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K10 - Infektion > Antibiotika på akutmottagningen > Flashcards

Antibiotika på akutmottagningen Flashcards

1
Q

Urosepsis

  1. Ange försthandsval (2st)
  2. Ange val vid ESBL
  3. Vad ska du göra om du ordinerar beta-laktam?
  4. Vad ska du tänka på om patienten har chock?
A
  1. a) Cefotaxim 2gx3-4 b) piptazo 4gx4
  2. Meronem 1gx3-4
  3. Extra dos mellan dos 1 och 2 (3-4h efter första dosen)
  4. Ordinera engångsdos aminoglykosid, Tobramycin (Nebcina)
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2
Q

Febril UVI 1

Ange antibiotikaval vid:
1. Normalpatient
2. Opåverkad poliklinisk patient

A
  1. a) Cefotaxim 1gx3 b) piptazo 4gx3-4
  2. Ciprofloxacin 500mg x2 i 7 dygn kvinnor
    Ciprofloxacin 500mg x2 i14 dygn män
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3
Q

Febril UVI 2

Ange antibiotikaval vid UVI med:
1. Mist ESBL
2. Mist Enterococcus faecialis
3. Mist Pseudomonas aeuginosa

A
  1. Meropenem 1gx3
  2. Piptazo 4gx4
  3. Piptazo 4gx4
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4
Q

Akut Cystit

  1. Antibiotika val (2st)
  2. Alternativt
A
  1. Nitrofurantoin 50mgx3 (5 dygn kvinnor, 7 dygn män)
    Pivmecillinam (selexid) 200mgx3 (5 dygn kvinnor, 7 dygn män)
  2. Trimetoprim 160mgx2
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5
Q

Pneumoni - Pneumokock mist (Normal pat)

Ange antibiotikaval för:
1. Ej livshotande inf
2. Pot livshotande inf
3. Livshotande inf

A
  1. a) Bensylpc 3g x3-4 b) PcV (kåvepenin) 1g x3, max en vecka
  2. Bensylpc 3g x4
  3. a) Cefotaxim 2g x3-4 b) Meropenem 1g x3-4
    plus Moxifloxacin 400mg iv
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6
Q

Pneumoni - Mist nedsatt känslighet för penicillin

Ange antibiotikaval för:
1. Ej livshotande inf
2. Pot livshotande inf
3. Livshotande inf

A
  1. a) Amoxicillin 1g x3 b) Cefotaxim 2g x3
  2. Cefotaxim 2gx 3-4
  3. Cefotaxim 2g x3-4 b) Meropenem 1g x3-4
    Plus Moxifloxacin 400mg x1 iv
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7
Q

Pneumoni - Mist om H.influenzae

Ange antibiotikaval för:
1. Ej livshotande inf
2. Pot livshotande inf
3. Livshotande inf

A
  1. a) Amoxicillin / Spectramox (resistens förekommer) b) Cefotaxim 2g x3
  2. Cefotaxim 2g x3-4
  3. Cefotaxim 2g x3-4 / Meropenem 1g x3-4
    plus Moxifloxacin 400mg x1
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8
Q

Pneumoni - Mist om atypisk (ej legionella)

Ange antibiotikaval för:
1. Ej livshotande inf
2. Pot livshotande inf
3. Livshotande inf

A
  1. Doxycyklin 200mg x1 3d 100 mg x1 4d.
  2. Erytromycin 1g x3 iv + Bensylpc 3g x4
  3. Cefotaxim 2g x3-4 / Meropenem 1g x3-4
    plus Moxifloxacin 400mg x1
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9
Q

Pneumoni - Mist om Legionella

Ange antibiotikaval för:
1. Ej livshotande inf
2. Pot livshotande inf
3. Livshotande inf

A
  1. Moxifloxacin 400mg x1
  2. Moxifloxacin 400 mg x1 + Bensylpc 3g x4
  3. Moxifloxacin 400 mg x1 + Bensylpc 3g x4
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10
Q

Pneumoni - Mist om s.aureus, ex anslutning till influensa

Ange antibiotikaval för:
1. Ej livshotande inf
2. Pot livshotande inf
3. Livshotande inf

A
  1. a) Spectramox 875/125 x3 b) Cefotaxim 2g x3-4
  2. Cefotaxim 2g x3-4
  3. Cefotaxim 2g x3-4 / Meropenem 1g x3-4
    plus Moxifloxacin 400mg x1
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11
Q

Pneumoni - Bakomliggande lungsjukdom och mist om pseudomonas

Ange antibiotikaval för:
1. Ej livshotande inf
2. Pot livshotande inf
3. Livshotande inf

A
  1. Piptazo 4g x4
  2. Piptazo 4g x4
  3. Piptazo 4g x4 / Meropenem 1g x3-4
    plus Ciprofloxacin 400mg x3
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12
Q

Pneumoni med allvarlig allergi mot beta-laktam

Ange antibiotikaval för:
1. Vilken beta-laktam kan alltid övervägas?
2. Ej livshotande inf
3. Pot livshotande inf
4. Livshotande inf

A
  1. Meropenem
  2. Doxycyklin 200mg x1 i 3d 100mgx1 i 4d
  3. Moxifloxacin 400mg x1
  4. Klindamycin 600-900mg x 3 + Moxifloxacin 400mg x1
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13
Q

Erisypelas

Ange:
1. Vilka bakterier misstänker vi?
2. Förstahandsval antibiotika
3. Alternativ antibiotika
4. Vid mist bland inf, vilka bakterier och antibiotika

A
  1. Betahemolyserande streptokocker
  2. Bensylpc 3g x3-4 b) PcV (kåvepenin) 1g x3-4
  3. klindamycin
  4. PcV (Kåvepenin) + flukloxacillin (Heracillin) b)Cefotaxim 2g x3-4
    s.aureus
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14
Q

Hud och mjukdels inf (S.aureus)

  1. Förstahandsval antibiotika
  2. Alternativ antibiotika
A
  1. Kloxacillin 2g x4 iv b) Flukloxacillin (Heracillin) 1g x4
  2. Klindamycin b) Cefotaxim 2g x3-4
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15
Q

Bukinfektioner

Förstahandsval antibiotika

A
  1. Piptazo 4g x3-4
  2. Cefotaxim 2g x3-4 + Metronidazol 500mg x3
  3. Meropenem 1g x3-4
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16
Q

Invasiv candida

Antibiotikaval?

A

Echinocandin

K10 - Infektion (6 decks)

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