Inservice deck 11 - ID, procedures, meds Flashcards
medication is first line for prophylaxis for family of child with meningococcal meningitis?
rifampin
cipro alternative
typical appearance of the rash of secondary syphilis?
maculopapular/papulosquamous
what is most common complication of varicella in adults
pneumonitis
duration of HIV prophylaxis after needlestick?
1 month
can one tell difference clinically between infection of chlamydia and gonorrhea?
No
tx and potential side effects of patient whose peripheral smear shows crossed markings in RBCs
malaria
tx = chloroquine
Hospital worker has PPD placed and read with 15 mm induration. CXR obtained is normal so what is the treatment?
isoniazid (INH)
main side effects of INH?
toxic hepatitis and peripheral neuritis
main side effects of rifampin?
orange-colored body fluids, P450 drug interactions, hepatitis and thrombo
main side effects of streptomycin
nephrotoxic and ototoxic
list main effects of ethambutol
optic neuritis/ red-green color blindness
main effects of pyrazinamide
hyperuricemia, hepatitis, arthralgies, rash
most common etiology causing meningitis in sickle cell patient?
s pneumo
AIDS patient with meningitis, what organism? What is best test to evaluate?
cryptococcal meningitis
Woman working in lab with rats now with neuro symptoms and pulmonary edema may have
hantavirus
patient form missouri presenst with pulm symptoms an patchy infiltrates on CXR?
histoplastmosis
transmission of plague?
flea or tick
patient from east coast presents with target rash. Dx and tx?
lyme disease
doxy
sx after chlorine gas exposure
eye burning, smell of bleach, pulm complaints
patient with recent sore throat and now has mitral murmur, joint pain, rash, and fever; no history of IVDA; has most likely?
rheumatic fever
etiology: strep pyogenes
IVDA with erythema, crepitant painful elbow requires what tx?
surgery
what are first symptoms in patients with botulism poisoning?
CN deficits - ptosis, extra-ocular muscle deficits
HIV patient has CD4 < 200 and oxygen < 90%. Requires what txs?
PCP PNA
tx = bactrim and steroids
tx for HIV patient with dysphagia and esophageal white patches
oral fluconazole
most likely infection in any patient with solid organ transplant
CMV
organism and tx for patient?
impetigo = strep or staph tx = oral diclox, topical mupirocin
patient with pustule on hand, ankle, and now wrist arthritis. tx?
gonococcus
tx = ceftriaxone
common place for extrapulmonary TB
lymph nodes
differentiates SIRS from sepsis?
source of infection. SIRS is non-specific and associated with other causes than infection
gram stain of positive cocci
strep
multinucleated giant cells
herpes
infection after punctured shoe?
pseudo
strawberry tongue and sandpaper rash
scarlet fever
most likely injury due to saphenous vein cutdown
loss of medial sensation
subclavian line pulled out and patient hemodynamically compromised. Next tx?
air embolus, place patient in left lateral trendelenburg position
technique of choice for pericardiocentesis?
subxyphoid approach
anesthetic effect of a mental nerve block
lower lip anesthesia
lower teeth are anesthetized in addition to lower lip with what nerve block
inferior alveolar
main complication of missing inferior alveolar nerve too posteriorly
facial nerve paralysis
tx for suture abscess
warm compresses
patient receiving blood transfusion gets hives. what should be done?
give benadryl
continue transfusion
correct direction of force to reduce mandibular dislocation
downward an posterior
preferred site of intraosseous access in peds patients
tibia - 1 cm distal and medial to tuberosity
safest IV access if unable to cannulate peripheral veins in extremities
EJ
patient taking metoprolol presents with hives, swelling of tongue, and difficulty breathing. med indicated?
glucagon
anaphylaxis cocktail