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naplex > ID:2 > Flashcards

ID:2 Flashcards

1
Q

pre op abx timing

A

cephazolin / cefuroxime 60 mins (clinda if beta lactam allergy)
vanc/quinolones 120 mins

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2
Q

during op

A

if >3-4 hours or major blood loss
additional dose

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3
Q

post opp

A

abx not required or d/c by 24 hours

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4
Q

colo rectal sx what abx should be used

A

cefotetan/cefoxitin unasyn ertapenem
metronidazole +ceftriaxone

if beta lactam allergy then use clinda+aminoglycoside
metro + amino glycoside

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5
Q

meningitis

A

> 1 month to 50 years ceftriaxone +vanco
50 amp+ceftriax+vanc
<1 month amp+cefotaxime or getna
*ceftriaxone for neo nates is a no no

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6
Q

acute otitis media

A

tylenol
observe for 2-3days temp<102
amoxicillin or 1st 2nd 3rd gen cephalosporin

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7
Q

bronchitis

A

abx for 5-7days
augmentin
azithromycin
doxycycline

if dypsnea increase, sputum inncrease, mechanical ventilation
abx not recommended unless pertussis or pneumonia

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8
Q

hospital acquired pneumonia

A

> 48 hours after hospital admin
risk for MRSA is IV use of abx in the last 90 days
also >10% in hospital
also nasal swab test

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9
Q

ventilator associated pneumonia

A

> 48 hours after ventilation admin

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10
Q

tx of HAP and VAP

A

p. areugenisa
- zosyn/ cefepime
MRSA
- vanc or linezolid
use 2 for p.aruginosa
- MDR risk - cipro/ genta
- do not use 2 beta lactams together

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11
Q

latent TB tx

A

isoniazid and rifapentine for 12 weeks
rifampin for 4 months
isoniazid +rifampin for 3 months

** alternate tx
Isoniazid for 6 months or 9 months- pref in gregnancy

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12
Q

active TB tx

A

RIPE for 2 months
rifampin
isoniazid
pyrazinamide
ethambutol

extended tx will include RI

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13
Q

rifampin AE

A

orange red discolaration of body fluids
increase LFTs
hemolytic anemia
flu like symptoms

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14
Q

isoniazid AE

A

peripheral neuropathy- use B6 pyroxidine to halt these AE
hepatitis
DILE

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15
Q

pyrazinamide AE

A

acute gout
increase LFTs

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16
Q

ethambutol

A

increase LFTs
optic neuritis
confusion
hallucinations

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17
Q

DDI of rifampin

A

PI
warfarin
contraceptives

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18
Q

Tx resistant to ripe

A

use quinolones
do not use Pyrazinamide in gout

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19
Q

infective endo carditis tx

A

IV abx for 4-6 weeks
vanc mono
naf + genta

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20
Q

ntal prophylaxis

A

amoxcillin
alt
amp/cefazolin
clinda azithro

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21
Q

SBP

A

ceftriaxone 5-7 days \

alt
ampi/genta/quinolone

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22
Q

SBP prophylaxis

A

bactrim cipro

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23
Q

cholecystitis

A

metronidazole
4-7 dayse
7-14 days
>14 days

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24
Q

peritonitis cholangitis mild

A

cefoxitin
ertapenem
moxifloxa

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25
Q

peritonitis cholangitis severe

A

carbapenem
zosyn
ceftaz+metro
cipro +metroni
cefazolin + amino +metro

26
Q

SSTI diagnosis

A

mild- sx absent
moderate - systemic signs temp>100.4 HR >90 wbc >12000
severe- failed oral abx + incision and drainage

27
Q

petigo golden in mouth

A

cephalexin PO
wet compress
mupirocin topical

28
Q

folliculitis /carbuncles

A

cephalexin
MRSA-
bactrim
doxycycline

warm compress decrease inflammation

29
Q

cellulitis

A

cephalexin
if allergic
clindamycin

30
Q

abcess (ammu)

A

bactrim
doxycycline
minocycline
clindamycin

31
Q

severe SSTI

A

vanc
dapto
linezolid

32
Q

necrotizing fascitis

A

vanc + beta lactam

33
Q

diabetic foot infection

A

MRSA coverage
Anerobic
pseudomonas

34
Q

UTI

A

cystitis
pyelonephritis
vaginal candi

35
Q

acute uncomplicated cystitis

A

macrobid 5 days
bactrim 3 days
fosfomycin 1 dose

alternate
pregnancy
-cephalexin
-amoxicillin
-fosfomycin

non pregnant alternative
-cipro/levo
beta lactam

36
Q

acute pyelonephritis

A

cipro levo
ceftriaxone
ertapenem
bactrim 14 days
beta lactam

if severe 5-14 days
ceftriaxone/zosyn/quinolone / carbapenem

37
Q

omplicated uti

A

carbapenem and similar to pyelonephritis
7 days
10-14 days

38
Q

pregnancy

A

beta lactams
fosfomycin
macrobid and bactrim avoid in 1st trimester

39
Q

Travellers diarrhe a

A

azithro
quinolone
rifaximin

40
Q

c diff

A

GP toxin A abd B
DC abx
dc antidiarrheal
isolate patients
diagnose toxin or culture

41
Q

1st episode of c diff

A

vanc 125mg PO QID 10 days/ FDX 200mg BID 10 days
alt- METRO 500 TID 10 days

if complicated vanc 500 QID and metro IV TID

42
Q

2nd episode of C diff

A

whatever first used change to next

43
Q

subsequent episode of C diff

A

vanc 125 QID for 10 days then rifaximin for 20 days
or FDX 200mg for 10 days QID

44
Q

condoms can help decrease STD

45
Q

which STI doesnt need to be treated for both

A

bacterial vaginosis

46
Q

SX chamydia

A

genital discharge no sx

47
Q

SX gonnorhea

A

same as chlymydia

48
Q

syphilis

A

painless genital sores

49
Q

HPV

A

genital warts or no symptoms

50
Q

bacterial vaginosis

A

clear white or gray fishy odor pH >4.5 no pain

51
Q

trichomonaisis

A

yello green frothy vaginal discharge, painful intercourse

52
Q

syphilis tx

A

pen G Bicillin LA IM

also can use doxy or tretracycline X14 days

** HIV and preg should get desencitized with PENG since doxy cannot be taken

53
Q

other syphilus tx

A

pen G procaine IV

54
Q

gonorrhea tx

A

ceftriaxone if no chlamydia
if clamydia then add doxycycline

55
Q

chlamydia tx

A

doxy mono X7days
or azithro mono X1
** can also use levo
pregnanct? use amox +azithro

56
Q

bacterial vaginosis tx

A

metronidazole

** clinda

57
Q

trichomiasis tx

A

metro

** pregnant? still metro

58
Q

genital warts HPV

A

imiquimod cream
vaccine gardasi

59
Q

tularimia

A

aminoglycosides

60
Q

lyme

A

DOxy

amoxic/cefuroxime

naplex (78 decks)

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