Drug list Flashcards
- Indications: Best for staph and strep, and limited anaerobes (E. Coli, Klebsiella)
- No MRSA coverage
- Renal Dosing Required
Rx: Keflex 500 mg
Disp: 28
Sig: 1 PO q12 hrs
- Indications: Staph
- NO MRSA coverage
- Improved coverage for PCN resistant anaerobes not covered by Kelfex (E. Coli, Klebsiella, Pastuerella, Bacteroides
Rx: Augmentin 500/125 mg
Disp: 28
Sig: 1 PO q12 hrs
For surgical prophylaxis 30-60 minutes prior to surgery per SCIP protocol
Rx: Kefzol 1gm IV preoperatively
- Indications: Soft tissue infection gram positive and gram negative coverage
- Antipseudomonal
- Commonly combined with clindamycin for oral antibiotic therapy for broad spectrum coverage of polymicrobial infection seen in the diabetic foot
Rx: Cipro 500mg
Disp: 28
Sig: 1 PO q12 hrs
- Indications: Soft tissue infeciton gram positive anaerobic coverage
- Commonly combined with cipro for oral antibiotic therapy for broad spectrum coverage of polymicrobial infection seen in the diabetic foot
- Utilized for SCIP protocol bacterial prophylaxis with surgery dosed at 600 mg IV
Rx: Cleocin 300mg
Disp: 56
Sig: 1 PO q6 hrs
Indications: Soft tissue and bone infection
-Effective against MRSA (Good PO drug however MRSA resistance increasing in community)
Rx: Bactrim DS 160/800mg
Disp: 28
Sig: 1 PO q 12 hrs
- MRSA coverage (good IV to PO drug treatment for MRSA when transitioning from hospital to outpatient care without need for PICC line)
- Coverage for Vancomycin Resistant Enterococcus (VRE)
Rx: Zyvox 600 mg
Disp: 28
Sig: 1 PO q12 hrs
- MRSA coverage
- No pseudomonal coverage
- Must be given within 2 hours of incision when utilized for preoperative bacterial prophylaxis
- PO use is only for the treatment of C. diff colitis, not MRSA
Rx: Vancomycin 1 gm
Sig: IV q12 hrs
Indications: skin infection including complicated diabetic foot
- good broad spectrum for diabetic foot without pseudomonas coverage
- no MRSA coverage, no Pseudomonal coverage
Rx: 1 gram
Sig: IV q24 hrs
Good broad spectrum coverage for diabetic foot with pseudomonas coverage
-no MRSA coverage
Rx: Zosyn 3.375 gm
Sig: IV q6 hrs
Indications: skin and bone infection
- No MRSA, Pseudomonas
- Broad spectrum GM +/- and anaerobes
Rx: Unasyn 3 grams
Sig: IV q6 hrs
Nonselective Cox inhibitor
Rx: Motrin 800 mg
Disp: 120
Sig: 1 PO q6 hrs
- Selective Cox-2 inhibitor
- Contraindicated if sulfa allergy
Rx: Celebrex 200 mg
Disp: 30
Sig: 1 PO QD
Nonselective Cox Inhibitor
Rx: Naprosyn 500 mg
Disp: 60
Sig: 1 PO BID
- Very irritating to the stomach
- Primarily used in acute gout attack (2 week course)
Rx: Indocin 50 mg
Disp: 42
Sig: 1 PO TID
Nonselective Cox inhibitor (acute post op pain)
Not to utilize beyond 5 days due to renal toxicity
-Contraindicated if history of asthma
Rx: Tordol
Disp: 20
Sig: 1 PO q 6 hrs
Used at the onset of a reaction
Rx: Benedryl 50 mg
Sig: 1 PO at onset
This is a drug with codeine
Rx: T#3 300/30 mg
Disp: 114
Sig: 1-2 PO q6 hrs
Alternate trade names: Lorcet, Lortab, Norco, Hycet
Rx: Vicodin 5/300 mg
Disp: 40
Sig: 1-2 PO q6 hrs
Action through opioid receptors and limits norepinephrine/ serotonin uptake
Rx: Tramadol 50 mg
Disp: 56
Sig: 1 PO q6 hrs prn pain
For opioid reversal
Narcan 0.1-0.2 mg
Sig: IV q3 min prn
Acute pain relief opioid that does not produce euphoria so not attractive to recreational drug seekers
Nucynta 50 mg
Disp: 40
Sig: 1 PO q8 hrs prn pain
For acute/moderate pain for extending period use
Rx: MS Contin ER 15 mg
Disp: 28
Sig: 1 PO q12 hrs
Used for pain with oxy
Rx: Percocet 5/325 mg
Disp: 40
Sig: 1-2 PO q6 hrs prn pain
PCA
do not use with compromised renal function as increases in secondary metabolites can cause erratic and delusional behavior. Consider dilaudid alternative
Rx: Morphine Sulfate 1 mg/ml
Sig: IV q10 min
PCA
No active secondary metabolites that accumulate with renal disease
Rx: Dilaudid 0.1mg/ml
Sig: IV q10 min
Preoperative sedation
Rx: Versed 1mg IV
Can be given for insomnia with post-op pain however additive interactive affect with narcotic
Rx: Ambien 5mg
Disp: 14
Sig: 1 PO qhs prn insomnia
Used for pain associated with muscle spasms
I.e: joint distraction, Ex Fix distraction re-alignment, spasms after major tendon surgery
Rx: Flexeril 10mg
Disp: 40
Sig: 1 PO TID
- Used for pain associated with muscle spasms (joint distraction, Ex fix distraction realignment, spasms after major tendon surgery)
- Also for anxiety, pre-op sedation, ETOH withdrawal symptoms
Rx: Valium 5mg
Disp: 40
Sig: 1 PO TID
Used for peripheral neuropathy
Contraindicated in glaucoma and psychiatric illess
Rx: Cymbalta 60 mg
Disp: 30
Sig: 1 PO QD
Used in peripheral neuropathy, tapered dose
Rx: Neurontin 300mg
Disp: 90
Sig: Taper dose 300 mg QD day 1, then 300 mg BID day 2, then 300 mg TID day 3, increase incrementally up to max dose of 1,200 mg daily
Used for chronic pain/Neuropathy
-may increase up to 100 mg TID
Rx: Lyrica 50 mg
Disp: 90
Sig: 1 PO TID
Anti-fungal
LFT should be normal prior to therapy
Rx: Lamisil 250 mg
Disp: 90
Sig: 1 PO daily
Anti-fungal cream steroid
Rx: Lotrisone 1% cream
Disp: 45 grams
Sig: apply to feet daily
Anti-fungal cream, smallest amount dispensed
Rx: Naftin 1% cream
Disp: 15 gms
Sig: apply to feet daily
Anti-fungal solution
Rx: Penlac 8% solution
Disp: 6.6 ml
Sig: apply to nails qhs and remove with ETOH q7 days
Anti-fungal
Used for secondary interdigital bacterial infections associated with tine pedis
Rx: Cleocin T 1% gel
Disp: 60 grams
Sig: apply BID between digits
Tapered dose of steroid over 6 days
Rx: Medrol dose pack
Sig: start at 24mg day 1 downward to 4 mg a day over a 6 day period
-Utilized for post-op nausea
Potentiates the opioid effect of narcotics so caution when used in combination. This can be utilized to potentiate pain medications for individuals who require more pain relief as well
Rx: Phenergan 25 mg
Disp: 12
Sig: 1 PO q6 hrs
for nausea and vomiting
Rx: Zofran 4 mg
Disp: 12
Sig: 1 PO q8 hrs prn
Gastric ulcer prophylaxis with NSAID use in at risk patients
Rx: Prilosec 20 mg
Disp: 30
Sig: 1 PO QD
For DVT prophylaxis with immobility
Rx: Lovenox 40 mg
Sig: Sc daily
For DVT/ PE treatment for inpatient who weights 70 kg
Rx: Lovenox 1mg/kg
Sig: SC q12 hrs
- Extended DVT prophylaxis
- DVT treatment
Rx: Coumadin 5mg
Disp: 30
Sig: 1 PO daily
-For DVT prophylaxis
Rx: Heparin
Disp: 5000 units
Sig: SC q12 hrs
Write out a CBC skeleton and fill the numbers and units
1) WBC = 4000-10000 cells/ul
2) Hemoglobin = 14-17 g/dl male and 12-15 g/dl female
3) Platelets 250000-400000 cells/ul
4) Hematocrit 40-50 % male and 35-45 % female
Write out an CMP skeleton and fill in the number sand units
1) Na = 135-145 meq/L
2) Cl = 100-110 meq/L
3) BUN = 5-20 mg/dl
4) K = 3.5-5 meq/L
5) Bicarb = 25-30
6) Cr = <1.1
7) Glucose = 70-110 mg/dL
What is the Cockcroft-Gault Estimate of GFR equation
(140-age) x Mass(kg) /72 x serum Cr
Multiply the whole my .85 for women
