PTS Mock 1 Flashcards
management for pneumonia (CAP) low severity
(CURB ≤ 1):oral amoxicillinORdoxycycline/clarithromycin if penicillin-allergic or an atypical pathogen is suspected; usually a 5 day course
management for pneumonia (CAP) medium severity
(CURB 2): amoxicillin;addclarithromycin if an atypical pathogen is suspected; usually a 5 day course
management for pneumonia (CAP) high severity
(CURB ≥ 3):IV co-amoxiclavandclarithromycin are often used
management for pneumonia (HAP) low severity
oral co-amoxiclav
management for pneumonia (HAP) high severity
abroad-spectrum antibiotic, such as IV tazocin or ceftriaxone
Suspected or confirmed MRSA
add vancomycin
Primary care of meningitis
IV or IM benzylpenicillin STAT:one-off dose in the community if there is suspectedmeningococcalinfection, e.g. rash or septicaemia. IV is preferred to IM administration
Bacterial management of meningitis
Dexamethasone:ideally should be administered before or with the first dose of antibiotics once in hospital. Reduces mortality and likelihood of neurological sequelae.
IV cefotaxime and amoxicillin
Empirical antibiotics 3 months to 50yrs is just IV cefotaxime
Meningococcal is IV benzylpenicillin (or cefotaxime)
If penicillin allergic
chloramphenicol
Viral management of meningitis
Aciclovir
Empirical treatment of endocarditis (native valve)
Amoxicillin with or without gentamycin
empirical treatment of endocarditis (prosthetic valve)
Vancomycin, gentamycin, rifampicin
infective endocarditis associated with colon cancer
strep. bovis
infective endocarditis associated with dental hygiene/ procedure
strep. mitis and sanguinis (viridans strep)
group b strep. infective endocarditis
acute disease with high mortality, requiring valve replacement, associated with pregnancy
