ID 2 Flashcards
preoperative antibiotic timing infuse antibiotic (e.g. cefazolin or cefuroxime) \_\_\_ min before incision (start of surgery)
60
if using a ___ or ___ antibiotic pre operative start the infusion 120 min prior to incision/ start of surgery
FQ or vancomycin
intra operative surgery is ___
anti biotics during surgery
additional doses are given if surgery is greater than 3-4 hours or with major blood loss
post operative abx are usually ___ needed but if used dc within __ hours
not
24
most preferred perioperative antibiotic
cefazolin bc it prevents MSSA and streptococci infections
if patient has a beta lactam allergy and cannot use cefazolin for pre operative surgery abx choose
clindamycin preferred
vancomycin if mrsa risk
for perioperative if surgery is colon or abdominal space related you need to include gram negative coverage so the drug isnt cefazolin its
cefotetan cefoxitin ampicillin/sulbactam (unasyn) ertapenem or metronidazole+cefazolin or ceftriaxone
meningitis classic symptoms
fever headache
stiff neck
AMS
diagnosis: lumbar puncture
meningitis is caused by
strep pneumo
neiserria men.
h flu
*listeria in certain groups
listeria needs additional tx with
ampicillin
for meningitis tx dexamethasone can be given 15-20 minutes prior to or with the first abx dose to prevent _____ complications
neurological
empiric tx meningitis neonates less than 1 month
28 days old or less
ampicillin (listeria coverage) \+ cefotaxime (no ceftriaxone in neonates) or gentamicin
meningitis age 1 month to 50 years tx
ceftriaxone or cefotaxime
+
vancomycin
meningitis tx age greater than 50 or immunocompromised
ampicillin (for listeria coverage) \+ ceftriaxone or cefotaxime \+ vancomycin
AOM symptoms
bulging of the tympanic membrane otorrhea otalgia tugging or rubbing at ear fever etc
observation without abx is an option for ___ AOM for 48-72 hours
nonsevere
