drug call Flashcards

1
Q

if prescribing imipenem add?

A

cilastatin
protect kidneys by avoiding inactivation of renal dehydropterase 1

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2
Q

chlamydia 1 and 2

A
  1. doxycycline
  2. *azrithromycin/ levoflo
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3
Q

bacterial prostasis

A

levofloxacin, flouroquinolones

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4
Q

bacterial prostasis and heart issues

A

co-trimoxazole

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5
Q

meningitis with petechia

A

ceftriaxone + vancomycin

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6
Q

meningitis with hib

A

ceftriaxone

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7
Q

bacterial meningitis prophylaxis

A

Cefrtiaxone
Ciprofloxacin
rifampin

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8
Q

emperic tx for endocardiits

A

vanco and gent

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9
Q

enterococcus endocarditits

A

vanco and gent

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10
Q

travelers diahrea but pregnant

A

amoxicillin-clav

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11
Q

2 options for emperic pneumonia

A

macrolide or tetracycline

(covers atypicals)

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12
Q

legionella pneumonia

A

respiratory fluoroquinolone +/- macrolide

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13
Q

acute sinusitis with failed tx attempts

A

ceftriaxone (think of the strep pneumo and hib that are the causal agents)

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14
Q

sepsis

if MRSA suspected

A

fluoroquinolone +/- gentamicin

if mrs is suspected vancomycin

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15
Q

cefazolin preop prophylaxis alternative

A

clindamycin

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16
Q

syphillus with severe penecillin allergy

A

macrolide

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17
Q

uti and pregnant

side effects of the original meds

A

amoxicillin

co-trimoxazole can cause neural tube defects in child via hyper kalcemia

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18
Q

uti allergic to penicillin and pregnant

A

nitrofurination

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19
Q

does monobactam cross react with penicillin alx
does bacitracin

which one is a beta lactam

A

no
no

monobactam is a beta lactam

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20
Q

atypical pneumonia and pregnant

A

macrolide

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21
Q

vaginitis

A

metronidazole

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22
Q

aspirational pneumonia tx

A

clindamycin

dont want to be too broad with the fluoroquinolone

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23
Q

prophylaxis foe endocarditis is allergic to amoxicillin

A

Macrolide
Clindamycin
Cephalexin

24
Q

ceftriaxone resistant gonorhea

A

*azrithomycin + gentamicin

25
resistant herpes zoster
forscanet otherwise can use acyclovir/valcyclovir
26
hiv and pregnant
zidovudine (thymine analogue that causes neutropenia)
27
myoclonic seizures and adjunct
valporate Levetiracetam adjunct
28
atonic seizures
Valproate + lamotrigine + a benzodiazepine
29
febrile convulsions
if more than 5 min duration diazepam IV or rectal
30
second stage status epilepticus (20-40 minutes of seizure)
phenytoin levetriaban valporic acid Phenobarbital
31
third stage status epilepticus (40+ min)
thiopental, midazolam, pentobarbital, proprofol
32
first line for essential tremor
Primidone (AE similar to barbiturates) propranolol
33
inhaled anesthetics for myocardial impairment
DIS flurane
34
which inhaled anesthetics have the highest risk for arrythmia
halothane and
35
which inhaled anesthetic will have highest risk for tonic clonic seizures
enflurane
36
used to facilitate endotracheal intubation during induction of anesthesia
succinylcholine
37
trigeminal neuralgia, neuro pain, bipolar, epilepsy
carbamazepine
38
restless leg syndrom, near pain ,antiepileptic
gabapentin
39
epilepsy and bipolar
lamotrigine
40
neuropathic pain and epilepsy
prebalin
41
migraine and epilepsy
topimarate
42
bipolar disorder, migraine, and epilepsy
valporate
43
campy jejuni
azithromycin
44
neisseria meningitis pregnant and allergic to penicillin
aztronam
45
aerobic, motile, catalase and oxidase positive non-lactose fermenting gram negative rod
pseudomonas
46
pharyngitis 2
macrolide
47
pyllonephritis
cpirofloxain
48
which cepholosporins have AE of disulfiram rxn and hypoprothrombinemia
teta and mandole zone
49
like Penicillin G(mostly all G+ and a few G-) and can use as alternative od staph penicillinase
1st gen cepholosporin
50
abdominal cavity infections
anti-pseudomonas 2nd gen cepholospoin 4th gen cepholosporin
51
most against G- and can adequately reach CNS
cefrotriaxone think about how it works for meningitis and for disseminated Lyme but not regular
52
empiric meningitis
ceftriaxone
53
salmonella
ceftriaxone fluoroquin
54
c.diff
vanco fidaxomicin metronidazole
55
tuleremia
strepomycin
56
* NS5A Inhibitor
Ledipasvit inhibits phosphoprotein
57