Classic treatments Flashcards
ethylene glycol/methanol intoxication
fomepizole (aldehyde dehydrogenase inhibitor)
N. meningitidis
ceftri/penicillin, rifampin for prophylaxis
C. botulinum
anti-toxin
C. tetani
anti-toxin
staph aureus
MSSA: nafcillin
MRSA: vanco, daptomycin, linezolid, ceftaroline
strep pyo
penicillin prophylaxis
strep pneumo
penicillin/cephalosporin (systemic infection, pneumo)
vanco for meningitis
enterococci
vanco
H flu
amox clauv (mucosal), ceftri (meningitis), rifampin prophylaxis
legionella
macrolides
psedomonas
pip-tazo, AGs, carbapenems
syphilis
pen G
chlamydia
doxy (+ ceftri for gonorrhea)
rickettsia rickettsii
doxy, chloramphenicol
candida
azoles (vaginitis), nystatin, fluconazole, caspofungin (oral), add amphotericin B for systemic
cryptococcus
amphotericin B + flucytosine w/ maintenance fluconazole
pneumocystis jirovecii
TMP-SMX
toxo
sulfadiazine + pyrimethamine
malaria
primaquine (for liver hypnozoite), chloroquine, mefloquine, atovaquone/proguanil
trichomonas vaginalis
metronidazole
influenza
oseltamivir
CMV
ganciclovir, foscarnet, cidofovir
N. gonorrhea
ceftriazone
C diff
metronidazole
M. TB
RIPE
UTI prophylaxis
TMP-SMX
chronic HBV or HCV
IFN-a; ribavirin, simiprevir, sofosbuvir (HCV)
PDA
close w/ indomethacin, keep open w/ PGE analogs
stable angina
sublingual nitroglycerin
buerger dz
smoking cessation
GPA
cyclophosphamide, corticosteroids
Kawasaki dz
IVIG, high dose aspirin
temporal arteritis
high-dose steroids
arrhythmia in ischemic heart tissue
class IB antiarrhythmic (lidocaine, mexiletine)
pheochromocytoma
a-antagonists (phenoxybenzamin)
prolactinoma
dopamine agonists (carbergoline/bromocriptine)
diabetes insipidus
desmopressin (central) HCTZ, amiloride (nephrogenic)
SIADH
fluid restriction, IV hypertonic saline
carcinoid syndrome
octreotide
DKA
fluids, insulin, K+
crohn dz
corticosteroids, infliximab (TNF-a inhibitor), azathioprine
UC
5-ASA, 6-MP, infliximab, colectomy
hypertryglyceridemia
fibrate
SS dz
hydroxyurea (inc HbF)
CML
imatinib
APML
all-trans retinoic acid
drug of choice for anticoagulation during pregnancy
heparin
heparin reversal
protamine sulfate
immediate anticoagulation
heparin
long-term anticoagulation
warfarin, dabigatran, rivaroxaban, apixaban
warfarin reversal
FFP, vit K
cyclophosphamide-induced hemorrhagic cystitis
mesna
Her2/neu + breast cancer
trastuzumab
osteoporosis
Ca/Vit D supplementation; bisphosphonates, PTH analogs, SERMs, calcitonin, denosumab
osteomalacia/rickets
vit D supplementation
chronic gout
xanthine oxidase inhibitors (allopurinol)
acute gout attack
NSAIDS, colchicine, glucocorticoids
migraine
abortive: triptans, NSAIDS
prophylaxis: propranolol, topiramate, CCBs, amitriptyline
trigeminal neuralgia
carbamazepine
tonic-clonic seizures
levetiracetam, phenytoin, valproate, carbamazepine
absence seizures
ethosuximide
malignant hyperthermia
dantrolene
anorexia
nutrition, psychotherapy, mirtazapine
alcoholism
naltrexone, disulfiram, acamprosate
ADHD
methylphenidate, amphetamines, CBT, guanfacine, clonidine
alcohol withdrawal
benzos
bipolar disorder
lamotragine (atypical antipsychotics), lithium, valproic acid, carbamazepine
hyperaldosteronism
spironolactone
BPH
a1-antagonists (-zosins), 5a-reductase inhibitors (finasteride), PDE-5 inhibitors
infertility
leuprolide, GnRH, clomiphene
breast cancer in postmenopausal women
aromatase inhibitor (anastrozole)
ER+ breast cancer
tamoxifen
prostate adenocarcinoma
leuprolide, flutamide
medical abortion
mifepristone
erectile dysfunction
sildenafil, etc
pulmonary arterial HTN
sildenafil, bosentan, epoprostenol