Drug Questions Flashcards
A patient present to your clinic with bronchitis but has a sulfa allergy. Which abx is safe to use?
Answer: Amoxicillin
How would you treat CAP in an otherwise healthy patient who has not recently received abx?
Answer: Azithromycin
How would you treat CAP in an otherwise healthy patient who HAS recently taken abx?
Answer: Respiratory fluoroquinolones (i.e. Levofloxacin)
What class of drugs is used for relief of acute symptoms related to bronchospasm? Note: every patient should have one of these**
Answer: SABA (Albuterol)
An otherwise healthy patient with no abx use in the past 3 months comes to your clinic and diagnosed with CAP.
What is the treatment you would choose?
Answer: Azithromycin, Clarithromycin, Doxy
T or F: A rescue inhaler is intended for long-term maintenance?
Answer: False; rescue only – not maintenance
You need to treat a 2 yr old child who is clinically stable for CAP, but in an outpatient setting. What antimicrobial is appropriate?
Answer: Amoxicillin
A pregnant woman contracts the flu. Which antiviral is appropriate?
Answer: Oseltamivir
What is the 1st line treatment of CAP in children?
Answer: Amoxicillin, duration 5-10 days
A patient comes in with PNA, has co-morbidities, and has received abx recently. How would you treat this patient?
Answer: Respiratory fluoroquinolones OR Macrolide + Beta Lactam
When the provider chooses a resp fluoroquinolone, what does you suspect the NP is trying to prevent?
Answer: Antibiotic resistance
In patients that have received abx in the past 3 months, choose a regimen that includes an abx from what a ____________ drug class?
Answer: Different
Pertussis can be treated with what abx?
Answer: Macrolides (if <1 mo – azithromycin; if >1mo – azithromycin, clarithromycin, erythromycin)
Why is azithromycin the BEST choice for an infant <1 mo to treat pertussis?
Answer: Less risk of pyloric stenosis
The patient cannot take a macrolide to treat their pertussis. What can be given if patient is >2 mo of age?
Answer: Bactrim
