Antibiotics Flashcards
treatment for CAP
curb 0-1: amoxicillin (clarithromycin) 5 days in community
1-2: refer to hospital, x ray, community if well, oral amox + claritho (tayside amox)
3-4: refer blue light, oral abx prior to transfer, IV amoxicillin + clarithromycin (tayside amox + doxy)
copd exacerbation
amox (clarithomycin)
HAP tx
mild- mod (0-2): co-amoxiclav (doxy) oral (tayside amox)
severe (>/=3): IV (follow protocol) piperacillin/ tazobactam ((tayside amox + gent)
what urine sample for UTI
midstream
who do you not dipstick for UTI
elderly/ cathterised
abx for UTI
nitrofurantoin if egfr>45
trimethoprim if low risk of resistance
tx for pyelonephritis
oral: cefalexin (can be used if pregnant)/ co-amox
IV: co-amox
abx prostatitis
ciprofloxacin review at 14 days
impetigo tx
localised hydrogen peroxide cream/ fusidic acid
wide spread- oral fluclox (clarithromycin)
cellulitis and erysipelas tx
fluclox (clarithromycin)
what causes erysipelas
group A beta haemolytic strep (pyogenes)
more swollen than cellulitis
abx for human/ animal bite
co-amox
doxy or met if not
mastitis abx
fluclox
sinusitis tx
<10 days nothing
>10 days back up abx/ nasal steroid for 14 days
systemically unwell immediate abx and refer (unwell, orbital/ intracranial involvement)
abx- phenoxymethylpenicillin
otitis media tx
if discharge after perforation / under 2 with infection in both ears abx (back up if not starting to improve in 3 days or immediate)
if systemically unwell immediate abx and refer
give drops with analgesia- phenazone
abx- amoxicillin (clarithromycin)
otitis externa tx
topical ciprofloxacin with steroid
fluclox if severe
gonorrhoea
IM ceftriaxone
chlamydia
doxy (azithromycin)
syphillis
ben pen
bacterial vaginosis
oral/ topical metronidazole
rapid test for c diff
stool toxin
what nerve does should abduction
C5
what nerve does elbow flexion and wrist extension
c6
which nerve does elbow extension and wrist flexion
c7
what does c8 do
thumb extension
what does finger abduction
t1
what nerves knee reflex
l3/4
what nerves ankle refelx
S1/2
what nerves biceps reflex
C5/6
what nerve tricep
C6,7,8
what nerves supinator reflex
C5/6
what nerves straight leg raise
l2/3
what nerves plantar felxion
s1/2
what nerves knee flexion
l5/s2
what nerves knee extension
l3/4
what nerves great toe dorsifelxion
l5
l3/4 prolapse
l4 entrapment, pain down to medial ankle, loss of quad power, reduced knee jerk
l4/5 prolapse
l5 entrapment, pain down dorsum of foot, reduced power EHL
l5/s1 prolapse
s1 entrapment, pain to sole of foot, reduced plantarflexion, reduced ankle jerks
what abx for abdo sepsis
amox met and gent
what abx for PID
ceftriaxone, doxy and met
what abx for appendicitis
co-amox and met
what abx for ascending cholangitis
amox met gent and ercp
abx for urinary sepsis
amox and gent
