Pulm Med Sheet

Question 1

Strep Pharyngitis

Answer 1

Penicillin VK (Pen VK) – 500 mg PO bid x 10 days

Question 2

Pen VK (AE)

Answer 2

AE: diarrhea, neutropenia, thombocytopenia

Question 3

N. Gonorrhea Cervicitis

Answer 3

Ceftriaxone (Rocephin) – 250 mg IM x 1

Question 4

Outpatient Community Acquired Pneumonia

Answer 4

Azithromycin (Zithromax) – 500 mg PO x 1; then 250 mg PO qd x 4

ER - 2 gm PO x 1

Question 5

Azithromycin

Answer 5

GI most common (better tolerated than erythromycin)

Question 6

Community Acquired Pneumonia (if inpatient)

Answer 6

Levofloxacin (3rd Gen FQ) (Levaquin) – 750 mg PO qd x 7-14 days

Question 7

Levofloxacin

Answer 7

AE: increased risk of tendon ruptures, GI, CNS, QT lengthening
CI: Avoid in children & pregnant women

Question 8

What should you add to Levofloxacin if the pt. need to be in the ICU

Answer 8

a Beta-Lactam

Question 9

UTI

Answer 9

TMP/SMX (Bactrim/Septra) – 1 DS PO bid x 3 days

Question 10

UTI

AE/CI

Answer 10

AE: GI, rash, photosensitivity, SJS/TENs, hyperkalemia

CI: folate deficiency anemia, infants

Question 11

Chlamydia Trachomatis Cervicitis

Answer 11

Doxycycline (Doxy) – 100 mg bid x 7-10 days

Question 12

Doxycycline

AE/CI

Answer 12

AE: discoloration of teeth/bones, GI upset, photosensitivity
CI: kids

Question 13

C. diff Colitis

Answer 13

Metronidazole (Flagyl) – 500 mg tid x 10-14 days

Question 14

Metronidazole

AE/CI

Answer 14

AE: neurologic effects (seizures at high doses, peripheral neuropathy), metallic taste & dark urine

Question 15

COPD (prn inhaler)

Short Acting B2 agonist

Answer 15

Albuterol Inhaler (Proventil) – 2 puffs q4-6 hrs prn

Question 16

Albuterol AE

Answer 16

tachycardia, tremor, hypokalemia

Question 17

COPD (prn inhaler)

short-acting anticholinergic

Answer 17

Ipratropium (Atrovent) – 2 puffs QID

Question 18

COPD maintainence

long-acting B2 agonist

Answer 18

Salmeterol inhaler (Serevent Diskus) – 1 inhalation q12 hrs

Question 19

Salmeterol (AE)

Answer 19

tachycardia, tremor, hypokalemia

Question 20

COPD maintainence

long-acting anticholinergic

Answer 20

Tiotropium inhaler (Spiriva) – 18 mcg inhaled via DPI qday

Question 21

Tiotropium (AE)

Answer 21

dry mouth, metallic taste, ANTI-SLUD

Question 22

Asthma control

Answer 22

Fluticasone Inhaler (Flovent) (Inhaled corticosteroid) – 88-440 mcg bid

*can also be used if FEV1

Question 23

Fluticasone (AE)

Answer 23

AE: oropharyngeal candidiasis and hoarse voice, thrush, cough, sore throat

Question 24

COPD (exacerbation)

Answer 24

Prednisone (PO corticosteroid) – 40 mg PO qd x 5 days

Question 25

Prednisone (AE)

Answer 25

AE: fluid retention, muscle weakness, ulcers, malaise, glaucoma, cataracts