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Medicine quiz material > Drug list > Flashcards

Drug list Flashcards

1
Q
  • Indications: Best for staph and strep, and limited anaerobes (E. Coli, Klebsiella)
  • No MRSA coverage
  • Renal Dosing Required
A

Rx: Keflex 500 mg
Disp: 28
Sig: 1 PO q12 hrs

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2
Q
  • Indications: Staph
  • NO MRSA coverage
  • Improved coverage for PCN resistant anaerobes not covered by Kelfex (E. Coli, Klebsiella, Pastuerella, Bacteroides
A

Rx: Augmentin 500/125 mg
Disp: 28
Sig: 1 PO q12 hrs

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3
Q

For surgical prophylaxis 30-60 minutes prior to surgery per SCIP protocol

A

Rx: Kefzol 1gm IV preoperatively

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4
Q
  • 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
A

Rx: Cipro 500mg
Disp: 28
Sig: 1 PO q12 hrs

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5
Q
  • 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
A

Rx: Cleocin 300mg
Disp: 56
Sig: 1 PO q6 hrs

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6
Q

Indications: Soft tissue and bone infection

-Effective against MRSA (Good PO drug however MRSA resistance increasing in community)

A

Rx: Bactrim DS 160/800mg
Disp: 28
Sig: 1 PO q 12 hrs

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7
Q
  • 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)
A

Rx: Zyvox 600 mg
Disp: 28
Sig: 1 PO q12 hrs

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8
Q
  • 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
A

Rx: Vancomycin 1 gm
Sig: IV q12 hrs

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9
Q

Indications: skin infection including complicated diabetic foot

  • good broad spectrum for diabetic foot without pseudomonas coverage
  • no MRSA coverage, no Pseudomonal coverage
A

Rx: 1 gram
Sig: IV q24 hrs

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10
Q

Good broad spectrum coverage for diabetic foot with pseudomonas coverage
-no MRSA coverage

A

Rx: Zosyn 3.375 gm
Sig: IV q6 hrs

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11
Q

Indications: skin and bone infection

  • No MRSA, Pseudomonas
  • Broad spectrum GM +/- and anaerobes
A

Rx: Unasyn 3 grams
Sig: IV q6 hrs

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12
Q

Nonselective Cox inhibitor

A

Rx: Motrin 800 mg
Disp: 120
Sig: 1 PO q6 hrs

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13
Q
  • Selective Cox-2 inhibitor

- Contraindicated if sulfa allergy

A

Rx: Celebrex 200 mg
Disp: 30
Sig: 1 PO QD

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14
Q

Nonselective Cox Inhibitor

A

Rx: Naprosyn 500 mg
Disp: 60
Sig: 1 PO BID

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15
Q
  • Very irritating to the stomach

- Primarily used in acute gout attack (2 week course)

A

Rx: Indocin 50 mg
Disp: 42
Sig: 1 PO TID

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16
Q

Nonselective Cox inhibitor (acute post op pain)
Not to utilize beyond 5 days due to renal toxicity
-Contraindicated if history of asthma

A

Rx: Tordol
Disp: 20
Sig: 1 PO q 6 hrs

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17
Q

Used at the onset of a reaction

A

Rx: Benedryl 50 mg
Sig: 1 PO at onset

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18
Q

This is a drug with codeine

A

Rx: T#3 300/30 mg
Disp: 114
Sig: 1-2 PO q6 hrs

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19
Q

Alternate trade names: Lorcet, Lortab, Norco, Hycet

A

Rx: Vicodin 5/300 mg
Disp: 40
Sig: 1-2 PO q6 hrs

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20
Q

Action through opioid receptors and limits norepinephrine/ serotonin uptake

A

Rx: Tramadol 50 mg
Disp: 56
Sig: 1 PO q6 hrs prn pain

21
Q

For opioid reversal

A

Narcan 0.1-0.2 mg

Sig: IV q3 min prn

22
Q

Acute pain relief opioid that does not produce euphoria so not attractive to recreational drug seekers

A

Nucynta 50 mg
Disp: 40
Sig: 1 PO q8 hrs prn pain

23
Q

For acute/moderate pain for extending period use

A

Rx: MS Contin ER 15 mg
Disp: 28
Sig: 1 PO q12 hrs

24
Q

Used for pain with oxy

A

Rx: Percocet 5/325 mg
Disp: 40
Sig: 1-2 PO q6 hrs prn pain

25
Q

PCA
do not use with compromised renal function as increases in secondary metabolites can cause erratic and delusional behavior. Consider dilaudid alternative

A

Rx: Morphine Sulfate 1 mg/ml
Sig: IV q10 min

26
Q

PCA

No active secondary metabolites that accumulate with renal disease

A

Rx: Dilaudid 0.1mg/ml
Sig: IV q10 min

27
Q

Preoperative sedation

A

Rx: Versed 1mg IV

28
Q

Can be given for insomnia with post-op pain however additive interactive affect with narcotic

A

Rx: Ambien 5mg
Disp: 14
Sig: 1 PO qhs prn insomnia

29
Q

Used for pain associated with muscle spasms

I.e: joint distraction, Ex Fix distraction re-alignment, spasms after major tendon surgery

A

Rx: Flexeril 10mg
Disp: 40
Sig: 1 PO TID

30
Q
  • 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
A

Rx: Valium 5mg
Disp: 40
Sig: 1 PO TID

31
Q

Used for peripheral neuropathy

Contraindicated in glaucoma and psychiatric illess

A

Rx: Cymbalta 60 mg
Disp: 30
Sig: 1 PO QD

32
Q

Used in peripheral neuropathy, tapered dose

A

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

33
Q

Used for chronic pain/Neuropathy

-may increase up to 100 mg TID

A

Rx: Lyrica 50 mg
Disp: 90
Sig: 1 PO TID

34
Q

Anti-fungal

LFT should be normal prior to therapy

A

Rx: Lamisil 250 mg
Disp: 90
Sig: 1 PO daily

35
Q

Anti-fungal cream steroid

A

Rx: Lotrisone 1% cream
Disp: 45 grams
Sig: apply to feet daily

36
Q

Anti-fungal cream, smallest amount dispensed

A

Rx: Naftin 1% cream
Disp: 15 gms
Sig: apply to feet daily

37
Q

Anti-fungal solution

A

Rx: Penlac 8% solution
Disp: 6.6 ml
Sig: apply to nails qhs and remove with ETOH q7 days

38
Q

Anti-fungal

Used for secondary interdigital bacterial infections associated with tine pedis

A

Rx: Cleocin T 1% gel
Disp: 60 grams
Sig: apply BID between digits

39
Q

Tapered dose of steroid over 6 days

A

Rx: Medrol dose pack
Sig: start at 24mg day 1 downward to 4 mg a day over a 6 day period

40
Q

-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

A

Rx: Phenergan 25 mg
Disp: 12
Sig: 1 PO q6 hrs

41
Q

for nausea and vomiting

A

Rx: Zofran 4 mg
Disp: 12
Sig: 1 PO q8 hrs prn

42
Q

Gastric ulcer prophylaxis with NSAID use in at risk patients

A

Rx: Prilosec 20 mg
Disp: 30
Sig: 1 PO QD

43
Q

For DVT prophylaxis with immobility

A

Rx: Lovenox 40 mg
Sig: Sc daily

44
Q

For DVT/ PE treatment for inpatient who weights 70 kg

A

Rx: Lovenox 1mg/kg
Sig: SC q12 hrs

45
Q
  • Extended DVT prophylaxis

- DVT treatment

A

Rx: Coumadin 5mg
Disp: 30
Sig: 1 PO daily

46
Q

-For DVT prophylaxis

A

Rx: Heparin
Disp: 5000 units
Sig: SC q12 hrs

47
Q

Write out a CBC skeleton and fill the numbers and units

A

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

48
Q

Write out an CMP skeleton and fill in the number sand units

A

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

49
Q

What is the Cockcroft-Gault Estimate of GFR equation

A

(140-age) x Mass(kg) /72 x serum Cr

Multiply the whole my .85 for women

Medicine quiz material (1 decks)

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