rheumatic fever rx

Question 1

what rx is given for resolving arthritis in rf?

Answer 1

naproxen /aspirin for adults but naproxen is better in terms of dosage as well as on the heart and ibuprofen is best for kids

Question 2

dosage of naproxen?till when ?how long ? is there any side effects that should be resolved

Answer 2

twice daily
till the symptoms resolve.
1-2 weeks
give PPI’s omeprazole in case of gi upset

Question 3

when should we add PPIs

Answer 3

if pt is on glucocorticoids, or if he is having gi upset due to nsaids

Question 4

rx for cardiac problems in rf

Answer 4

surgery for chordae tendinae rupture with MR
pacemaker installation for heart block
and conservative rx for heart failure given in severe carditis with heart failure
in severe carditis u give glucocorticoids, ivig and nsaids

Question 5

rx for erethema marginatum

Answer 5

antihistamines if there is pruritis

Question 6

what rx is given for syndenham chorea and their actions

Answer 6

dopamine 2 receptor blocking agents mainly give 2nd generation, carbamazepine a sodium channel blocker, and valpronic acid a sodium channel blocker a t type calcium chanel blocker and GABA trnasaminase

severe syndenham chorea is rx with IVIG and glucocorticoids

Question 7

rx for pt with rheumatic heart disease

Answer 7

continuous dental check up,Annual influenza vaccination, prophylaxis for infective endocarditis for those who have prosthetic valves and pt who underwent dental procedures

Question 8

for severe carditis what do we give

Answer 8

prednisolone

Question 9

what do we give to eradicate group a strep

Answer 9

we give benzathine penicillin g IM or, penicillin g or erythomyicn

Question 10

prophylaxis of strep

Answer 10

sulfadiazine, penicillin v or benzathine penicillin

Question 11

what is the rx for managing other problems of the heart

Answer 11

diuretics or angiotensin-converting enzyme inhibitor

Question 12

WHAT ARE THE MEDICATION FOR CHOREA

Answer 12

HALOPERIDOL,CARBAMAZEPIEN OR VALPROIC ACID

Question 13

what are the side effects of NSAIDS

Answer 13

cvs risk of MI , GI risk of peptic ulcer, change in renal hemodynamics and for pregnant ladies

Question 14

contraindication for nsaid

Answer 14

peptic ulcer, hemophilia bleeding tendency ,
Pregnancy, Children with viral infections (Aspirin may cause Reye’s
syndrome), kidney dysfunction

Question 15

adverse effects of steroids

Answer 15

Weight gain, lower limb edema.
Other late irreversible effects are:
Reduced resistance to infection and osteoporesis, Diabetes, cataracts, and hypertension Hyperlipidaemia, and peptic ulceration

Question 16

what are teh uses of glucocorticoids

Answer 16

used for RA, OA, and carditis, bronchial asthma