Hepatitis and Diverticulitis

Question 1

contraindication for hep C treatmen

Answer 1

<6 months life expentancy

Question 2

must test for ____ before starting Hep C meds

Answer 2

Hep B

Question 3

1st line Hep C treatments

Answer 3

G/P and Sof/Vel
Glecaprevir & Pibrentasvir (PG)
Sofosbuvir & Velpatasvir (Sof/Vel)

Question 4

ribavirin contraindications

Answer 4

Females that are pregnant/may become pregnant
Males whose female partners may become pregnant X 6 mo
Patients with hemoglobinopathies (thalassemia major, sickle-cell)
Patients on didanosine

Question 5

are there any hep C treatmetns approved for pregnancy?

Answer 5

no

Question 6

ribavirin as an alt to be used in combo for Hep C is also used for treating ___ and ___

Answer 6

RSV, Hep B

Question 7

Complicated diverticulitis is defined as

Answer 7

diverticulitis with one of the following associated complications: bowel obstruction, abscess, fistula, or perforation.

Question 8

Pt w/…. the abdomen is distended and diffusely tender to light palpation. There is diffuse guarding, rigidity, and rebound tenderness, and bowel sounds are absent

Answer 8

free perforation in diverticulitis

Question 9

diverticulitis single agent treatmetn

Answer 9

Zosyn

Question 10

diverticulitis dual agent treatment

Answer 10

metronidazole + 1 of below:
Cefazolin (Ancef) IV only, first generation ceph
Cefuroxime (Ceftin) IV or PO, 2nd gen
Ceftriaxone (Rocephin) IV or IM, 3rd gen
Only one dosed Q24 hours!
Cefotaxime (Claforan) IV or IM, 3rd gen
Cipro: quinolone
Levaquin: quinolone

Question 11

outpatient abx for diverticulitis

Answer 11

cipro + metronidazole OR augmentin X 7-10 d