Drug list Flashcards by kyle Kirchner

Indications: Best for staph and strep, and limited anaerobes (E. Coli, Klebsiella)
No MRSA coverage
Renal Dosing Required

Rx: Keflex 500 mg
Disp: 28
Sig: 1 PO q12 hrs

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Indications: Staph
NO MRSA coverage
Improved coverage for PCN resistant anaerobes not covered by Kelfex (E. Coli, Klebsiella, Pastuerella, Bacteroides

Rx: Augmentin 500/125 mg
Disp: 28
Sig: 1 PO q12 hrs

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For surgical prophylaxis 30-60 minutes prior to surgery per SCIP protocol

Rx: Kefzol 1gm IV preoperatively

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Indications: Soft tissue infection gram positive and gram negative coverage
Antipseudomonal
Commonly combined with clindamycin for oral antibiotic therapy for broad spectrum coverage of polymicrobial infection seen in the diabetic foot

Rx: Cipro 500mg
Disp: 28
Sig: 1 PO q12 hrs

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Indications: Soft tissue infeciton gram positive anaerobic coverage
Commonly combined with cipro for oral antibiotic therapy for broad spectrum coverage of polymicrobial infection seen in the diabetic foot
Utilized for SCIP protocol bacterial prophylaxis with surgery dosed at 600 mg IV

Rx: Cleocin 300mg
Disp: 56
Sig: 1 PO q6 hrs

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Indications: Soft tissue and bone infection

-Effective against MRSA (Good PO drug however MRSA resistance increasing in community)

Rx: Bactrim DS 160/800mg
Disp: 28
Sig: 1 PO q 12 hrs

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MRSA coverage (good IV to PO drug treatment for MRSA when transitioning from hospital to outpatient care without need for PICC line)
Coverage for Vancomycin Resistant Enterococcus (VRE)

Rx: Zyvox 600 mg
Disp: 28
Sig: 1 PO q12 hrs

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MRSA coverage
No pseudomonal coverage
Must be given within 2 hours of incision when utilized for preoperative bacterial prophylaxis
PO use is only for the treatment of C. diff colitis, not MRSA

Rx: Vancomycin 1 gm
Sig: IV q12 hrs

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Indications: skin infection including complicated diabetic foot

good broad spectrum for diabetic foot without pseudomonas coverage
no MRSA coverage, no Pseudomonal coverage

Rx: 1 gram
Sig: IV q24 hrs

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Good broad spectrum coverage for diabetic foot with pseudomonas coverage
-no MRSA coverage

Rx: Zosyn 3.375 gm
Sig: IV q6 hrs

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Indications: skin and bone infection

No MRSA, Pseudomonas
Broad spectrum GM +/- and anaerobes

Rx: Unasyn 3 grams
Sig: IV q6 hrs

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Nonselective Cox inhibitor

Rx: Motrin 800 mg
Disp: 120
Sig: 1 PO q6 hrs

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Selective Cox-2 inhibitor

- Contraindicated if sulfa allergy

Rx: Celebrex 200 mg
Disp: 30
Sig: 1 PO QD

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Nonselective Cox Inhibitor

Rx: Naprosyn 500 mg
Disp: 60
Sig: 1 PO BID

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Very irritating to the stomach

- Primarily used in acute gout attack (2 week course)

Rx: Indocin 50 mg
Disp: 42
Sig: 1 PO TID

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Nonselective Cox inhibitor (acute post op pain)
Not to utilize beyond 5 days due to renal toxicity
-Contraindicated if history of asthma

Rx: Tordol
Disp: 20
Sig: 1 PO q 6 hrs

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Used at the onset of a reaction

Rx: Benedryl 50 mg
Sig: 1 PO at onset

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This is a drug with codeine

Rx: T#3 300/30 mg
Disp: 114
Sig: 1-2 PO q6 hrs

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Alternate trade names: Lorcet, Lortab, Norco, Hycet

Rx: Vicodin 5/300 mg
Disp: 40
Sig: 1-2 PO q6 hrs

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Action through opioid receptors and limits norepinephrine/ serotonin uptake

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Rx: Tramadol 50 mg
Disp: 56
Sig: 1 PO q6 hrs prn pain

For opioid reversal

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Narcan 0.1-0.2 mg

Sig: IV q3 min prn

Acute pain relief opioid that does not produce euphoria so not attractive to recreational drug seekers

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Nucynta 50 mg
Disp: 40
Sig: 1 PO q8 hrs prn pain

For acute/moderate pain for extending period use

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Rx: MS Contin ER 15 mg
Disp: 28
Sig: 1 PO q12 hrs

Used for pain with oxy

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Rx: Percocet 5/325 mg
Disp: 40
Sig: 1-2 PO q6 hrs prn pain

PCA do not use with compromised renal function as increases in secondary metabolites can cause erratic and delusional behavior. Consider dilaudid alternative

Rx: Morphine Sulfate 1 mg/ml Sig: IV q10 min

PCA | No active secondary metabolites that accumulate with renal disease

Rx: Dilaudid 0.1mg/ml Sig: IV q10 min

Preoperative sedation

Rx: Versed 1mg IV

Can be given for insomnia with post-op pain however additive interactive affect with narcotic

Rx: Ambien 5mg Disp: 14 Sig: 1 PO qhs prn insomnia

Used for pain associated with muscle spasms | I.e: joint distraction, Ex Fix distraction re-alignment, spasms after major tendon surgery

Rx: Flexeril 10mg Disp: 40 Sig: 1 PO TID

- Used for pain associated with muscle spasms (joint distraction, Ex fix distraction realignment, spasms after major tendon surgery) - Also for anxiety, pre-op sedation, ETOH withdrawal symptoms

Rx: Valium 5mg Disp: 40 Sig: 1 PO TID

Used for peripheral neuropathy | Contraindicated in glaucoma and psychiatric illess

Rx: Cymbalta 60 mg Disp: 30 Sig: 1 PO QD

Used in peripheral neuropathy, tapered dose

Rx: Neurontin 300mg Disp: 90 Sig: Taper dose 300 mg QD day 1, then 300 mg BID day 2, then 300 mg TID day 3, increase incrementally up to max dose of 1,200 mg daily

Used for chronic pain/Neuropathy | -may increase up to 100 mg TID

Rx: Lyrica 50 mg Disp: 90 Sig: 1 PO TID

Anti-fungal | LFT should be normal prior to therapy

Rx: Lamisil 250 mg Disp: 90 Sig: 1 PO daily

Anti-fungal cream steroid

Rx: Lotrisone 1% cream Disp: 45 grams Sig: apply to feet daily

Anti-fungal cream, smallest amount dispensed

Rx: Naftin 1% cream Disp: 15 gms Sig: apply to feet daily

Anti-fungal solution

Rx: Penlac 8% solution Disp: 6.6 ml Sig: apply to nails qhs and remove with ETOH q7 days

Anti-fungal | Used for secondary interdigital bacterial infections associated with tine pedis

Rx: Cleocin T 1% gel Disp: 60 grams Sig: apply BID between digits

Tapered dose of steroid over 6 days

Rx: Medrol dose pack Sig: start at 24mg day 1 downward to 4 mg a day over a 6 day period

-Utilized for post-op nausea Potentiates the opioid effect of narcotics so caution when used in combination. This can be utilized to potentiate pain medications for individuals who require more pain relief as well

Rx: Phenergan 25 mg Disp: 12 Sig: 1 PO q6 hrs

for nausea and vomiting

Rx: Zofran 4 mg Disp: 12 Sig: 1 PO q8 hrs prn

Gastric ulcer prophylaxis with NSAID use in at risk patients

Rx: Prilosec 20 mg Disp: 30 Sig: 1 PO QD

For DVT prophylaxis with immobility

Rx: Lovenox 40 mg Sig: Sc daily

For DVT/ PE treatment for inpatient who weights 70 kg

Rx: Lovenox 1mg/kg Sig: SC q12 hrs

- Extended DVT prophylaxis | - DVT treatment

Rx: Coumadin 5mg Disp: 30 Sig: 1 PO daily

-For DVT prophylaxis

Rx: Heparin Disp: 5000 units Sig: SC q12 hrs

Write out a CBC skeleton and fill the numbers and units

1) WBC = 4000-10000 cells/ul 2) Hemoglobin = 14-17 g/dl male and 12-15 g/dl female 3) Platelets 250000-400000 cells/ul 4) Hematocrit 40-50 % male and 35-45 % female

Write out an CMP skeleton and fill in the number sand units

1) Na = 135-145 meq/L 2) Cl = 100-110 meq/L 3) BUN = 5-20 mg/dl 4) K = 3.5-5 meq/L 5) Bicarb = 25-30 6) Cr = <1.1 7) Glucose = 70-110 mg/dL

What is the Cockcroft-Gault Estimate of GFR equation

(140-age) x Mass(kg) /72 x serum Cr Multiply the whole my .85 for women

Drug list Flashcards

(49 cards)