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Spring Pharm Block 4 > C/O 2021 Buckets > Flashcards

C/O 2021 Buckets Flashcards

1
Q

Treatment of MSSA

A
  1. Methicillin
  2. Oxacillin
  3. Dicloxacillin - DOC
  4. Cloxacillin
  5. Anything that covers MRSA
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2
Q

Treatment of community acquired MRSA

A
  1. Bactrim DS (PO) - DOC
  2. Clindamycin (PO) if Bactrim not an option
  3. Doxycycline (PO)
  4. Mupirocin (colonization) (topical)
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3
Q

Treatment of hospital acquired MRSA

A
  1. Vancomycin (IV)
  2. Linezolid (PO)
  3. Daptomycin (IV)
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4
Q

Treatment of VRE

A
  1. Linezolid (PO)

2. Daptomycin (IV)

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5
Q

Treatment of VRSA

A
  1. Daptomycin (IV)
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6
Q

Treatment of C. Diff

A
  1. Vancomycin (PO)
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7
Q

Treatment of community acquired pneumonia

A
  1. Doxycycline - DOC
  2. Amoxicillin
  3. Augmentin
  4. 2nd/3rd Gen Cephalosporins
  5. Macrolide
  6. Levofloxacin
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8
Q

Treatment of pseudomonas (worst gram negative)

A
  1. Extended-spectrum PCNs (IV)
  2. Ceftazidime (IV)
  3. Ciprofloxacin (PO)
  4. Imipenem (IV)
  5. Aminoglycoside (IV) use as adjunct
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9
Q

Treatment of enterococcus (worst gram positive)

A
  1. Ampicillin (PO/IV)
  2. Daptomycin (IV)
  3. Aminoglycosides (IV)
  4. Vancomycin (IV)
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10
Q

Treatment of UTIs

A
  1. Bactrim SS (PO) non-pregnant women DOC
  2. Nitrofurantoin (PO) pregnant & chronic UTIs DOC
  3. Amoxicillin (PO)
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11
Q

Treatment of STIs

A
  1. Syphilis – Pen G Benzathine LA (IM)
  2. Neurosyphilis – Pen G (IV)
  3. Chlamydia – Ceftriaxone (IM) & Azithromycin (PO)
  4. Gonorrhea – Ceftriaxone (IM) & Azithromycin (PO)
  5. Trichomoniasis – Metronidazole
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12
Q

Treatment of atypical bacteria (Legionella, Mycobacterium, Chlamydia)

A
  1. Macrolides (PO)
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13
Q

Treatment of anaerobes

A
  1. Clindamycin (PO)

2. Metronidazole (PO)

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14
Q

Abx that are gram positive only

A
  1. Penicillin (PO, IV)
  2. Antistaphylococcal PCNs (PO, IV)
  3. 1st Gen. Cephalosporins (PO)
  4. Vancomycin (PO, IV)
  5. Levofloxacin, Ofloxacin (fluoroquinolones)
  6. Clindamycin (PO)
  7. Mupirocin (topical)
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15
Q

Abx that are gram negative only

A
  1. Extended Spectrum PCNs (IV)
  2. Third Gen. Cephalosporins (PO)
  3. Ciprofloxacin (Fluoroquinolone)
  4. Metronidazole
  5. Aminoglycosides
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16
Q

Abx that cover both gram positive and negative

A
  1. Aminopenicillins (PO)
  2. 2nd Gen. Cephalosporins (PO)
  3. Carbapenems
  4. Macrolides (PO, IV)
  5. Tetracyclines (PO, IV)
  6. Bactrim (trimethoprim/sulfamethoxazole)
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17
Q

Treatment of tick-borne (Lyme) diseases

A
  1. Tetracyclines (PO) - Doxycycline DOC

2. Amoxicillin if pregnant

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18
Q

Treatment of hepatic encephalopathy.

A
  1. Neomycin (PO)

2. Rifaximin (PO)

19
Q

Treatment of protozoa (Giardia)

A
  1. Metronidazole

2. Nitazoxanide

20
Q

Contraindicated in pregnancy

A
  1. Fluoroquinolones
  2. Tetracyclines
  3. Bactrim
  4. NSAIDs (especially with Misoprostol)
  5. Azoles
  6. Warfarin (Heparin is a better option)
  7. Diabetes Oral Agents (switch to Insulin)
  8. ACEi/ARBs
  9. Misoprostol
  10. Ipecac (relatively contraindicated)
  11. Live vaccines
  12. Benzimidazoles
  13. Ivermectin
  14. Praziquantel
21
Q

Contraindicated in children

A
  1. Fluoroquinolones (<16/18 y/o)
  2. Tetracyclines (children <8 y/o)
  3. Aspirin (<16 y/o) (can lead to Reye’s Syndrome)
  4. Baloxavir (<12 y/o)
  5. Ipecac (<6 mos)
22
Q

Chelating agents

A
  1. Fluoroquinolones
  2. Tetracyclines
  3. Baloxavir
  4. Levothyroxine
  5. Sucralfate
  6. Antacids
23
Q

Treatment of HSV-1, HSV-2, & Varicella Zoster

A
  1. Acyclovir
  2. Valacyclovir
  3. Penciclovir
  4. Famciclovir
24
Q

Treatment of CMV

A
  1. Ganciclovir
  2. Valganciclovir
  3. Foscarnet
  4. Cidofovir
25
Q

Treatment of patent ductus arteriosus

A
  1. Indomethacin (IV)

2. Ibuprofen Lysine (IV)

26
Q

Drugs that decrease seizure threshold

A
  1. Meperidine
  2. Tramadol
  3. Theophylline
  4. Carbapenems
  5. TCAs
  6. Flumazenil
  7. Bupropion
  8. Haloperidol
27
Q

Drugs that are renally eliminated

A
  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
Q

Drugs that are hepatically eliminated

A
  1. Macrolides
  2. Tetracyclines
  3. -Azoles (except fluconazole, IV Vori)
  4. PPIs
  5. Statins (except pravastatin)
  6. Benzodiazepines
29
Q

Drugs that are nephrotoxic

A
  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
Q

Drugs that are hepatotoxic

A
  1. APAP
  2. -azoles (not IV Vori)
  3. Allylamines
  4. Isoniazid
31
Q

Sulfa drugs or drugs with a sulfa-moiety

A
  1. Darunavir
  2. Acetazolamide (CA-inhibit)
  3. HCTZ
  4. Furosemide
  5. Sulfonylureas
  6. Celecoxib
  7. Bactrim
32
Q

Treatment of thyroid storm

A
  1. Propranolol
  2. Dexamethasone (high dose)
  3. PTU if pregnant
33
Q

Treatment of DKA

A
  1. Insulin ggt in NS

2. Phosphate and potassium replacement

34
Q

Treatment of myxedema coma

A
  1. T3 - IV
35
Q

HIV drugs that also cover Hep B

A
  1. Lamivudine
  2. Emtricitabine
  3. Tenofovir
36
Q

Drugs that are highly plasma protein bound

A
  1. Warfarin
  2. Sulfonylureas (Glipizide, Glymperide, Glyburide)
  3. Aspirin/NSAIDs
  4. Bactrim
37
Q

Drugs that require acid for better absorption

A
  1. Itraconazole
  2. Digoxin
  3. Atazanavir
  4. Iron
38
Q

Drugs that cause QT prolongation

A
  1. Methadone
  2. Fluconazole (all -azoles except Isavuconazole, which will shorten QT)
  3. Cisapride
  4. ALL antipsychotics
39
Q

Immunizations that are live

A
  1. MMR
  2. Zoster (Zostavax)
  3. Varicella (Varivax)
  4. Typhoid, oral
  5. Polio, oral
  6. Flumist, intranasal
  7. Rotavirus
40
Q

Anticholinergic medications

A
  1. Atropine
  2. Dicyclomine (GI specific)
  3. TCAs (Imipramine, Nortriptyline, Amitriptyline)
41
Q

Medications that require monitoring of TSH

A
  1. Amiodarone

2. Lithium

42
Q

Medications with off-label indication for insomnia

A
  1. Diphenhydramine (Benadryl)
  2. TCAs (Amitriptyline, Nortriptyline)
  3. Trazodone
  4. Mirtazapine (Remeron)
  5. Quetiapine (Seroquel)
  6. BDZs - Temazepam (Restoril)
  7. Melatonin (jet-lag)
43
Q

Treatment of enuresis (bed wetting)

A
  1. TCA - Amitriptyline, Nortriptyline
  2. Duloxetine (Cymbalta)
  3. Atomoxetine (Strattera)

Spring Pharm Block 4 (17 decks)

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