First Aid - Classic/Relevant Treatments Flashcards Preview

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Flashcards in First Aid - Classic/Relevant Treatments Deck (89):
1

Absence seizures

Ethosuximide

2

Acute gout attack

NSAIDs, colchicine, glucocorticoides

3

Acute promyelocytic leukemia (M3)

All-trans retinoic acit

4

ADHD

Methylphenidate, CBT, atomoxetine, guanfacine, clonidine

5

Alcoholism

Disulfiram, acamprosate, naltrexone, supportive care

6

Alcohol withdrawal

Long-acting benzodiazepines

7

Anorexia

Nutrition, psychotherapy, mirtazapine

8

Arrhythmia in damaged cardiac tissue

Class 1B antiarrhythmic (lidocaine, mexiletine)

9

Benign Prostatic hyperplasia

Alpha 1-antagonists, 5 alpha-reductase inhibitors, PDE-5 inhibitors

10

Bipolar disorder

Mood stabilizers (eg, lithium, valproic acid, carbamazepine), atypical antipsychotics

11

Breast cancer in postmenopausal woman

Aromatase inhibitor (anastrozole)

12

Buerger disease

Smoking cessation

13

Bulimia nervosa

SSRIsC

14

Cadida albicans

Topical azoles (vaginitis); nystatin, fluconazole, caspofungin (oral/esophageal); fluconazole, caspofungin, amphotericin B (systemic)

15

Carcinoid syndrome

Octreotide

16

Chlamydia trachomatis

Doxycycline (+ ceftriaxone for gonorrhea coinfection), erythromycin eye drops (prophylaxis in infants)

17

Chronic gout

Xanthine oxidase inhibitors (eg, allopurinol, febuxostat); pegloticase; probenecid

18

Chronic hepatitis B or C

IFN-alpha (HBV and HCV); ribavirin, simeprevir, sofosbuvir (HCV)

19

Chronic myelogenous leuckemia

Imatinib

20

Clostridium botulinum

Antitoxin

21

Clostridium difficile

Oral metronidazole; if refractory, oral vancomycin

22

Clostridium tetani

Antitoxin

23

CMV

Ganciclovir, foscarnet, cidofovir

24

Crohn disease

Corticosteroids, infliximab, azathioprine

25

Cryptococcus neoformans

Fluconazole (in AIDS patients)

26

Cyclophosphamide-induced hemorrhagic cystitis

Mesna

27

Depression

SSRIs (first-line)

28

Diabetes insipidus

Desmopressin (central); hydrochlorothiazide, indomethacin, amiloride (nephrogenic)

29

Diabetes mellitus type 1

Dietary intervention (low carbohydrate) + insulin replacement

30

Diabetes mellitus type 2

Dietary intervention, oral hypoglycemics, and insulin (if refractory)

31

Diabetic ketoacidosis

Fluids, insulin, K+

32

Drug of choice for anticoagulation during pregnancy

Heparin

33

Enterococci

Vancomycin, aminopenicillins/cephalosporins

34

Erectile dysfunction

Sildenafil, tadalafil, vardenafil

35

ER +breast cancer

Tamoxifen

36

Ethylene glycol/methanol intoxication

Fomepizole (alcohol dehydrogenase inhibitor)

37

Haemophilus influenza (B)

Rifampin (prophylaxis)

38

Generalized anxiety disorder

SSRIs, SNRIs (first line); buspirone (second line)

39

Granulomatosis with polyangiitis (Wegener)

Cyclophosphamide, corticosteroids

40

Heparin reversal

Protamine sulfate

41

HER2/neu +breast cancer

Trastuxzumab

42

Hyperaldosteronism

Spironolactone

43

Hypercholesterolemia

Statin (first-line)

44

Hypertriglyceridemia

Fibrate

45

Immediate anticoagulation

Heparin

46

Infertility

Leuprolide, GnRH (pulsatile), clomiphene

47

Influenza

Oseltamivir, zanamivir

48

Kawasaki disease

IVIG, high-dose aspirin

49

Legionella pneumophila

Macrolides (eg, azithromycin)

50

Long-term anticoagulation

Warfarin, dabigatran, rivaroxaban and apixaban

51

Malaria

Chloroquine, mefloquine, atovaquone/proguanil (for blood schizont), primaquine (for liver hypnozoite)

52

Malignant hyperthermia

Dantrolene

53

Medical abortion

Mifepristone

54

Migraine

Abortive therapies (eg, sumatriptan, NSAIDs); prophylaxis (eg, propranolol, topiramate, CCBs, amitriptyline

55

Multiple sclerosis

Disease-modifying therapies (eg, Beta-interferon, natalizumab); for acute flares, us IV steroids

56

Mycobacterium tuberculosis

RIPE (rifampin, isoniazid, pyrazinamide, ethambutol

57

Neisseria gonorrhoeae

Ceftriaxone (add doxycycline to cover likely concurrent C trachomatis

58

Neisseria memingitidis

Pencillin/ceftriaxone, rifampin (prophylaxis)

59

Neural tube defect prevention

Prenatal folic acid

60

Osteomalacia/rickets

Vitamin D supplementation

61

Osteoporosis

Calcium/vitamin D supplementation (prophylaxis); bisphosphonates, PTH analogs, SERMs, calcitonin, denosumab (treatment)

62

Patent ductus arteriosus

Close with indomethacin; keep open with PGE analogs

63

Pheochromocytoma

alpha-antagonists (eg, phenoxybenzamine)

64

Pneumocystis jirovecii

TMP-SMX (prophylaxis and treatment in immunosuppressed patients)

65

Prolactinoma

Cabergoline/bromocriptine (dopamine agonists)

66

Prostate adenocarcinoma/uterine fibroids

Leuprolide, GnRH (continuous)

67

Prostate adenocarcinoma

Flutamide

68

Pseudomonas aeruginosa

Antipseudomonal penicillins, aminoglycosides, carbapenems

69

Pulmonary arterial hypertension (idiopathic)

Sildenafil, bosentan, epoprostenol

70

Rickettsia rickettsii

Doxycycline, chloramphenicol

71

Schizophrenia (negative symptoms)

Atypical antipsychotics

72

Schizophrenia (positive symptoms)

Typical and atypical antipsychotics

73

Sickle cell disease

Hydroxyurea (increased fetal hemoglobin)

74

Sporothrix schenckii

Itraconazole, oral potassium iodide

75

Stable angina

Sublingual nitroglycerin

76

Staphylococcus aureus

MSSA: nafcillin, oxacillin, dicloxacillin (antistaphylococcal penicillins); MRSA: vancomycin, daptomycin, linezolid, ceftaroline

77

Streptococcus bovis

Penicillin prophylaxis; evaluation for colon cancer if linked to endocarditis

78

Streptococcus pneumoniae

Penicillin/cephalosporin (systemic infection, pneumonia), vancomycin (meningitis)

79

Streptococcus pyogenes

Penicillin prophylaxis

80

Temporal arteritis

High-dose steroids

81

Tonic-clonic seizures

Levetiracetam, phenytoin, valproate, carbamazepine

82

Tomoplasma gondii

Sulfadiazine + pyrimethamine

83

Treponema pallidum

Penicillin

84

Trichomonas vaginalis

Metronidazole (patient and partner)

85

Trigeminal neuralgia (tic douloureux)

Carbamazepine

86

Ulcerative colitis

5-ASA preparations (eg, mesalamine), 6-mercaptopurine, infliximab, colectomy

87

UTI prophylaxis

TMP-SMX

88

Warfarin reversal

Fresh frozen plasma (acute), vitamin K (non-acute)

89

SIADH

Fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline