Rapid Review Relevant Treatments Flashcards
ethylene glycol/methanol intoxication
fomepizole (alcohol dehydrogenase inhibitor)
chronic hep B or C
IFNa (HBV & HCV)
ribavirin, simeprevir, sofosbuvir (HCV)
s bovis
penicillin prophylaxis
eval colon cancer if linked to endocarditis
C botulism
human botulinim immunoglobulin
C tentani
antitoxin and wound debridement
hae infl b
amoxicillin + clavuclanic acid (mucosal infections)
ceftriaxone (meningitis)
rifampin (prophylaxis)
N gonorrhea
ceftriaxone (+ azithromycin/doxycycline to cover concurrent C trachomatis)
N meningitis
pencillin/ceftriaxone
rifampin/ciprofloxacin/ceftriaxone (prophylactic)
legionella
macrolides (azithromycin or fluoroquinolones)
psedomonas
piperacillin-tazobactam, cephalsporins, monobactams, fluroquinolones, carbapenems
treponema pallidum
penicillin G
chylamidia trachomatis
azithromycin/doxycycline (+ ceftriaxone for coinfection w/ gonorrhea)
oral erythromycin to treat chlamydial conjunctivitis in infants
candida albicans
topical azoles (vaginitis)
nystatin, fluconazole, caspofungin (oral)
fluconazole, caspofungin, amph B (esophageal/systemic)
cryptococcus neoformans
induction w/ amph B and flucytosine, maintance w/ fluconazole (in AIDS+)
sporothrix schenckii
itraconazole, oral potassium iodide
pneumocystis jirovecii
TMP-SMX (prophylasis + treatment in immuno suppressed, CD4<200)
toxoplasma gondii
sulfadizaine + pyrumethamine
malaria
chloroquine, mefloqunine, atovaqunone/proguanil (blood schizont)
primiquine (liver hpnozoite)
trichamonas vaginalis
metronidazole (patient and partners)
strept pyogenes
penicillin prophylaxis
strept pneumo
penicillin/cephlosporin (systemic infection, pneumo)
vancomycin (meningitis)
staph aureus
MSSA: nafillin, oxacillin, dicloxacillin (antistaph penicillins)
MRSA: vancomycin, daptomycin, linezolid, ceftroline
enterococci
vancomycin, aminopenicillins/cepf
VRE: daptomycin, linezoloid, tigecycline, streptogramins
rickettsia rickettsii
doxycycline, chloramphenicol
mycobacterium TB
Rifampin- red/orange body fluids
Isoniazid- vit B6 def, hepatotoxic
Pyrazinamide- gout
Ethambutol- optic neuropathy (red/green color blind)
**2nd line streptomycin- tinnitus/vertigo
UTI prophyalaxis
TMP-SMX
influenxa
oseltamivir
zanamivir
CMV
ganciclovir, foscarnet, cidofovir
PDA
close> indomethacin
open> PGE
stable angina
sublingual nitroglycerin
hypercholesterolemia
stain (1st line)
hypertriglycerides
fibrate
arrhythmia in damaged cardiac tissue
Class 1B anti-arryhtmic (lidocaine, mexiletine)
prolactinoma
cabergoline/bromocriptine (D agonists)
diabetes inspidius
central>desmopressin
nephrogenic> HCZT, indomethacin, amiloride
SIADH
fluid restriction, IV hypertonic saline, conivaptan/tolvaptan, demeclocycline
DKA/HHS
fluids, insulin, K+
pheochromo
alpha-antagonists (phenoxybenzamine)
carcinoid syndrome
octreotide, teltristat
DM1
insulin replacement + low card diet
DM2
oral hypoglycemics, diet interventions, insulin (if refractory from cell exhaustion)
Chrons
corticosteroids, infliximab, azathioprine
ulcerative colitis
5-ASA preparations (mesalamine)
6-mercaptopurine
infliximab
colectomy
sickle cell anemia
hydroxyurea (inc fetal Hb)
chronic myelogenous leukemia (CML)
BCR-ABL tyrosine kinase inhibitors (imatinib)
acute promyelocytic leukemia (M3)
all-trans retinoic acid, arsenic trioxide
1 anti-coagulation in pregnancy
low molecular weight heparin
immediate anti-coagulation
heparin
heparin reversal
protamine sulfate
warfarin reversal
vit K (slow response)
FFP/prothrombin complex concentrate (fast)
dabigatran reversal
idarucizumab
direct factor Xa inhibitor reversal
andexanet alfa
HER2+ breast cancer
trastuzamab
hemorrhagic cystitis from cyclophasphamide/ifosfamide
mesna
nephrotoxicity from platinum compounds
amifostine
cardiotoxicity from anthracyclines
dexrazoane
myelosuppresion from methotrexate
leucovorin
osteoporosis
Ca/Vit D supplementation (prophylaxis)
bisphosphonates, PTH analogs, SERMs, calcitonin, densumab (tx)
osteomalacia/rickets
Vit D supplementation
chronic gout
xanthine oxidase inhibitors (allopurinol, febuxostat)
pegloticase
probenecid
**rasburicase for hyperuricemia in malignancy
acute gout attack
NSAIDs, colchicine, glucocorticoids
buerger disease
smoking cessation
Kawasaki disease
IVIG, aspirin
temporal arteritisi
high dose glucocorticoids
granulomastis w/ polyanggiitis
cyclophosphamide, glucocorticoids
neural tube defect prevention
folaic acid prenatal vitamins
migraine
abortive tx: sumatriptan, NSAIDs
prophyalxis: propanolol, topiramate, anti-CGRP antibodies, amitrptyline
MS
disease modifying tx: B-interferon, glatiramer, natalizumab
acute flare: IV steroids
tonic-clonic seizures
levetiracetam, phenytonin, valproate, carbamazepine
abscence seizures
ethosuximide
tic doulourex (trigeminal neuralgia)
carbamazepine
maligant hyperthermia (s/p anesthesia)
dantrolene
anorexia
nutrition, psychotx, SSRIs
bulemia nervosa
nutrition, rehabilitation, psychtx, SSRIs
alcohol use disorder
disulfiram, acamprostate, naltrexone, supportive care
ADHD
amphetamines, behavior tx, atomoxetine (non-stimulant)
alcohol withdrawal
long-acting benzos
bipolar disorder
mood stabilizers (lithium, valproic acid, carb)
atypical antipsychotics
depression
SSRIs (1st line)
GAD
SSRIs, SNRIs (1st line), buspirone (2nd line)
schizophrenia
atypical antipsychotics
hyperaldosteronism
spironolactone
BPH
a1 antagonists: terazosin, tamsulosin (selective)
5a reductase inhibitors
PDE-5 inhibitors
TURP
infertility
leuprolide, GnRH (pulsatile), clomiphene
breast cancer in postmenopausal F
aromatase inhibitor (anastrozole)
ER/PR+ breast cancer
tamoxifen
uterine fibroids
leuprolide, GnRH (continuous)
medical abortion
mifepristone
prostate adenocarcinoma
flutamide, GnRH (continuous), degarelix, ketoconazole
erectile dysfunction
sildenafil
pulmonary arterial HTN (idopathic)
sildenafil, bosentan, epoprostenol, iloprost