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Antibiotics > Antibiotic man > Flashcards

Antibiotic man Flashcards

1
Q

management of meningitis in <60?

A

Ceftriaxone and Dexamethasone

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2
Q

Management of meningitis in >60 or immunicompromise?

A

Ceftriaxone + Dex + amoxicillin

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3
Q

Management of meningitis if penicillin allergic?

A

Vancomycin and choormapehnicol.

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4
Q

Management of epiglottis?

A

Ceftriaxone IV

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5
Q

Causes of epiglottis?

A

H influenza, Streptococcus

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6
Q

CURB 65

A 
Confusion 
Urea > 7
RR > 30 
BP <90 <60
Age 65 or more.
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7
Q

Causes of CAP:

A

Strep pneumonia

Haemoophilus influenza

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8
Q

Causes of COPD exacerbation after suffering from viral flu?

A

Staph aureus

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9
Q

Management of CURB 0-2

A

IV/oral amoxicillin

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10
Q

Management of CURB 0-2 if penicillin allergic?

A

Doxycycline or (IV clarithromycin if NBM)

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11
Q

Management of CURB 3-5?

A

Co-amoxiclav + Doxycyline

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12
Q

Management of CURB 3-5 if penicillin Ax?

A

IV Levofloxacin.

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13
Q

Management of CAP in ICU?

A

Co-amoxiclav IV and Clarithromycin IV.

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14
Q

Causes of Hospital Acquired Pneumonia?

Pat Hates College

A 
Pneumococcal
H. influenza 
Coliforms 
Legionella 
Klebsiella
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15
Q

Non Severe HAP?

A

Amox and metronidazole

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16
Q

Severe HAP?

A

Amox met and gent.

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17
Q

Severe HAP (Penicillin allergy)?

A

Co - trimoxazole met and gent.

18
Q

Acute exacerbation of COPD management?

A

Amoxicillin.

2nd = doxycycline.

19
Q

Causes of endocarditis in order?

A

1) Staph aureus
2) Strep viridian’s ( v for valve)
3) Enterococcus
4) Staph epidermidis

20
Q

Management of native valve indolent endocarditis?

A

Amoxicliin and gentamicin.

21
Q

Native valve endocarditis severe sepsis?

A

Flucloxacillin.

22
Q

Prosthetic valve or suspected MRSA?

Very good replacement

A

Vancomycin, gentamicin and oral rifampicin.

23
Q

Native valve severe sepsis + risk factors for resistant pathogens?

A

Vancomycin and Meropenem.

24
Q

What are the SIRS criteria?

A

HR > 90
RR > 20
temp <36 or >38
WCC <4 or > 12

25
Q

Causes of uncomplicated lower UTI?

A

Coliforms (E coli)
Enterococcus (E Faecalis)
Klebsiella
Psuedomonas (catheters, give ciprodloxacin)
Proteus (smelly)
Staph saphrophyticus (women of child bearing age)

26
Q

Management of uncomplicated lower UTI in men or women?

A

Nitrofurantoin or trimethoprim.

Women - 3 days
Men - 7 days.

27
Q

Management of pregnant UTI?

A

1st and 2nd trimester - nitrofurantoin

3rd trimester - trimethoprim

DO TEST OF CURE. MSSU.

28
Q

Criteria for prophylactic ABx for recurrent UTI?

A

Greater than 2 in 6 months
OR
Greater than 3 in 12 months.

Daily trimethoprim or nitrofurantoin; can be used at night or post coital.

29
Q

Who do you send an MSSU for?

A

Elderly
Men
Pregnant
Children

30
Q

Causes of complicated / upper / urosepsis?

A

Coliforms
Psudomonas
Enterococcus

31
Q

Management of complicated UTI / pyelonephritis / urosepsis?

Away ye Go (think of person in a lot of pain)

A

IV amoxicillin and gentamicin.

If penicillin allergic: IV co-trimoxazole and gentamicin.

32
Q

Causes of cellulitis?

A

Strep pyogenes

Staph aureus

33
Q

Management of cellulitis ?

1st and 2nd line

A

Flucloxacillin = 1st

Doxycycline = 2nd

34
Q

Management of acute septic arthritis?

A

IV flucloxacillin.

35
Q

Management of mild diabetic foot infection?

A

Flucloxacillin or doxycycline

36
Q

Management of moderate diabetic foot infection?

A

Fluclox and metronidazole
or
Dozycyline and metronidazole.

37
Q

Open fracture prophylaxis?

A

IV Co-amoxiclav. (think of fractured clavicle)

38
Q

Causes of intra-abdominal infection?

A

Coliforms, anaerobes and enterococcus.

E coli, klebsiella, enterococcus, clostridium perfringens.

39
Q

Management of C diff

A

Non severe = metronidazole.

Severe = Vancomycin +/- Metronidazole

40
Q

Management of peritonitis/biliary tract/intra-abdominal sepsis?

A

Amox + Met + Gent.

Step down to co-trimoxazole and metronidazole.

41
Q

Penicillin allergic and abdominal sepsis?

A

Vancomycin, met and gent.

Antibiotics (1 decks)

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