Drugs Of Choice Quiz Flashcards
Neonatal CMV
Ganciclovir
Neonatal hepatitis
Empiric: ampicillin + 3rg gen ceph or aminoglycoside
Neonatal HSV
Acyclovir
Kawasaki
IVIG 2g/kg over 12h AND ASA 100mg/kg/day
Turner’s syndrome
Recombinant growth hormone
Klinefelter
Androgen replacement
H. pylori
PPI + Clarithromycin + Amoxicillin/ Metronidazole
PSGN
Penicillin G for 10 days to stop nephritogenic strains from spreading
Shigella
Ciprofloxacin 15mkd 2x day for 3 days
IMCI
Streptococcal sore throat
Benzanthine Penicillin IM
OR Phenoxymethyl penicillin PO
IMCI
Which supplements to give for:
1 Measles <2YO
Which supplements to give for:
1 Measles <2YO 10mg Zn
IMCI
Anemia
Iron
Mebendazole 500mg/tab
IMCI
Status migranosus (>3 days)
Pro chlorpromazine IV 0.15mg/kg
Migraine prophylaxis
Propranolol
Flunarizine
Bac men
N meningitidis
S pneumoniae
Bac men
N meningitidis Pen IV 5-7D
S pneumoniae Pen IV 10-14 D
Listeria monocytogenes Ampicillin
H influenzae 7-10D
Empiric tx: 3rd gen ceph or vanco
Bain abscess Empiric Head trauma CHD Infected VP shunt ICC
Empiric: 3rd gen ceph plus metro If head trauma or NSS add nafcillin OR vanco If CHD pen plus metro If infected VP shunt vanco plus ceftaz ICC: broad spectrum with ampho B
MG
Neostigmine
Thymectomy if high titers of Ab
Consider prednisone and plasmapheresis
Status epilepticus
Diazepam/lorazepam then phenytoin then phenobarbital
GBS
IVIG
High dose methyprednisolone for relapse
Corynebacterium diphtheria
Main: ANTI TOXIN
Pen G to stop toxin production
Erythromycin for nasopharyngeal production
Bored tells pertussis
Erythromycin AND isolation for 5 days after therapy initiation
Even for household contacts
N. meningitidis
Tx and prophylaxis
Pen G 250k/kg/day for 5-7days
Alt ceftri/ cefotaxime
Prophylaxis: Rifampicin/ ciprofloxacin and ceftriaxone
S. typhi
Chloramphenicol if MDR FQ like ciprofloxacin if FQ resistant ceftri
If severe start with with Ampicillin
Shigella
Oral ampicillin in the US
IMCI dysentery is Cipro
Give zinc!
ETEC
TMP-SMZ
Vibrio cholera
Tetracycline NOT for less than 9
Give TMP SMZ instead
Tetnaus
Penicillin G 100k/kg/day plus TIG or antitoxin and toxoid booster
Alt metronidazole or erythromycin
Syphyllis Primary Secondary Early latent Congenital
Syphyllis
Primary Benzanthine pen g 50k per kg single dose
Secondary Benzanthine pen g
Early latent Benzanthine pen g
Congenital aqueous pen g 100k/kg/day for 10 d
Leptospirosis
Pen G 6-8M units/m2/day for 7D
Measles
Treatment
Prophylaxis
Give vitamin A
Give Ig 6 days after exposure
Also give post exposure vaccine if more than 1 year old
For SSPE give interventricular interferon a2b inosiplex
Varicella
Acyclovir if severe dz or ICC 24h from the onset of the rash
Post exposure: active vaccine within 3-5 days of exposure to modify course
If if preggy or ICC within 4D post exposure
IF MOTHER HAS LESIONS 5D before to 2D days after birth GIVE BABY VARIZ IG ASAP!!!
Herpes simplex
Acyclovir
IV disseminated
Topical genital if NOT recurrent
Oral within 72 hours of lesion onset
CMV
Ganciclovir for 14 days
IVIG
Influenzae
Amantadine
Rimantadine
Oseltamivir
Rabies
Cat 3
Anti rabes Vaccine 0 3 7 14 28
HRIG 20u per kg or ERIG
Impetigo
Cloxacillin
Ecthyma
Cloxacillin
Cellulitis
Strep
Staph
H flu
Strep penicillin
Staph oxacillin
H flu ampicillin and chloramphenicol
Tinea versicolor
Fluconazole
Selenium sulfide 2.5%
Scabies
Permethrin 5%
Lindane lotion
Urticaria
Diphenhydramine 1mg/kg IM
Erythema multiforme
Wet compress and oral antihistamines
RF primary tx
Pen VK or Benzanthine pen or Erythromycin
Also give ASA ad prednisone
RF prophylaxis
Pen VK Benzanthine pen Arthritis 5 y Heart dz resolved 10y or until 21 Heart dz with residual 10y or 40
Infective endocarditis
Staph
Strep
Staph with prosthetic valves
Staph Oxacillin with genta (pocket Pedia says methicillin plus genta)
Strep pen g plus genta
Staph with prosthetic valves same as staph above but add Rifampicin
Hyperpit with excess growth
Octreotide a somatostatin analog
Chlamydia pneumonia
Erythromycin PO 14d
Mycoplasma pneumonia
Erythromycin, clarithromycin or AZITHROMYCIN