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PR3151 finals > Bacterial Meningitis > Flashcards

Bacterial Meningitis Flashcards

1
Q

Ampicillin

A

IV 2g Q4

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2
Q

Ceftriaxone

A

IV 2g Q12

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3
Q

Pen G

A

IV 4 MU Q4H

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4
Q

Meropenem

A

IV 2g Q8H

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5
Q

Rifampicin

A

IV 300mg Q12H

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6
Q

Vancomycin

A

IV 25-30mg/kg LD, 15mg/kg, Q8-12H
goal: AUC/MIC 400-600

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7
Q

Linezolid

A

IV/PO 600mg Q12

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8
Q

prophylaxis for n. meningitidis (rifampicin)

A

Adults: 600 mg every 12 hours, four doses
Children: 10 mg/kg every 12 hours, four doses
Infants (younger than 1 month): 5 mg/kg every 12 hours, four doses

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9
Q

prophylaxis for n. meningitidis (cipro)

A

adults - 500mg oral one dose

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10
Q

prophylaxis for n. meningiditis (ceftriaxone)

A

125-250mg IM one dose

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11
Q

what to cover for neonates (<1 month)

A

grp b strep, e coli, listeria

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12
Q

ideal treatment regimen for neonates

A

ampicillin + ceftriaxone

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13
Q

what to cover for infants (<2yo)

A

s pneumoniae, n. meningiditis, s. agalactiae, e.coli

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14
Q

ideal treatment for infants to adults below 50yo

A

ceftriaxone + vancomycin

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15
Q

what to cover for adults

A

s pneumonia, n meningiditis

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16
Q

ideal treatment for adults over 50

A

ceftriaxone + vanco + ampicillin

17
Q

what to cover for adults > 50

A

S. pneumoniae, n meningiditis, listeria, ecoli, klebs

18
Q

if tested for strep pneumoniae or listeria, first line?

A

pen g or ampicillin

19
Q

if tested for neisseria or grp b strep, first line?

A

pen or ampicillin

20
Q

how many days to treat for s pneumoniae

A

1-2 weeks

21
Q

how many days to treat for neisseria

A

1 week

22
Q

how many days to treat for listeria

A

more than 3 weeks

23
Q

how many days to treat for group b strep

A

2-3 weeks

24
Q

why dexamethasone in bacterial meningitis? which organisms

A

h influenzae + strep pneumo -> reduce hearing loss
s. pneumoniae -> mortality benefit

25
Q

how to administer dexa

A

during antibiotics use every 6 hours up to 4 days

26
Q
A

PR3151 finals (8 decks)

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