Family Medicine Techniques, Tips and Treatment Options Flashcards
Drug addiction and withdrawal
Suboxone (Buprenorphine)
How to treat anxiety
Initiate an SSRI as baseline and use a benzodiazepines for break through.
Zoloft (Sertraline) or
Xanax (Alprazolam)
Withdrawal symptoms
Vistaril (hydroxyzine)
How to treat depression
Celexa (Citalopram)
What is the benefit of Welchol
Lowers LDL-C and improves glycemic control. Good for dyslipidemia and diabetes
Dannitol
Phenobarbital +Atropine + scopolamine
Blepharitis
Inflammation of the eye follicles
High blood pressure
The list is far too long.
According the ATP-3; consider starting with HCT and then adding an ACE or beta blocker for Heart failure
Treatment options for hyperthyroidism
Methimazole,
PropylThioUracil,
Tapazole
Treatment for pre-diabetes
- Diet and exercise
- Metformin
- Janumet
- Glyburide
Treatment for neuropathic pain
Neurontin (Gabipentin)
Lyrica (Pregabalin)
Neuropathic Pain management
Neurontin (gabapentin)
Lyrica (Pregabalin)
Treatment of Migraines
Imitrex (Sumatriptin)
Amerge (Naratriptin)
What is used as an anti convulsant and for neuropathic pain and is more potent than gabapentin
pregabalin
prevention of migraines
Topamax (Topiramate)
What are some options for pain control
NSAIDS Percocet Exalgo Opana Norco Lortabs Nucyntra (tapentadol) Ultram (tramadol)
Diagnostic protocol for gall bladder issues
- Ultrasound
- Hidascan
- Endoscopy
What are the first generation anti depressants
Tricyclics
Scoring system of AFIB
CHAD S2 Score: Congestive Heart Failure, Hypertension, Age > 75, Diabetes Mellitus, Stroke (Prior)
What are the 2nd generation heterocyclic Anti depressants
Trazodone (Desyrel)
Buproprion (Wellbutrin)
What is the determination of a liver transplant
MELD Score:
MELD = 3.78[Ln serum bilirubin (mg/dL)] + 11.2[Ln INR] + 9.57[Ln serum creatinine (mg/dL)] + 6.43
What are the 3rd generation heterocyclic Anti depressants
Venlafaxine (Effexor)
Nefazodone (Serzone)
Mirtazopine (Remeron)
Vilazodone (Viibryd)
What is the Common bacteria associated with hospital acquired pneumonia
Pseudomonas
What is the mechanism of action of the 3rd generation heterocyclic anti depressants
Block serotonin and Nor epinephrine
What is the treatment for HAP
- Flouroquine
- Zosyn
- Vancomycin
name the SSRI’s
Fluoxetine (prozac) Sertraline (zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (Celexa) Escitalopram (Lexapro)
What are the bugs associated with community acquired pneumonia
- Strep Pneumo 2. Mycoplasma
Name the short acting benzodiazepines
Triazolam (Halcion)
Oxazepam (serax)
Midazolam (Versed)
Alprozolam (xanax)
What is the treatment for CAP
Option A.
- Rocefin
- zithromax
Option B.
Levoquin
What is the duration of short acting benzo’s
2-8 hours
Can Amiodarone lead to a complete loss of thyroid function
Oh yea
Name the intermediate acting benzodiazepines
Temazepam (Reston)
Lorazepam (Ativan)
What labs are needed when admitting a new patient
CMP, CBC, Chest Xray, EKG, Sed Rate
What is the duration action of intermediate acting benzo’s
10-20 hours
What is the cutoff value for determination of COPD vs CHF?
BNP of 100
Name the long acting benzodiazepines
Chlordiazepoxide (librium)
Diazepam (Valium)
Fluorazepam (Dalmane)
clonazepam (Klonipin)
What is the lab short hand for electrolytes
NA/K,
Cl/CO2,
BUN/Cr,
Ca/Glucose
What is the first line treatment for depression
SSRI’s
What is the lab shorthand for blood
WBC>HG/HCT<pH
What class of drugs will lower LDL the most
Statins (18-55% reduction)
What are the 2nd generation heterolytic antidepressants
Trazodone (desyrel)
Buproprion (wellbutrin)
Name the statins
Lovastatin Pravastatin Simvastatin Fluvostatin Atorvastatin Cerivastatin
Name the 3rd generation heterolytic anti depressants
Venlafaxine (Effexor)
Nefazodone (Serzone)
Mirtazopine (Remeron)
What is the effect of the statins
LDL (reduced 18-55%)
HDL (reduced 5-15%)
TG (Reduced 7-30%)
What is the mechanism of the 3rd generation heterolytic anti depressants
Block serotonin and nor epinephrine
Name the bile acid sequestrants
Cholestyramine
Colestipol
Colesevalam
Name the SSRI’s
Fluoxetine (prozac) Sertraline (Zoloft) Paroxetine (paxil) Fluvoxamine (luvox) Citalopram (celexa) Excitalopram (lexapro)
What are the effects of the bile acid sequestrants
LDL (reduced 15-30%)
HDL (reduced 3-5%)
TG (no change or increased)
Name the short acting benzo’s (2-8 hours)
Triazolam (halcion) oxcizepam (serax) midazolam (Versed) Clonazepam (klonipin)
What are the effects of nicotinic acid
LDL (reduced 5-25%)
HDL (reduced 15-35%)
TG (reduced 20-50%)
Name the intermediate acting benzo’s (10-20 hours)
Temazepam (Restron)
Lorazepam (Ativan)
Name the fibric acids
Gemofibrozil
Fenofibrate
Clofibrate
Name the long acting benzo’s (1-3 days)
Chlordiazepoxide (librium) Diazepam (Valium) Fluorazepam (Dalmane)
What are the effects of fibric acids
LDL (reduced 5-20%)
HDL (reduce 10-20%)
TG (Reduced 20-50%)
What is natural penicillin used to treat
Streptococci Meningococci Clostridium Listeria Enterococci Diptheria Anthrax Syphilis Spirochetes Actinomycosis Bacteroides
What can be used for nausea
Zofran (Ondansetron)
Reglam (metoclopromide)
Name the antipseudomonal penicillins
piperacillin (zosyn)
What can be used to improve memory
Nomanda (memantine)
Exelon (Rivastigmine)
Name the extended spectrum penicillins
Amoxicillin
Ampicillin
What can be used to prevent coagulation
Pradaxa (Dabigatran)
Plavax (Clopidogrel)
Warfrin (Coumadin)
Heparin Enoxaparin
Name three examples of B-lactamase inhibitors
clavulonic acid Sulbactam Tazobactam
What is an FDA approved prescription weight loss drug
Bellviq (locaserine hydrocholoride)
Qsymia (Phentermine + topiramate)
1st gen cephalosporins treat what organisms
GRAM + and PECK: Gram positive (Pneumococci, streptococcus and staphylococcus),
Gram Negative bacilli (PEcK)
Proteus,
E. Coli,
Klebsiella