abx Flashcards

1
Q

sinusitis

A

Amoxicillin/Clavulanate 875/125mg BID X 7 days.
Doxycycline 100mg BID X 7 days

Increase Augmentin to 14 days
Levofloxacin 750mg daily for 14 days

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2
Q

Otitis Media

A

Amoxicillin 875 mg PO BID X 7-10 days for adults

Cefdinir 14mg/kg PO daily for 7-10 days
Augmentin 875/125mg PO BID for 7-10 days for adults

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3
Q

Otitis Media and PCN allergy

A

Clindamycin 10mg/kg PO TID for 7-10 days for kids

Azithromycin 10mg/kg PO X 1 day then 5 mg/kg X 4 days daily

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4
Q

Strep Throat Adult

A

Benzathine penicillin G 1.2 million units IM X 1
Penicillin VK 500mg PO BID X 10 days
Amoxicillin 500mg PO BID X 10 days or 1000mg daily

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5
Q

Bacterial Conjunctivitis

A

PolytrimB/Trimethoprim 1 gtt every 3 hours while awake for 7-10 days
Erythromycin 0.5 % ointment – ½ inch 4-6 times a day for 5-7 days

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6
Q

Otitis Externa

A

Polymyxin B/neomycin/hydrocortisone 4 drops 4 X a day

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7
Q

Dental Abscess

A

Penicillin VK 500mg PO QID X 7 days

Augmentin 875/125 mg PO BID X 7 days

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8
Q

Pertussis

A

Azithromycin 500mg 2 tabs X 1 day, then 1 tab daily for 4 days
Bactrim DS 1 po BID X 14 Days
Children same drugs dosing is age dependent

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9
Q

Clostridium Difficile

A

Vancomycin 125mg PO QID X 10 days

Metronidazole 500mg PO TID X 10 days

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10
Q

Diverticulitis

A

Mild – Outpatient
Requires 2 drug therapy
Augmentin 875/125mg PO BID X 7 days (choice if unable to tolerate Metronidazole.
Ciprofloxacin 500mg PO BID X 7 days
With Metronidazole 500 mg PO TID X 7 days
Levofloxacin 750mg PO daily X 7 days
With Metronidazole 500mg PO TID X 7 days

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11
Q

Infectious Diarrhea

A

Azithromycin 500 mg PO daily
Levofloxacin 500mg PO daily
Ciprofloxacin 500mg PO BID

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12
Q

Bacterial Vaginosis

A

Metronidazole 500 mg PO BID X 7 days
Metronidazole vaginal gel 2 % 1 applicator at HS X 5 days
Clindamycin vaginal cream 2 % 1 applicator at HS X 7 days
Clindamycin 300 mg PO BID X 7 days

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13
Q

HSV 2 First Episode

A

Treatment 7-10 days
Acyclovir 400 mg PO TID
Valacyclovir 1 gm PO BID

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14
Q

HSV 2 Recurrent

A

Acyclovir 400 mg TID X 5 days
Acyclovir 800 mg TID X 2 days
Valacyclovir 500mg. BID X 3 days
Valacyclovir 1 gm daily for 5 days

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15
Q

HSV 2 Suppressive

A

Acyclovir 400mg BID
Famciclovir 250 mg BID
Valacyclovir 1 gram daily

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16
Q

HSV 1

A

Valcyclovir 2000mg q 12 X 1 day

Supression – 500mg qd

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17
Q

PID

A

Mild outpatient
Doxycycline 100 mg BID X 14 days AND Ceftriaxone 250mg IM X 1
Consider adding metronidazole 500 mg PO BID X 14 days

18
Q

Prostatitis

A
STD not suspected
	Ciprofloxacin 500 mg PO BID X 14-28 days
	Levofloxacin 500mg daily X 14-28 days
	Bactrim DS 1 tablet BID X 14-28 days
STD suspected
	Doxycycline 100mg BID X 14 days and Cefitriaxone 250mg IM X 1
	Ciprofloxacin 500mg BID X 14 days
Severe - Inpatient
19
Q

Pyelonephritis

A

Outpatient
Cephalexin 500 mg BID 10-14 days
Bactrim DS 1 tablet BID 14 days

20
Q

Trichomoniasis

A

Metronidazole 2 mg PO X 1 or 500mg PO BID X 7 days

Tindazole 2 gm PO one

21
Q

GC-Chlamydia

A

Ceftriaxone 250mg IM X 1 AND

Zithromax 1 gram X 1

22
Q

UTI

A

Uncomplicated (healthy non pregnant female)
Cephalexin 500mg PO BID X 5-7 days
Nitrofurantion 100 mg PO BID X 5 days (antiseptic)
Bactrim 1 BID X 3-5 days (consider alternative if local resistance to e coli)

23
Q

UTI – Pregnant Asymptomatic

A

Cephalexin 500mg PO BID X 5-7 days

Nitrofurantoin 100 mg PO BID X 5-7 days

24
Q

Acute Exacerbation of Chronic Bronchitis

A

Azithromycin 500mg daily for 5 days
Z pack
Doxycycline 100 mg PO BID 3-10 days
Levofloxacin 750 mg Po daily for 5 days

25
Q

Influenza

A

Tamiflu 75mg BID X 5 days

Prevention Tamiflu 75mg daily for 7 days

26
Q

Pneumonia

A

Community Acquired and healthy
Z pack
Doxycycline 100 mg BID X 5-7 days
Community Acquired with comorbidities or antibiotics in 3 months
Augmentin 2 gm PO BID plus Zithromax or Doxy
Levofloxacin 750 mg daily for 5 days

27
Q

Animal Bites

A
Treatment is 5-7 days
Augmentin 875-125mg BID 
Doxycycline 100 mg BID
Clindamycin 450mg TID with Cipro 500mg BID or Bactrim 1 BID
If PCN allergy and pregnancy	Zpack
28
Q

Human Bites

A

Treatment 7-10 days
Augmentin 875-125 mg BID
Doxycycline 100 mg BID
Ceftriaxone 1 gm IM X 1 and metronidazole 500mg IV BID

29
Q

Cellulitis

A

Mild Outpatient
Cephalexin 500mg QID X 7-10 days
Clindamycin 450 mg TID 7-10 days
Augmentin 875/125mg BID 7-10 days

30
Q

Diabetic Ulcers

A
Mild Outpatient – 14 days
Cephalexin 500 mg QID
If MRSA suspected add
	Doxycycline 100 mg BID or
	Bactrim 1 tab BID
PCN allergy
	Clindamycin 450mg TID
31
Q

Impetigo

A
Mupirocin 2 % ointment TID X 5 days
Cephalexin 250 mg QID X 5 days
If MRSA suspected
	Bactrim BID X 5 days
	Doxycycline 100mg BID X 5 days
	Clindamycin 450 mg QID X 5 days
32
Q

Mastitis

A

Cephalexin 500mg QID X 10-14 days
Augmentin 875/125 mg BID X 10-14 days
PCN Allergy
Clindamycin 450 mg TID X 10-14 days. ? Safety in lactation

33
Q

Zoster (Shingles)

A

Acyclovir 800 mg 5 times a day for 7-10 days
Valacyclovir 1. gm PO TID X 7 days
Famciclovir 500 mg TID X 7 days

34
Q

Lyme Disease

A

Prophylaxis – all of the following criteria must be met:
Correct Tick
Correct Time > 36 hours attached and/or engorged
Less 72 hours since removal
Correct location
Doxycycline – 200 mg PO. X 1

35
Q

Lyme. Erythema Migrans

A

Doxycycline 100 mg BID 10-21 days
Amoxicillin 500mg TID 14-21 days
Cefuroxime 500 mg BID 14-21 days

36
Q

Antibiotic Pearls

A

Quinolones – Black Box for tendon rupture. Never under 18 years of age.
Tetracycline – Never under 8 – discolors teeth
Doxycycline – Avoid sun or use sunscreen
Take with food probiotic
No PCN liquid – tastes terrible – use amoxicillin

37
Q

Antibiotic Pearls

A

Sulfa allergy – No Silvadene
Children conjunctivitis and otitis media – only oral antibiotics
Mastitis – major red flag if not lactating
Eye drops for ears - $$ saving
Metrodiazole – NO ETOH

38
Q

Antibiotic Pearls

A

Ear wicking for Otitis Externa
Women may require difluican
Always treat ANY cat bite
Renal Dosing

39
Q

COPD

A

Augmentin

Macrobid

40
Q

COPD

A

Augmentin

Macrobid

41
Q

COPD

A

Augmentin

Macrobid