8
Q

UVI - Febril iv/vårdrelaterad

A

1) Cefotaxim

2) Pip-tazo

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9
Q

Borrelia - Erytema migrans + vid Pc-allergi

A

PcV, vid Pc-allergi Doxycyklin

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10
Q

Borrelia - Feber/multipla erytema migrans

A

Doxycyklin

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11
Q

Neuroborrelios

A

Doxycyklin

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12
Q

Sårinfektion/diabetessår + vid Pc-allergi

A

Flukloxacillin, vid Pc-allergi Klindamycin

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13
Q

Kattbett + vid Pc-allergi

A

Amoxicillin, vid Pc-allergi Doxycyklin

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14
Q

Sepsis - Okänt fokus

A

Cefotaxim + aminoglykosid.

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15
Q

Bakteriell meningit - Oklart fokus

A

Betapred + Cefotaxim + Ampicillin

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16
Q

Clostridum difficile - Mild

A

Sätt ut ev antibiotika, rehydrera och avvakta

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17
Q

Clostridum difficile - Medelsvår

A

Metronidazol

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18
Q

Clostridum difficile - Svår/terapisvikt/recidiv

A

Vankomycin

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19
Q

Peritonit

A

Pip-tazo eller Cefotaxim + metronidazol

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20
Q

Septisk artrit

A

Renspolning led + avlastning

1) Kloxacillin, vid Pc-allergi Klindamycin.
2) Sepsis –> Kloxacillin + aminoglykosid

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21
Q

Tonsillit + vid Pc-allergi + recidiv

A

1) PcV 1gx3 i 10d, vid Pc-allergi Klindamycin.

2) Recidiv –> Klindamycin

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22
Q

Impetigo

A

1) Tvål och vatten
2) Terapisvikt –> Fucidinsalva?
3) Allmänsymtom –> Flukloxacillin, Pc-allergi Klindamycin

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23
Q

Ektyma

A

1) Tvål och vatten
2) Terapisvikt –> Fucidinsalva?
3) Allmänsymtom –> Flukloxacillin, Pc-allergi Klindamycin

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24
Q

Follikulit

A

1) Konservativ behandling/dränage

2) Flukloxacillin, vic Pc-allergi Klindamycin

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25
Q

Furunkel

A

Flukloxacillin, vid Pc-allergi Klindamycin

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26
Q

Karbunkel

A

1) Flukoxacillin, vid Pc-allergi Klindamycin

2) Allmänpåverkan –> Kloxacillin (iv)

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27
Q

Erysipelas + vid Pc-allergi + vid allmänpåverkan

A

Kompressionslinda + högläge

1) PcV, vid Pc-allergi Klindamycin
2) Allmänpåverkan/ansiktserysipelas –> PcG

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28
Q

Nekrotiserande fasciit + vid Strep A-pos + vid svåra tillstånd

A

Akut kirurgi

1) Imipenem + klindamycin + aminoglykosid
2) Vid pos Strep-A –> Bensylpenicillin + klindamycin + aminoglykosid
3) Svåra tillstånd –> Gammaglobulin

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29
Q

Spondylit

A

Kloxacillin (iv)

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30
Q

Akut epiglottit

A

Cefalosporiner iv

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31
Q

Otit + vid Pc-allergi + recidiv/terapisvikt

A

AB till barn <1år + >12år + bilateral otit + perforerad

1) PcV dubbel dos 5 d, Pc-allergi Erytromycin
3) Recidiv/terapisvikt –> Amoxicillin 10d

32
Q

Sepsis - Pneumoni/svår penumoni

A

Bensyl-Pc + Moxifloxacin

33
Q

Sepsis - Buk

A

Pip-Tazo/meronem + aminoglykosid

34
Q

Sepsis - Urosepsis

A

Pip-tazo (+ aminoglykosid 1 dos)

35
Q

Septisk chock

A

Behandla sepsis + aminoglykosid (1 dos)

36
Q

Bakteriell meningit - Meningokocker/pneumokocker

A

Betapred + Bensyl-Pc (iv)

37
Q

Bakteriell meningit - H.influenzae/listeria

A

Betapred + Ampicillin (iv)

38
Q

Peri-/myokardit

A

Cefotaxim (iv) + doxycyklin (po)

39
Q

Endokardit - Akut förlopp (s.aureus)

A

Kloxacillin, vid Pc-allergi cefotaxim

40
Q

Endokardit - Subakut förlopp (ej s.aureus)

A

Bensyl-Pc + Aminoglykosid

41
Q

Campylobakt-enterit

A

Rehydrering. Vid sepsis/immunsupp –> Erytromycin

42
Q

Tyfoidfeber

A

Rehydrering + cefotaxim

43
Q

Amöba

A

Metronidazol + Diloxanidfuroat

44
Q

Antibiotika: G+ Ae (2st)

A

Pencilliner, glykopeptider

45
Q

Antibiotika: G+ An (1st)

A

Klindamycin

46
Q

Antibiotika: G- Ae (5st)

A

Aminoglykosider, cefalosporiner, kinoliner, kolestin, trim-sulfa

47
Q

Antibiotika: G- An (1st)

A

Metronidazol

48
Q

Antibiotika: Bredspektrum (2st)

A

Pip-tazo, karbapenemer

49
Q

Pneumoni - Atypisk

A

Erytromycin

50
Q

Pneumoni - Apiration (samhälls + sjukhus)

A

Samhällsförvärvad –> Bensyl-Pc

Sjukhusförvärvad –> Pip-tazo

51
Q

Penicilliner (Iv 4st + po 5st)

A

Iv: PcG, Ampicillin, Kloxacillin, Pip-tazo
Po: PcV, Amoxicillin, Spektramox, Flukloxacillin, Selexid.

52
Q

Cefalosporiner (Iv 2st + Po 2st)

A

Iv: Cefotaxim, Cefuroxim (Zinacef)
Po: Cefadroxil, Ceftibuten

53
Q

Karbapenemer (Iv 3st)

A

Imiperem, Meropenem, Ertapenem

54
Q

Monobaktamer (Iv 1st)

A

Aztreonam

55
Q

Makrolider + Azalider (2st)

A

Erytromycin, Azitromycin

56
Q

Linkosamider (1st)

A

Klindamycin

57
Q

Tetracykliner (1st)

A

Doxycyklin

58
Q

Glycylcykliner (1st)

A

Tigecyklin

59
Q

Cyklopeptider (1st)

A

Vancomycin

60
Q

Lipopeptider (1st)

A

Daptomycin

61
Q

Oxazolidinoner (7st)

A

Linezolid, Rifampicin, Fusidinsyra, Nitrofurantoin, Trimetoprim, Trim-sulfa, Metronidazol

62
Q

Kinoliner (3st)

A

Ciprofloxacin, Moxifloxacin, Levofloxacin

63
Q

Aminoglykosider (3st)

A

Gentamycin, Tobramycin, Amikacin

64
Q

Ovanliga preparat (2st)

A

Kolistin, Fosfomycin

65
Q

Salmonella

A

Oftast spontanläkning, Cefotaxim till ex diabetiker, immunsupp mm

66
Q

Shigella

A

Ciprofloxacin

67
Q

Yersinia

A

Ibland doxycyklin

68
Q

Kolera

A

Doxycyklin

69
Q

T>MIC (6st)

A

B-laktamer (penicilliner, cefalosporiner, karbapenemer, monobaktamer), Klindamycin, flera makrolider

70
Q

ACU/MIC (2st)

A

Kinoloner, Vancomycin

71
Q

Cmax/MIC

A

Aminoglykosid

72
Q 
Dosering sepsis: 
Imipenem/Meronem
Cefotaxim
Bensyl-Pc
Pip-Tazo
A 
Imipenem/Meronem = 1g
Cefotaxim = 2g
Bensyl-Pc = 3g
Pip-Tazo = 4g
73
Q

ESBL

A

Ertapenem

74
Q

MRSA

A

Tigecyklin/Linezolid

75
Q

Pc-resistenta pneumokocker + enterokocker

A

Vancomycin

Antibiotia (2 decks)

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