C/O 2021 Buckets Flashcards
1
Q
Treatment of MSSA
A
- Methicillin
- Oxacillin
- Dicloxacillin - DOC
- Cloxacillin
- Anything that covers MRSA
2
Q
Treatment of community acquired MRSA
A
- Bactrim DS (PO) - DOC
- Clindamycin (PO) if Bactrim not an option
- Doxycycline (PO)
- Mupirocin (colonization) (topical)
3
Q
Treatment of hospital acquired MRSA
A
- Vancomycin (IV)
- Linezolid (PO)
- Daptomycin (IV)
4
Q
Treatment of VRE
A
- Linezolid (PO)
2. Daptomycin (IV)
5
Q
Treatment of VRSA
A
- Daptomycin (IV)
6
Q
Treatment of C. Diff
A
- Vancomycin (PO)
7
Q
Treatment of community acquired pneumonia
A
- Doxycycline - DOC
- Amoxicillin
- Augmentin
- 2nd/3rd Gen Cephalosporins
- Macrolide
- Levofloxacin
8
Q
Treatment of pseudomonas (worst gram negative)
A
- Extended-spectrum PCNs (IV)
- Ceftazidime (IV)
- Ciprofloxacin (PO)
- Imipenem (IV)
- Aminoglycoside (IV) use as adjunct
9
Q
Treatment of enterococcus (worst gram positive)
A
- Ampicillin (PO/IV)
- Daptomycin (IV)
- Aminoglycosides (IV)
- Vancomycin (IV)
10
Q
Treatment of UTIs
A
- Bactrim SS (PO) non-pregnant women DOC
- Nitrofurantoin (PO) pregnant & chronic UTIs DOC
- Amoxicillin (PO)
11
Q
Treatment of STIs
A
- Syphilis – Pen G Benzathine LA (IM)
- Neurosyphilis – Pen G (IV)
- Chlamydia – Ceftriaxone (IM) & Azithromycin (PO)
- Gonorrhea – Ceftriaxone (IM) & Azithromycin (PO)
- Trichomoniasis – Metronidazole
12
Q
Treatment of atypical bacteria (Legionella, Mycobacterium, Chlamydia)
A
- Macrolides (PO)
13
Q
Treatment of anaerobes
A
- Clindamycin (PO)
2. Metronidazole (PO)
14
Q
Abx that are gram positive only
A
- Penicillin (PO, IV)
- Antistaphylococcal PCNs (PO, IV)
- 1st Gen. Cephalosporins (PO)
- Vancomycin (PO, IV)
- Levofloxacin, Ofloxacin (fluoroquinolones)
- Clindamycin (PO)
- Mupirocin (topical)
15
Q
Abx that are gram negative only
A
- Extended Spectrum PCNs (IV)
- Third Gen. Cephalosporins (PO)
- Ciprofloxacin (Fluoroquinolone)
- Metronidazole
- Aminoglycosides
16
Q
Abx that cover both gram positive and negative
A
- Aminopenicillins (PO)
- 2nd Gen. Cephalosporins (PO)
- Carbapenems
- Macrolides (PO, IV)
- Tetracyclines (PO, IV)
- Bactrim (trimethoprim/sulfamethoxazole)
17
Q
Treatment of tick-borne (Lyme) diseases
A
- Tetracyclines (PO) - Doxycycline DOC
2. Amoxicillin if pregnant
18
Q
Treatment of hepatic encephalopathy.
A
- Neomycin (PO)
2. Rifaximin (PO)
19
Q
Treatment of protozoa (Giardia)
A
- Metronidazole
2. Nitazoxanide
20
Q
Contraindicated in pregnancy
A
- Fluoroquinolones
- Tetracyclines
- Bactrim
- NSAIDs (especially with Misoprostol)
- Azoles
- Warfarin (Heparin is a better option)
- Diabetes Oral Agents (switch to Insulin)
- ACEi/ARBs
- Misoprostol
- Ipecac (relatively contraindicated)
- Live vaccines
- Benzimidazoles
- Ivermectin
- Praziquantel
21
Q
Contraindicated in children
A
- Fluoroquinolones (<16/18 y/o)
- Tetracyclines (children <8 y/o)
- Aspirin (<16 y/o) (can lead to Reye’s Syndrome)
- Baloxavir (<12 y/o)
- Ipecac (<6 mos)
22
Q
Chelating agents
A
- Fluoroquinolones
- Tetracyclines
- Baloxavir
- Levothyroxine
- Sucralfate
- Antacids
23
Q
Treatment of HSV-1, HSV-2, & Varicella Zoster
A
- Acyclovir
- Valacyclovir
- Penciclovir
- Famciclovir
24
Q
Treatment of CMV
A
- Ganciclovir
- Valganciclovir
- Foscarnet
- Cidofovir
25
Treatment of patent ductus arteriosus
1. Indomethacin (IV)
| 2. Ibuprofen Lysine (IV)
26
Drugs that decrease seizure threshold
1. Meperidine
2. Tramadol
3. Theophylline
4. Carbapenems
5. TCAs
6. Flumazenil
7. Bupropion
8. Haloperidol
27
Drugs that are renally eliminated
1. PCNs
2. Opioids
3. Fluoroquinolones
4. Aminopenicillans
5. Digoxin
6. H2RAs
7. ULTs (Allopurinol, Febuxostat, Lesinurad, Probenecid, Pegloticase)
8. Pravastatin
9. Fibrates
10. Ethambutol
28
Drugs that are hepatically eliminated
1. Macrolides
2. Tetracyclines
3. -Azoles (except fluconazole, IV Vori)
4. PPIs
5. Statins (except pravastatin)
6. Benzodiazepines
29
Drugs that are nephrotoxic
1. Vancomycin
2. Macrolides
3. NSAIDS (Sulindac is the least)
4. Cyclodextrin (IV Vori)
5. Ampho B
6. Imipenem (w Cilastatin to help)
7. Outdated Tetracyclines
8. Aminoglycosides
9. Foscarnet
10. Cidofovir
11. Renin Inhibitors
12. Entresto (Sacubitril & Valsartan)
30
Drugs that are hepatotoxic
1. APAP
2. -azoles (not IV Vori)
3. Allylamines
4. Isoniazid
31
Sulfa drugs or drugs with a sulfa-moiety
1. Darunavir
2. Acetazolamide (CA-inhibit)
3. HCTZ
4. Furosemide
5. Sulfonylureas
6. Celecoxib
7. Bactrim
32
Treatment of thyroid storm
1. Propranolol
2. Dexamethasone (high dose)
3. PTU if pregnant
33
Treatment of DKA
1. Insulin ggt in NS
| 2. Phosphate and potassium replacement
34
Treatment of myxedema coma
1. T3 - IV
35
HIV drugs that also cover Hep B
1. Lamivudine
2. Emtricitabine
3. Tenofovir
36
Drugs that are highly plasma protein bound
1. Warfarin
2. Sulfonylureas (Glipizide, Glymperide, Glyburide)
3. Aspirin/NSAIDs
4. Bactrim
37
Drugs that require acid for better absorption
1. Itraconazole
2. Digoxin
3. Atazanavir
4. Iron
38
Drugs that cause QT prolongation
1. Methadone
2. Fluconazole (all -azoles except Isavuconazole, which will shorten QT)
3. Cisapride
4. ALL antipsychotics
39
Immunizations that are live
1. MMR
2. Zoster (Zostavax)
3. Varicella (Varivax)
4. Typhoid, oral
5. Polio, oral
6. Flumist, intranasal
7. Rotavirus
40
Anticholinergic medications
1. Atropine
2. Dicyclomine (GI specific)
3. TCAs (Imipramine, Nortriptyline, Amitriptyline)
41
Medications that require monitoring of TSH
1. Amiodarone
| 2. Lithium
42
Medications with off-label indication for insomnia
1. Diphenhydramine (Benadryl)
2. TCAs (Amitriptyline, Nortriptyline)
3. Trazodone
4. Mirtazapine (Remeron)
5. Quetiapine (Seroquel)
6. BDZs - Temazepam (Restoril)
7. Melatonin (jet-lag)
43
Treatment of enuresis (bed wetting)
1. TCA - Amitriptyline, Nortriptyline
2. Duloxetine (Cymbalta)
3. Atomoxetine (Strattera)
