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Pharm 2 > UTI, STI > Flashcards

UTI, STI Flashcards

(47 cards)

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1
Q

symptom relief for dysuria

A

Phenazopyridine (Pyridium, Rx) (AZO OTC)

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2
Q

AEs: turns urine orange/red, false positive nitrites on UA, mild nausea

A

Phenazopyridine (Pyridium, Rx) (AZO OTC)

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3
Q

1st line for uncomplicated UTI

A

Nitrofurantoin 100mg PO BID x 5 days
Trimethoprim/sulfamethoxazole one PO BID x 3 days
Fosfomycin one 3g sachet powder orally once

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4
Q

AEs: GI, rare pulmonary fibrosis

A

nitrofurantoin

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5
Q

nitrofurantoin cautions

A

eldery, renal dysfunction

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6
Q

batrim contras

A

evere hepatic dysfunction, pregnancy, use w/ methotrexate

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7
Q

AEs:
* severe/fatal dermatologic rxns (SJS, TEN), discontinue at FIRSTS occurrence of skin
rash or any adverse rxn
* Hyperkalemia esp when on another medication that promotes retention of K+

A

bactrim

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8
Q

AEs: N/D, HA, renal dysfunction for multiple doses (no need for renal/hepatic dosign)

A

fosfomycin

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9
Q

fosfomycin for pyelonephritis?

A

no

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10
Q

1st line for enteroccoccal UTI

A

amoxicillin

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11
Q

major drug interaction for cipro

A

tizanidine

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12
Q

AEs: diarrhea, irritability/agitation/nervousness/excitability, may lower seizure threshold, QT
prolongation, tendinopathy or tendon rupture possible, c. diff risk, increased risk of aortic
aneurysm/dissection in those already at risk

A

FQs

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13
Q

pyelonephritis tx

A

Ciprofloxacin 500 mg BID x 7 days
§ Levofloxacin 750 mg QD x 5 days
§ TMP-SMX one double strength tablet BID x 14 days

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14
Q

1st line for UTI in pregnancy

A

amoxicillin / augmentin / cefpodoxime X 14 days

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15
Q

nitrofurantoin in men?

A

no

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16
Q

length of tx for male UTI

A

7-14 days

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17
Q

1st line for prostatitis

A

cipro, levo, bactrim 2-4 wks

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18
Q

HPVs that cause most cervical cancers

A

16 and 18

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19
Q

HPVs taht cause anogenital warts

20
Q

what age to give HPV vax

21
Q

patient topical tx of genital warts not ok when?

Study These Flashcards
A

> 5 warts, >1 cm

22
Q

indication: Podofilox solution or gel, Imiquimod, Veregen

Study These Flashcards
A

genital warts

23
Q

Podofilox length of tx

Study These Flashcards
A

Apply BID for 3 days, then 4 days off
§ Repeat cycle max 4 times until warts resolve (1 month)

24
Q

Imiquimod length of tx

25
Sinecatechins (veregen) length of tx
max 4 months
26
contra: Sinecatechins (veregen)
HIV, HSV
27
counseling for topical genital warts tx
Cover warts w/ thin layer of medicine § Wash hands after use, do not get in eyes, nose, mouth § Avoid inside vagina, urethra, rectum § Do not occlude warts + medication w/ bandage but underwear/gauze is okay if irritated § Do not apply internally or to open wounds § May weaken condoms or diaphragms
28
topical genital wart tx ok in pregnancy?
no
29
Caustic acid that destroy the wart tissue via chemical coagulation
Trichloroacetic acid (TCA) 80-90%
30
genital wart removal tx safe in pregnancy
TCA
31
cuation for acyclovir, valacyclovir, famciclovir
renal failure
32
counseling for acyclovir, valacyclovir
hydrate well to avoid cyrstal deposition in renal tubules
33
when to start antiviral for HSV
asap after appearance of lesion and w/in 72 hrs
34
length of tx for initial HSV
7-10 days
35
condom use for how long after 1st HSV outbreak
12 months
36
Most frequently reported bacterial STI
chlamydia
37
test for chlamydia
NAAT on 1st catch urine OR vaginal swab
38
chlamydia tx
doxy 100mg PO bid X 7 days OR azithromycin 1g PO OR levo 500mg PO QD X 7d
39
most common presentation of gonorrhea
aysmptomatic
40
gonorrhea tx
Ceftriaxone 500 mg IM in single dose for persons weighing <150kg (>150kg, 1 g ceftriaxone)
41
any PO cephalosporins to treat gonorrhea?
no
42
gonorrhea or chlamydia causes more severe PID?
gono
43
cardinal presenting symptom of PID
lower abd pain, bilateral, <2 weeks
44
inpatient tx for PID
cetriaxone + doxy + metronidazole
45
trich tx
metronidazole 500mg PO bid X 7d
46
AEs: unpleasant metallic taste, darkened urine, disulfiram-like reaction w/ alcohol * Rare: reversible neutropenia, urticaria, rash, flushing, dry mouth
metronidazole
47
syphillis tx
o 2.4 million units of Benzathine Penicillin G given IM once § Benzathine is stabilizer that releases penicillin slowly o If neurosyphilis diagnosed, give dose weekly x 3

Pharm 2 (29 decks)

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