Dosages Flashcards
1
Q
Warfarin
in DVT/PE
A
0.5-6 mg PO daily
INR has to be 2-3
2
Q
Heparin (UFH) IV
in ACS
A
IV Bolus: 60-70 IU/Kg (Max 5,000 IU)
Then 12-15 IU/Kg/h Infusion,
aPTT Q6H (x1.5-2.5)
3
Q
Heparin (UFH) IV
in DVT/PE (Tx)
A
IV Bolus: 80 IU/Kg
Then 18 IU/Kg/h Infusion,
aPTT Q6H, x (1.5-2.5)
4
Q
Heparin (UFH)
in DVT/PE (Prophylaxis)
A
SC 5,000 IU Q12H or Q8H
5
Q
Enoxaparin
in ACS
A
SC 1 mg/kg BID (Max 100 mg BID)
If age>75y then 0.75 mg/kg BID
6
Q
Enoxaparin
in DVT/PE (Tx)
A
SC 1 mg/kg BID
Or 1.5 mg/kg Q24H
7
Q
Enoxaparin
in DVT/PE (Prophylaxis)
A
SC 30-40 mg Q24H
8
Q
Clopidogrel (Plavix)
in ACS
A
Loading dose 300mg (but in STEMI 300-600 mg)
Maintenance 75 mg/day LD
9
Q
ASA
in ACS vs Stroke
A
ACS: 160-325 mg
Stroke: 160 mg
10
Q
Prasugrel
in ACS
A
Loading dose 60 mg
Then 10 mg/day
11
Q
Metoprolol IV
in ACS
A
IV 5 mg over 1-2 min Repeat Q5min,
PO can be started 15 min after IV
12
Q
Metoprolol PO
in ACS
A
PO Initial 25-50 mg QID
Target 100 mg BID
13
Q
Carvedilol
in CHF
A
Initial 3.125 mg BID
Target 25 mg BID
14
Q
Labetalol in HTN
A
Initial 50 mg BID
Usual 200 mg BID
(Alpha1+Beta1 blocker)
15
Q
Atenolol
A
Initial 25-50 mg/day
Target 100 mg/day
Do not use in Pregnancy
16
Q
Nitroglycerin SL
in ACS
A
SL 0.3-0.6 mg PRN Q5min
17
Q
Nitroglycerin Spray
in ACS
A
SL 0.4 mg PRN Q5min
18
Q
Nitroglycerin IV
in ACS
A
IV Initial 10-150 ug/min
Titrate to symptoms or BP
19
Q
Verapamil
in ACS
A
Initial 80 mg
Max 160 mg TID
(If IR form: TID, If SR form: BID)
20
Q
Amlodipine
A
Initial 2.5 mg/day
Max 10 mg/day Once daily
21
Q
Nifedipine XL
in HTN or Raynaud’s
A
Initial 30 mg/day
Usual 60 mg/day
Raynaud’s 30 mg/day
22
Q
Enalapril
in ACS, CHF, HTN
A
Initial 2.5 mg BID
Target 10-20 mg BID
23
Q
Losartan
A
Initial 50 mg/day
Target 100-150 mg/day
24
Q
Furosemide PO and IV
A
PO: Initial 20-80 mg SD If needed: increase by 20-40 mg Q6-8H
IV: 20-40 mg Single injection If needed: may repeat Q2H
25
Hydrochlorothiazide
Initial 12.5-25 mg/day
Usual 25-100 mg/day
26
Spironolactone
in CHF
Initial 12.5 mg/day
Target 25-50 mg/day
27
Atorvastatin
10-80 mg/day At any time of the day
28
Gemfibrozil
300-1200 mg/day Divided BID 30 min prior to meals
29
Glyburide
PO 2.5-20 mg/day
If \>10 mg, then divide in 2 doses
30
Metformin (Glucophage)
500-1500 or 2500 mg/day Divided BID or TID
31
Calcium Gluconate
in Hyperkalemia (ER)
IV 10 ml of a 10% Solution Over 2-5 min
32
Insulin
in Hyperkalemia (ER)
Regular IV Bolus 5-10 units, With Dextrose 25-50 g over 5 min
33
Potassium Chloride
in Hypokalemia (ER)
If K\<2.5 then 20-40 mmol IV in the first hour
Monitor ECG and K+ serum
34
Propylthiouracil (PTU)
in Thyroid Storm
Up to 1200 mg daily In divided doses
35
Propranolol
in Thyroid Storm
40-60 mg Q6H PO Or 0.5-2 mg IV Slowly Q4-6H
36
Dexamethasone
in Thyroid Storm
2 mg Q6H PO or IV
37
Myxedema Coma
Tx
Levothyroxin 300-500 ug IV Then 100 ug IV daily + Hydrocortisone 100 mg Q8H IV
38
Ferrous Sulfate
in IDA
120 mg/day (105-200 mg/day) elemental iron In 3 divided doses 60 mg elemental iron/ 300 mg Ferrous Sulfate
39
Folic Acid
in Anemias
1-5 mg daily PO
40
Vitamin B12
in Anemias
100 ug daily SC or IM Or 500-2000 ug daily PO
41
Asthma Acute Exacerbation
Salbutamol + Ipratropium bromide dosage
pMDI 4-8 puffs Q15-20 min x3 (Both)
42
Asthma Acute Exacerbation
Oral Prednisone dosage
40-60 mg PO
43
Asthma Acute Exacerbation
IV Corticosteroids dosage
Methylprednisolone 60-80 mg IV
Or Hydrocortisone 200 mg IV
44
Asthma Acute Exacerbation in Children
Prednisone Oral dosage
1-2 mg/kg PO
45
Asthma Acute Exacerbation in Children
IV Corticosteroid dosage
Methylprednisolone 2 mg/kg IV Or Hydrocortisone 5-8 mg/kg
46
Asthma Acute Exacerbation in Children
Salbutamol dosage
Nebulized Q20 min x3 1.25-5 mg/dose Or pMDI 6-10 puffs Q20 min x3
47
ACLS
Defibrillation in VF or Pulseless VT
360 J Monophasic Or 200 J Biphasic
48
ACLS
Epinephrine in VF or Pulseless VT
1 mg IV Q3-5 Minutes
49
ACLS
Amiodarone in VF or Pulseless VT
First dose: 300 mg IV (slowly: within 10 minutes)
Then: 150 mg IV (slowly: within 10 minutes)
50
ACLS
Vasopressin in VF or Pulseless VT
40 units IV
Can replace 1st or 2nd dose of Epinephrine
51
ACLS
Mg in Torsades
2-5 gr IV,
(slowly: within 3-5 minutes)
52
ACLS
VT with Pulse (If Persistent)
1. Cardioversion.......?
2. Adenosine......?
1. 100 J Synchronized
2. 1st dose: 6 mg IV 2nd dose: 12 mg IV (Must be regular and monomorphic)
53
ACLS
VT with Pulse (If Not Persistent) With Narrow QRS
Vagal Maneuver Or Adenosine 6 mg then 12 mg Or Beta blocker Or CCB
54
ACLS
VT with Pulse (If Not Persistent) With Wide QRS
(No Adenosine) Procainamide 20-50 mg IV slow Or Amiodarone 150 mg IV slow And Consult
55
ACLS
Asystole or PEA
(Not shockable)
Epinephrine 1 mg + CPR 2 min/5 cycles And repeat Manage 5 Hs and 5 Ts
56
ACLS
Bradicardia\<50 If 2nd or 3rd degree Heart Block
Atropine 0.5 mg Q3-5 Minutes Max 6 doses Or Transcutaneous Pacing Rate 80, Amplitude: Capture+10
57
ACLS
Bradicardia\<50 If 2nd or 3rd degree Heart Block Alternative treatments
Dopamine Infusion 2-10 mcg/kg/min
Or Epinephrine 1 mg Q4-6 Minutes
58
Status Epilepticus In 0-5 minutes
Oral Airway Oxygen Venous Blood ABG ECG monitor Pulse oximetry
59
Status Epilepticus 6-10 minutes
2 large bore IV Saline
Dextrose 50% 50 ml IV
Thiamine 100 mg IM or IV
Lorazepam 2 mg IV, Repeat once
60
Status Epilepticus 6-10 min (If no IV access)
Midazolam 5 mg IM, repeat once
Or Diazepam pr 20 mg (Either rectal gel or IV Solution)
61
Status Epilepticus In 11-30 minutes
(Two traditional choices)
First: Phenytoin 20 mg/kg IV
Then: Phenobarbital 20 mg/kg IV
62
Status Epilepticus In 11-30 minutes
(Two new alternatives)
Midazolam 10 mg IV bolus
Or Propofol 2-5 mg/kg IV bolus
63
Respiratory Suppression in Opioids overdose:
Naloxone dosage
Adults and Children \>5y: 0.4-2 mg Q2-3 Minutes IV
In Children \<5y: 0.1 mg/kg Q2-3 Minutes IV
64
Equivalent Doses of Opioids:
10 mg Morphine IV = ..... mg Morphine PO
60 mg PO
65
Equivalent Doses of Opioids
10 mg Morphine IV (=60 mg Morphine PO)
Convert to Fentanyl
0.1 mg Fentanyl IV
(Fentanyl has no Oral form)
66
Equivalent Doses of Opioids
10 mg Morphine IV (=60 mg Morphine PO)
Convert to Hydromorphone
2 mg IV
Or 5 mg PO
67
Equivalent Doses of Opioids
10 mg Morphine IV (=60 mg Morphine PO)
Convert to Meperidine (Pethidine)
75 mg IV
Or 300 mg PO
68
Equivalent Doses of Opioids
10 mg Morphine IV (=60 mg Morphine PO)
Convert to Codein
120 mg IV
Or 200 mg PO
69
Equivalent Doses of Opioids
10 mg Morphine IV (=60 mg Morphine PO)
Convert to Oxycodone
10 mg PO
(Oxycodone is only oral)
70
Gout
Colchicine in Acute Attack
First: 1.2 mg
Then: 0.6 mg 1 h later
71
Gout
Prednisone in Acute Attack
0.5 mg/kg PO daily For 5 days
72
Gout
NSAID in Acute Attack
Naproxen 750 mg stat
Then 500 mg BID
73
Situational Aggression
Haloperidol 5 mg PO or IM + Lorazepam 2 mg PO or IM
74
Olanzapine IM (Immediate Acting)
2.5-10 mg IM
(Should not be used simultaneously with parenteral BZPs like Lorazepam)
75
BZPs Dosage Equivalents:
5 mg of Diazepam=
...... Clonazepam
Or ...... Chlordiazepoxide
0.25 mg Clonazepam
25 mg Chlordiazepoxide
76
BZPs Dosage Equivalents:
5 mg of Diazepam=
...... mg Alprazolam
Or .... mg Temazepam
0.5 mg Alprazolam
10 mg Temazepam
77
BZPs Dosage Equivalents:
5 mg of Diazepam=
..... mg Oxazepam
and .....mg Lorazepam
15 mg Oxazepam
1 mg Lorazepam
78
Alcohol Withdrawal
Chlordiazepoxide dosage
10-50 mg Q10-20min PO
79
Acute Menorragia
Conjugated Estrogens IV 25 mg initially, Repeated in 3 h Alternatives: High dose Progestogens
Or Tranexamic Acid 1000 mg Q6H IV
80
Universal Antidotes:
Thiamine dosage
100 mg IV or IM
to all patients Or At least: If hx of EtOH or patient looks malnourished
81
Universal Antidotes:
Dextrose (Glucose)
One Ampoule D50W IV
If low blood sugar on finger-prick
82
Universal Antidotes:
Naloxone
0.4-2 mg IV
If opiate overdose suspected
83
Severe Migraine (ER):
1 L bolus of NS +
................... Or .....................
Prochlorperazine 10 mg IV
Or Ketorolac 30 mg IV
84
Moderate Allergic Reaction (Like generalized urticaria)
Treatments (ER)
1. ............
2. ...........
3. ...........
Epinephrine (1:1,000) 0.3-0.5 mg
+/- IM Diphenhydramine 25-50 mg
+/- IM Salbutamol 1 cc via MDI
85
Severe Allergic Reaction
(Anaphylactic shock)
1. ABCs +|- Crystlloids
2. Epinephrine..............
3. ............
4. .............
Epinephrine (1:1,000) 0.1-0.3 mg IV (or via ETT)
+ Diphenhydramine 50 mg IV (~1 mg/kg)
+ Hydrocortisone 100 mg IV
(Or Methylprednisolone 1 mg/kg IV)
86
Acute Heart Failure
1. Furosemide .......
2. If BP \>100 then .......
3. If BP \< 90 then .......
1. F: 40-80 mg IV
2. Nitroglycerin: SL or IV Infusion
3. Dobutamine IV Infusion (if no shock)
or Dopamine IV Infusion (if shock)
87
Acute Heart Failure
If severe or refractory hypertension
Nitroprusside IV Infusion
88
Diabetes:
Hyperosmolar Hyperglycemic State
Rehydration with IV NS (Total Water deficit is 100 ml/kg)
+ O2 + monitoring
(but Insulin is controversial)
89
Hypernatremia Tx
Give free water, Restrict Salt
90
Hyponatremia
If Mild to Moderate: Water restriction / NPO
If Seizure or Coma............
100 cc NaCl 3%
91
Hypokalemia
K+ diuretics
+/- IV solutions with 20-40 mEq/L KCl (over 3-4h)
92
Hypocalcemia Tx
Calcium Gluconate 1-2 g IV in 10-20 minutes
93
Hypertensive Crisis
1...........
or 2...............
or 3...............
Nitroprusside IV
Fenoldopam IV
Enalapril IV
94
Prednisone dosage
in GCA
40-60 mg daily PO x 4 weeks Then taper
95
Loperamide dosage
in Diarrhea
PO Initial 4 mg Then 2 mg after each loose bowel movement Max 16 mg/day
96
Lactulose dosage
in Constipation
15-30 ml Once daily to BID PO
97
Bisacodyl dosage
in Constipation
5-10 mg Once daily or PRN PO
98
Ranitidine dosage
in Dyspepsia
150 mg BID
99
Aluminium/Magnesium Hydroxide dosage
in GERD
30 ml PRN after meals
100
Omeprazole dosage
in GERD
20-40 mg Once daily 30 minutes before food
101
Hydroxyzine dosage
in Pruritis
25-75 mg TID-QID PO
102
Menthol in Pruritis
0.25-3 % In moisturizing cream, ointment or lotion Apply PRN up to TID
103
Acetaminophen/Codeine dosage
in Low Back Pain
8, 15, 30 or 60 mg 1-2 Tablets QID
104
End of Life Care: Morphine
PO: 5-10 mg Q4-6H + PRN
IV/SC: 2.5-5 mg Q4-6H + PRN
105
Risperidone dosage
In Delirium vs Dementia
Delirium: 0.5-2 mg/day PO
Dementia: 0.25-2 mg/day PO
106
Risperidone dosage
In Psychosis vs Mania
Psychosis: 2-8 mg/day PO
Mania: 2-3 mg/day PO
107
Lorazepam dosage
In Mania vs Psychosis
Both:
Adjunctively with Risperidone 1-2 mg PO or IM
108
Lithium dosage
In Bipolar disorder (Maintenance)
900-2100 mg/day PO Single daily dose preferred,
Guided by serum concentration (Target: 1-1.2 mmol/L)
109
Temazepam dosage
in Insomnia
15 mg QHS PRN PO
110
Insomnia Best BZP Agonist + dosage
Zopiclone 3.75 mg QHS PRN PO
111
Bupropion dosage
in Smoking Cessation
150 mg PO for 3 days Then 150 mg BID PO
112
Acetaminophen dosage
in Acute Headache (ER)
650-1300 mg Q4H Only 1 or 2 doses
113
Dihydroergotamine dosage
in Acute Migraine (ER)
1 Spray (0.5 mg) In each nostril
May repeat in 15 minutes
Max 2 gr (4 sprays) per day
114
Headache in Children:
Acetaminophen dosage
10-15 mg/kg/dose Q4H PO PRN
115
Headache in Children:
Ibuprofen dosage
5-10 mg/kg/dose Up to 4 times daily
116
Dysmenorrhea Ibuprofen
200-600 mg QH6 PO With food Maximum daily dose 2400 mg
117
Post Coital Contraception Oral Method
Levonorgestrel (Plan B) 1.5 mg Single dose within 24h
118
OCPs Yaz
EE 20 ug + Drospirenone 3 mg
119
Menopause Premarin (Conjugated Estrogens)
0.3-1.25 mg daily
120
Menopause Estrogen (Vaginal)
Premarin Vaginal Cream 0.625 mg
121
Menopause Progestogens Oral
MPA Medroxyprogesterone Acetate Added to Estrogens: If cyclic: 5 mg daily PO If continuous: 2.5 mg daily PO For Prevention of hot flashes: 20 mg daily PO
122
Thyroid Levothyroxine
in Adults 1.6 ug/kg/day PO
If risk of Angina: Start with 12.5-25 ug/day
123
Chronic Cough Ipratropium
Nasal Spray 0.03%: 2 Sprays BID-TID in each nostril
124
Chronic Cough Chlorpheniramine
4-8 mg HS PO
125
Chronic Cough Loratadine
10 mg daily PO
126
Chronic Cough Codeine
5-20 mg Q4-8H PO
127
Chronic Cough Dextromethorphan
Immediate release: 15-30 mg Q6-8H PO SR: 60 mg Q12H PO
128
Chronic Cough Pseudoephedrine
60 mg Q4-6H PO Or 120 mg SR Q12H PO
129
Antihistamines:
Chlorpheniramine in Children 6-11 y
2 mg Q4-6H
130
Antihistamines:
Loratadine in Children 6-11 y
5 mg Once daily
131
Decongestants:
Pseudoephedrine in Adults
60 mg Q4-6H
132
Acetaminophen in Fever (Children)
PO 10-15 mg/kg/dose Q6H or Q8H Max daily 75mg/kg or 4 gr
133
Ibuprofen in Fever (Children)
PO 5-10 mg/kg/dose Q6H or Q8H Max daily 40 mg/kg or 2.4 gr
134
Cephalexin Adults & Children
PO A 250-500 mg Q6H C 6-12 mg/kg/dose Q6H
135
Ciprofloxacin Adults only
500-750 mg BID
136
Clindamycin Adults PO & IV
PO 150-300 mg Q6H IV 450-600 mg QH8
137
Amoxicillin/ Clavulanate (Clavulin) Adults & Children
A 250-500 mg Q8H C 13 mg/kg/dose Q8H
138
Vancomycin IV Adults & Children
IV A 1 gr Q12H C 10 mg/kg/dose Q6H
139
Cefazolin IV Adults and Children
IV A 1 gr Q8H C 17-34 mg/kg/dose Q8H
140
Penicillin V Potassium in Strep Sore Throat
Adults and \>27 kg 300 mg TID Or 600 mg BID x10 days Children \<27 kg 40 mg/kg/ day divided BID-TID x10 days
141
Amoxicillin in Strep Sore Throat
Adults & Children 50 mg/kg Once daily or divided BID x10 days Max 1 g/day
142
Cephalexin in Strep Sore Throat
Adults 500 mg BID x10 days Children 40 mg/kg/day divided BID x10 days Max 1 g/day
143
Azithromycin in Strep Sore Throat
Adults 500 mg x1 day Then 250 mg x4 days Once daily Children 12 mg/kg x1 day Max 500mg/day Then 6 mg/kg x4 days Max 250mg/day
144
SMX/TMP in Cystitis
800/160 mg BID PO (2 Regular Strength tablets Or 1 DS tablet BID)
145
Nitrofurantoin in Cystitis (Sulfa Allergic)
100 mg BID PO
146
Ciprofloxacin in Mild to Moderate Pyelonephritis
250-500 mg BID
147
Gentamicin +|- Ampicillin in Severe Pyelonephritis
G: 3-5 mg/kg/day IV A: 1 g Q6H IV
148
Acute Prostatitis Tx?
IV AG +|- Cloxacillin +|- Ampicillin Gentamicin 3-5 mg/kg/day Cloxacillin Ampicillin 1 g Q6H
149
Pyelonephritis in Pregnancy
Ceftriaxone 1 g Q24H IM or IV
150
Acute Sinusitis First Line Tx in Children & Adults
Amoxicillin Children: 40 mg/kg/day x 10 days Divided TID PO Adults 500 mg - 1 g TID x 5-7 days
151
Acute Sinusitis If Penicillin Allergic (Children)
If \<= 8 y Clindamycin+ Cefixime x 10 days Clinda: 20-30 mg/kg/day divided TID or QID PO Cef: 8 mg/kg/day divided BID If \>8y Doxycycline x 10 days 4 mg/kg/day divided BID
152
Acute Sinusitis If Amoxicillin fails (Children)
Amoxicillin/Clavulanate x 10 days (7:1) Children: 45 mg/kg/day (Amoxi Component) Divided BId-TID
153
Acute Sinusitis If Penicillin Allergic (Adults)
Adults Doxycycline x 5-7 days 200 mg PO once Then 100 mg BID
154
Acute Sinusitis If Amoxicillin Fails (Adults)
Amoxicillin/Clavulanate x 5-10 days Adults: 875 mg BID PO
155
Chronic Sinusitis in Children & Adults
Amoxicillin/Clavulanate X 3 weeks Ch: 45 mg/kg/day divided TID Ad: 875 mg BID
156
Chronic Sinusitis If Betalactam Allergic Children & Adults
Clindamycin x 3 weeks Ch: 20-30 mg/kg/day divided TID or QID Ad: 300 mg QID PO
157
Otitis Media in Children First Line
Amoxicillin HD: 75-90 mg/kg/day Divided BID or TID x10 days if \<2y x5 days if \>2y
158
Otitis Media in Children Second Line
Amoxicillin/Clavulanate HD: 75-90 mg/kg/day amoxicillin Divided BID or TID
159
Otitis Media in Children If frequent bouts
Amoxicillin/Clavulanate HD: 75-90 mg/kg/day amoxicillin Divided BID or TID
160
Otitis Media in Children If Penicillin Allergic
Azithromycin (if anaphylaxis) Or Cefuroxim (if rash) Az: Day 1: 10 mg/kg Once daily Day 2-5: 5 mg/kg Once daily Cef: 30 mg/kg/day divided BID
161
Azithromycin in Children 5-day treatment vs 3-day treatment
5-day: Day 1: 10 mg/kg once daily Day 2-5: 5 mg/kg once daily 3-day: 10 mg/kg Once daily for 3 days
162
Otitis Media in Children Last resort
Ceftriaxone 50 mg/kg Q24H IM or IV x 3 days
163
Bacterial Meningitis in \<6 weeks
Ampicillin + Cefotaxime Ampicillin: 100-200 mg/kg/day divided Q6H to Q12H Cefotaxime: 100-200 mg/kg/day divided Q6H to Q12H
164
Bacterial Meningitis in Infants 6 weeks to 3 months
Ampicillin +Vancomycin + Cefotaxime Ampicillin: 200 mg/kg/day divided Q4-6H Double dose if GBS Cefotaxime: 300 mg/kg/day divided Q6H Vancomycin: 60 mg/kg/day divided Q6H
165
Bacterial Meningitis In Children \>3 months
Vancomycin + Ceftriaxone Vancomycin: 60 mg/kg/day divided Q6H Ceftriaxone: 100 mg/kg Q12H x 3 doses Then Q24H
166
Bacterial Meningitis in Adults
Vancomycin + Ceftriaxone Vancomycin: 15-20 mg/kg Q8-12H Ceftriaxone: 2 gr Q12-24H
167
Bacterial Meningitis Post-Exposure Prophylaxis Hemophilus vs Meningococcus
H: Rifampin 20 mg/kg once daily x4 days M: Rifampin 5-10 mg/kg Q12H x2 days
168
Cefotaxime in CAP (adults)
1-2 g Q8H IV X 5-10 days
169
Ceftriaxone in CAP (adults)
1-2 g Q24H IV X 5-10 days
170
Levofloxacin in CAP (adults)
Oral: 500 mg Q24H x10 days Or 750 mg Q24H x5 days IV: 500 mg once daily
171
Azithromycin in CAP
Oral: 500 mg 1st day Then 250 mg x4 days Or 500 mg daily x3 days
172
Croup First Line Treatment
Dexamethasone 0.2-0.6 mg/kg PO/IM/IV Single dose
173
Croup 2nd Line Treatment
Budenoside+ Epinephrine (Both: Nebulized) Budenoside: 2 mg (4 ml) Epinephrine: 5 ml of 1:1,000
174
Endocarditis Oral Prophylaxis in Children and Adults
Amoxicillin PO Children: 50 mg/kg Adults: 2 g
175
Endocarditis Parenteral Prophylaxis in Children and Adults
Ampicillin Children: 50 mg/kg IV or IM Adults: 2 g IV or IM
176
Endocarditis Oral Prophylaxis in Children and Adults if Penicillin Allergic
Cephalexin Children: 50 mg/kg Adults: 2 g
177
Endocarditis Parenteral Prophylaxis in Children and Adults if Penicillin Allergic
Cefazolin Children 50 mg/kg IM or IV Adults 1 g IM or IV
178
Topical Benzoyl Peroxide in Acne
Start with 2.5% (or 5% or 10%) Apply SD or BID Cream, Lotion, Gel
179
Topical Tretinoin in Acne
0.01% or 0.025% or 0.05% or 0.1% Apply QHS
180
Topical Antibiotics in Acne
Clindamycin 1% Or Erythromycin 2% Apply BID
181
Doxycycline in Acne
PO Initial 100 mg/day Maintenance 100-200 mg/day For 12 weeks
182
Metronidazole in C.Difficile
PO 500 mg TID x 10-14 days + S.Boulardii
183
Vancomycin in Severe C. Difficile
PO 125 mg QID x10-14 days
184
Ciprofloxacin in Travellers Diarrhea
PO 500 mg BID x3 days Or 750 mg Single dose
185
H Pylori Eradication Standard triple therapy
PPI BID Clarithromycin 500 mg BID Amoxicillin 1 gr BID x 10-14 days
186
H Pylori Eradication Alternative triple therapy
PPI BID Clarithromycin 250 mg BID Metronidazole 500 mg BID x 10-14 days (in beta lactam allergy)
187
Trichomoniasis Treatment
Metronidazole 2 g PO Single Dose Or 500 mg BID PO x7 days (Safe in Pregnancy)
188
Bacterial Vaginosis Treatment
Metronidazole Preferred dose: 500 mg BID PO x7 days Alternative dose: 2 g PO Single Dose
189
Vulvovaginal Candidiasis Treatment (Uncomplicated)
Clotrimazole 200 mg Vaginal Tablet 1 tab daily PV x3 days Or 500 mg Vaginal Tablet 1 tab PV Single Dose Or Fluconazole 150 mg PO x Single Dose
190
Chlamydia Infection Treatment
Azithromycin 1 g PO Single Dose
191
Gonorrhea Infection
Ceftriaxone 250 mg IM Single Dose
