Hospital adult Flashcards
(43 cards)
how do you treat meningitis?
- Ceftriaxone IV 2g bd + Dexamethasone IV 10mg qds
- Aciclovir IV (10mg/kg tds) if encephalitis suspected
- Add Amoxicillin IV 2g 4 hourly if ≥ 60 years or immunocompromised
how do you treat epiglottitis/ supraglottitis?
Ceftriaxone IV 2g od
how do you treat community acquired pneumonia?
0-2 curb 65 score
0-2 Mild/Mod
Amoxicillin 1g tds IV/PO (5 days)
(If penicillin allergic:Doxycycline PO 200mg on day 1 then 100mg od or IV Clarithromycin* if NBM)
how do you manage hospital acquired pneumonia?
non severe
Non severe: PO Amoxicillin (If penicillin allergic: Doxycycline 100mg bd) TOTAL 5 days
how do you manage aspiration pneumonia?
non severe
Non severe:
PO Amoxicillin + Metronidazole (If penicillin allergic: PO Doxycycline 100mg bd + Metronidazole) TOTAL 5 days
how do you manage acute exacerbation of COPD?
1ST LINE Amoxicillin 500mg tds
2ND LINE Doxycycline 200mg on day 1 then 100mg od (5days)
how do you manage acute bronchitis?
1ST LINE Amoxicillin 500mg tds
2ND LINE Doxycycline 200mg on day 1 then 100mg od (5days)
how do you manage endocarditis?
Native valve indolent (Subacute): Amoxicillin IV 2g 4 hourly + Gentamicin
Native valve severe sepsis (Acute): Flucloxacillin IV 2g 6 hourly (4 hourly if >85kg)
Prosthetic valve or Suspected MRSA: Vancomycin IV + Gentamicin
how do you manage c.difficle infection?
Severe/Non severe: Vancomycin 125mg qds (10 days)
Recurrent: positive CDI in previous 12 weeks
how do you manage peritonitis/biliary tract/ intra-abdominal?
IV amoxicillin+ metronidazole+ gentamicin
step down: PO co-trimoxazole + metronidazole
if penicillin allergic : IV vancomycin + metronidazole + gentamicin
what must you consider when treating catherterised patients?
do not use urinalysis
do not treat unless clinical signs/ symptoms of infection
if confirmed treat as complicated UTI
how do you manage complicated UTI/ pyelonephritis/urosepsis?
IV amoxicillin + gentamicin ( penicillin allergic: IV Co-trimoxazole + Gentamicin)
Step down: PO Co-trimoxazole or as per sensitivities
how do you manage uncomplicated Female lower UTI?
Nitrofurantoin 100mg MR bd or 50mg qds or Trimethoprim 200mg bd
how do you manage uncatherterised male UTI?
Nitrofurantoin 100mg MR bd or 50mg qds or Trimethoprim 200mg bd
how do you manage cellulitis?
Flucloxacillin 1g qds (If penicillin allergic: Doxycycline 100mg bd PO)
how do you manage open fracture prophylaxis?
Cefuroxime 1.5g IV every 8 hours
how do you manage diabetic foot infection?
Mild: Flucloxacillin 1g qds or Doxycycline 100mg bd
Moderate: Flucloxacillin 1g qds + Metronidazole 400mg tds
how do you manage acute septic arthritis osteomyelitis?
IV flucloxacilin 2g qds
how do you manage severe systemic infection source unknown?
IV Amoxicillin + Metronidazole + Gentamicin (If PWID add S. aureus cover IV Flucloxacillin 2g qds or if penicillin allergic use regime below)
Penicillin allergy: IV Vancomycin + Metronidazole + Gentamicin
what causes meningitis?
pneumococcus
meningicoccus
if >60: listeria
what causes encephalitis?
herpes simplex
what causes epiglottis?
haemophilius influenzae
streptococci
what causes tonsilitis?
group A streptococci
what causes sinusitis?
pneumococcus
