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Antibiotika > Antibiotika > Flashcards

Antibiotika Flashcards

1
Q

Samhällsförvärvad pneumoni (peros)

  • 1:a hand
  • Vid Pc-allergi
  • KOL
  • Vid KOL + Pc-allergi
A

Pcv (penicillin, betalaktam)
Pc-allergi: Vankomycin/erytromycin (glykopeptid/makrolid)
KOL: Amoxicillin (penicillin, betalaktam)
KOL + Pc-allergi: Doxycyklin (Tetracyklin)

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2
Q

Atypisk pneumoni (peros)

  • 1a hand
  • Vid Pc-allergi
A

Doxycyklin (tetracyklin)/erytromycin (makrolid)

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3
Q

Samhällsförvärvad pneumoni (iv)

  • 1a hand
  • Vid svår KOL
  • Pc-allergi
A

PcG (penicillin, betalaktam)
Svår KOL: cefotaxim (cefalosporin, betalaktam)
Pc-allergi: inf Klindamycin (glykopeptid)

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4
Q

Pneumoni: kritiskt sjuka och misstänkt atypisk genes

  • 1:a hand (finns 2 alternativ)
  • Pc-allergi
A

PcG (penicillin, betalaktam) + Moxifloxacin (kinolon)
eller
Cefotaxim (cefalopsporin, betalaktam) + Klindamycin (glykopeptid)
Pc-allergi: Klindamycin + Moxifloxacin

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5
Q

Vårdrelaterad (>2d) pneumoni

  • 1a hand (2 alternativ)
  • Pc-allergi
A

pip-taz (penicillin, betalaktam) eller Cefotaxim (cefalosporin, betalaktam)
Pc-allergi: ciprofloxacin (kinolon) + Klindamycin (glykopeptid)

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6
Q

KOL-exacerbation

A

Amoxicillin

Pc-allergi: Doxycyklin

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7
Q

Urinvägsinfektion

  • Okomplicerad cystit kvinnor/nedre UVI män
  • Febril UVI kvinnor/män
  • Febril UVI iv (2 alternativ)
  • Febril UVI iv + pc-allergi
A

Okomplicerad kvinnor, nedre UVI män: Selexid (pivmecillinam) eller Nitrofurantoin
Febril UVI män/kvinnor: cipro (kinolon) + aminoglykosid
Febril UVI iv: pip-taz/cefotaxim + ev aminoglykosid
Febril UVI iv + pc-allergi: Aztreonam (monobaktam) + ev aminoglykosid

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8
Q

Borrelia

  • Erytema migrans (pc-allergi?)
  • Erytema migrans med feber/multipla erytem
  • Neuroborrelios
A

Erytema migrans: PcV
Pc-allergi: Doxycyklin (tetracyklin)
Feber: Doxycyklin
Neuroborrelios: Doxycyklin

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9
Q

Erysipelas (pc-allergi?)

A

PcV

Pc-allergi: Klindamycin (glykopeptid)

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10
Q

Katt- och hundbett (2 alternativ)

Pc-allergi

A

Amoxicillin/amoxicillin+klavulansyra

Pc-allergi: Doxycyklin (tetracyklin)

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11
Q

Sårinfektion

Pc-allergi

A

Flukloxacillin

Pc-allergi: Klindamycin (glykopeptid)

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12
Q

Allvarlig streptokocksepsis

A

PcG + Klindamycin (glykopeptid)

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13
Q

Septisk artrit

  • 1a hand
  • Pc-allergi
  • Äldre patient med misstanke om gramnegativer
  • Pc-allergi
A
  • iv Kloxacillin (Pc, betalaktam)
  • Pc-allergi: Klindamycin (glykopeptid)
  • Äldre: iv cefuroxim/cefotaxim (kinolon)
  • Pc-allergi: Klindamycin + cipro (cefalosporin, betalaktam)
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14
Q

Meningit

  • 2 alternativ
  • Pc-allergi
A 
Iv cefotaxim (kinolon) + ampicillin (Pc) eller meropenem (karbapenem, betalaktam)
Pc-allergi: iv moxifloxacin (kinolon) + vankomycin (glykopeptid) + trimtoprim-sulfa
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15
Q

Peritonit, djup bukinfektion

  • 1a hand (2 alt)
  • Pc-allergi
  • Kritiskt sjuka
A

Pip-taz eller cefotaxim + metronidazol (Pc-allergi: cipro+metronidazol)
Kritiskt sjuka: imipinem/meropenem + aminoglykosid

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16
Q

Svår sepsis, septisk chock

  • 1a hand (3 alt)
  • Pc-allergi
A

Cefotaxim + aminoglykosid eller pip-taz + aminoglykosid eller imipinem/meropenem + aminoglykosid
Pc-allergi: Klindamycin + ciprofloxacin + aminoglykosid

17
Q

Cl difficile

  • Mild infektion
  • Medelsvår
  • Svår, terapisvikt eller recidiv
  • Kritiskt sjuka, toxisk megakolon
A

Mild: sätt ut antibiotika
Medelsvår: metronidazol
Svår/terapisvikt/recidiv: vankomycin
Kritiskt sjuk: mix vancomycin + metronidazol

Antibiotika (1 decks)

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