Primary Care Adult Flashcards
Meningitis
Transfer to hospital + Benzylpenicillin 1.2g IV/ IM if there is time
Orbital Cellulitis
Transfer to hospital
Conjunctivitis
Self limiting
Chloramphenicol 2 hourly for 2 days then 4 times daily
Ophthalmic shingles
Refer to ophthalmology
aciclovir 800mg 5 times daily or valaciclovir 1g tds 7 days
Tonsilitis / pharyngitis/ sore throat
Most are viral!
Penicillin V 1g bd or 500mg qds 10 days
2nd line:
Clarithromycin 500mg bd 5 days
Sinusitis
Reserve antibiotics for severe / deteriorating cases of >7-10 days duration
Penicillin V 500mg qds or 1g bd - 7 days
2nd Line:
Doxycycline 200mg day 1 then 100mg daily 7 days)
Epiglottitis
Medical emergency - transfer to hospital immediately
Otitis Media
Most cases will resolve without antibiotics
if otorrhoea:
1st line: amoxicillin: 500mg tds
2nd line: Clarithromycin 500mg bd
Otitis Externa
Provide info on aural care
Acetic acid 2% for 2 days after resolution
Oral thrush
Nystatin liquid 1 ml qds (7 days)
2nd line: Fluconazole 50mg daily
Cellulitis
Flucloxacillin 1g was or doxycycline 100mg bd
Athlete’s foot
Topical 1% terbinafine 7 days
Dermatophyte nail infection
Terbinafine 250mg od for 6-12 weeks (fingers) or 3-6 months (toes)
Diabetic foot
Flucloxacillin 1g qds for mild to moderate disease
doxycycline 100mg bd for mild
Cotrimoxazole 960mg bd for moderate
Consider addition of metronidazole for anaerobes
Impetigo
Localised lesions - topical fusidic acid
Flucloxacillin 500mg qds
clarithromycin 500mg bd
7 days
Chickenpox
Antiviral
If
Shingles
Must present within 72 hours of onset of rash
Aciclovir 500mg 5 times daily (7 days)
Bites
Co-amoxiclav 625mg tds
Metronidazole 400mg tds + doxycycline 100mg bd (7 days)
Catheterised patients
Coamoxiclav 625mg yds or co-trimoxazole 960mg bd (7days)
Change catheter
Uncomplicated Female Lower UTI
Trimethoprim 200mg bd OR
Nitrofurantoin 50mg qds or 100mg MR bd
3 days
Pyelonephritis
Send MSSU
co amoxiclav 625mg tds or cotrimoxaxole 960mg bd
7 days
Uncatheterised male UTI
send MSSU
trimethorprim 200mg bd or nitrofurantoin MR 100mg bd or 50mg qds
7 days
UTI or bacteriuria in pregnancy
send MSSU
1st or 2nd trimester - nitrofurantoin MR 100mg bd or 50mg wds
3rd trimester - trimethoprim 200mg bd
2nd line and trimesteris cefalexin 500mg tads
all 7 days
sampe for test o fcure
Recurrent UTI women
Trimethoprim 100mg or nitrofurantoin 50-100mg nightly dose
Review after 6-12 months
