Treatments 5 Flashcards Preview

Medications > Treatments 5 > Flashcards

Flashcards in Treatments 5 Deck (131)
Loading flashcards...
1

Iron deficiency anemia

Iron supplementation (several months)
Find cause

2

Lead poisoining

EDTA or succimer for chelation
Add dimercaprol in children if severe

3

Folate/B12 deficiency anemia

Folate / B12 supplementation

4

Anemia of chronic disease

Treat underlying condition
Maybe supplemental EPO (ESRD, HIV, some cancers)

5

Aplastic anemia

Stop offending agent
BM transplant may be needed

6

Sideroblastic anemia

Vitamin B6 (hereditary)
Supplemental epo (acquired)
Phlebotomy/chelation w/ deferoxamine

7

Thalassemia

If needed
Folate supplementation
Transfusions + iron chelation

8

Sickle cell disease

Hydration, supplemental O2, analgesics during crises
Hydroxyurea (increases Hgb F production)
Chronic transfusions
Folate supplementation
Vaccinations and prophylactic penicillin until age 5 to help prevent pneumococcal infx

9

Sickle cell disease recommended vaccinations

Pneumococcal (+prophylactic penicillin til age 5)
Hib
Meningococcal
Hep B
Annual flu

10

Type I hypersensitivity rxn

Antihistamines, LT inhibitors, bronchodilators, steroids
Epi pen

11

Type II hypersensitivity rxn

Anti-inflammatories
Immunosuppressive agents
Plasmapheresis

12

Type III hypersensitivity rxn

Anti-inflammatories

13

Type IV hypersensitivity rxn

Steroids
Immunosuppressive agents

14

Anaphylaxis

ABCs
Epinephrine
Antihistamines, bronchodilators, steroids
IVF, vasopressors if needed for hypotension

15

Antiphospholipid syndrome

Anticoagulate w/ heparin and/or warfarin

16

HELLP syndrome

Deliver if fetus >34 weeks

17

von Willebrand disease

Desmopressin (first line)
vWF / factor VIII concentrate, cryoprecipitate
OCPs for menorrhagia
Avoid ASA, other anti-platelet medications

18

Hemophilia

Factor VIII (A) or IX (B) replacement
Desmopressin, transfusions

19

DIC

Treat underlying disorder
Replace platelets, FFP, cryprecipitate as needed
Heparin for chronic thrombi

20

Sepsis

ABCs
Hydration, vasopressors (NE), inotropes, perfusions as needed
Glucocorticoids if needed
Blood/urine/sputum cx then start broad antibiotics then narrow when cx return
Maintain glycemic control (glucose 140-180)

21

Malaria

Antimalarials (chloroquine, primaquine, quinine; atovaquone-proguanil, mefloquine in chloroquine-resistant)

22

Herpes zoster / Herpes simplex

Acyclovir, valacylovir, famcyclovir
Foscarnet for resistant strains

23

Kaposi sarcoma

Topical -tretinoins
Chemo, radiation, laser therapy

24

Isospora diarrhea

TMP-SMX

25

Strongyloides diarrhea

Ivermectin

26

Cryptosporidium diarrhea

Self-limited (immuno-competent)
Nitazoxonide (immunocompromised)

27

Coccidiomycosis

Fluconazole or amphotericin B

28

Candida esophagitis

Oral fluconazole / -azoles
Nystatin swish and swallow

29

PCP

TMP-SMX, corticosteroids
Pentamadine if sulfa allergy

30

Histoplasmosis

Amphotericin B or itraconazole