CCS review Flashcards
tx of uncomplicated cystitis?
3 days bactrim
if allergic - 3 days ciprofloxacin
tx of complicated cystitis? (male, DM, anatomic abnormality, catheter in , s/ssx >7 days, recurrent UTI, >65 yo)
7 days bactrim
tx of cystitis in pregnancy
7 day of nitrofuraintoin
if allergic - 7 days amoxicillin-clavulanate
(avoid bactrim bc folic acid anatgonia, avoid cipro due to risk of cartilage damage)
f/u UA in 1-2 wks after therapy
What should be done to confirm a new pregnancy?
bhCG
pelvic or transvaginal US to confirm viable pregnancy
What prenatal labs should be obtained with dx of new pregnancy?
CBC, blood type, antibody screen, Rhesus type, CBC, BMP, pap smear, rubella, syphillis screen, UA and urine culture, hep B surface antigen, HIV counseling and testing, chlamydia testing
What treatment and interventions should be given for a new pregnancy dx?
prenatal vitamins
iron sulfate
folic acid
prenatal counseling
f/u in 4 wks
What is the tx for ulcerative colitis?
mild - mesalamine suppository (taper of 4-6 wks)
moderative - oral mesalamine or sulfasalazine (with folic acid), steroids for acute episode if other meds don’t do it
severe - hospitalize, IV fluids, electrolys, NPO, TPN, IV steroids, abx, surgery
annual surveillance colonoscopy in 8-10 yrs, dietary counseling
How to treat duodenal ulcer (H pylori positive)?
PPT (omeprazole) + clarythromycin + amoxicillin for 2 wks
then check urea breath test to make sure h pylori is gone
What is a good anti-nasuea drug for IV?
phenergan
What prescriptions to write for new type 1 diabetic patients?
NPH insulin
regular insulin
diabetic diet, teaching and education (home glucose monitoring, diabetic foot care)
How do you dx DKA?
blood glucose >250
low serum bicab (<15)
elevated anion gap
ketones in serum
How do you dx hyperosmolar hyperglycemic state?
serum glucose >600
serum osm >330
no ketones in serum
pH >7.3
serum bicarb >20
What Abx to use in CF patients?
staph - cephalexin, augmentin
psuedomonas - ciprofloxacin (oral) or tobramycin + piperacillin for IV
