Term
What are the organisms covered by Pen G, VK (x4)
What are the extra organisms covered by Amp/Amox |
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Definition
Viridans, Strep pyo, oral anaerobes, Leptospira
H. Inf
E. coli
Listeria
Lyme
Salmonella |
|
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Term
What is the adverse effect of methicillin?
what is the alternitive medication to pens if pt has a rash?
anaphylaxis? |
|
Definition
renal failure from allergic interstitial nephritis
cephs
non-betal lactam antibiotic |
|
|
Term
what do first gen Cefs cover in general?
what are they? |
|
Definition
Staphs, Streps, some gram - like e.coli
azo, alex, adrine, adrox |
|
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Term
What are the Adverse effects of Cefotetan or Cefoxitin (Fox tet)
what are they BIT for? |
|
Definition
fox-tet gives a increased risk of bleeding and gives a disulfiram reation with alcohol
PID when combined with doxy |
|
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Term
| What are the drugs Cefuroxime, loracarbef, cefprozil, cefaclor for |
|
Definition
| Pro-rac-fac and loracarbif are for resp i |
|
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Term
What is Ceftriaxone the first line treatment for?
what is the adverse effect?
what do you used instead? |
|
Definition
Meningitis, CAP, Gonorrhea, Lyme (involving brain or heart)
Avoid in neonates due to it impaires biliary metabolism
use Cefotaxime |
|
|
Term
What Ceph covers MRSA?
What Ceph covers pseudomonus?
What are Carbapenems used to treat?
Imipenem, Meropenem, Ertapenem,Doripenem? |
|
Definition
|
|
Term
What Ceph covers MRSA?
What Ceph covers pseudomonus?
What are Carbapenems used to treat?
Imipenem, Meropenem, Ertapenem,Doripenem? |
|
Definition
Ceftaroline (tar)
Ceftazidime
Cover Gram - bacilli
Pseudomonas exept ertapenem
Neutropenia and fever |
|
|
Term
| When are fluroquinolones used? (x4) |
|
Definition
1. BIT: CAP
2. Gram neg (pseudomonads)
3. Upper UTI:Cipro for cystitis and pyelonephritis
GI:Cipro,Gimi and levo, Moxi, for GI and diverticulitis
Cipro, Gemi Levo need Metronidazole for anarobes in GI |
|
|
Term
What is the adverse effect of Aminoglycosides?
What is Aztroname used for? Imipenem,Meropenem, ertapenem, doripenem? |
|
Definition
Nephrotoxic and ototoxic
Gram - bacilli (pseudomonas)
Ertapenem does not cover pseudomonas |
|
|
Term
What diseases is Doxycycline the Best treatment?
What are the adverse effects of Tetracyclines? (Doxy) x4 |
|
Definition
Chlamydia, Lyme, Rocky mountain spotted fever.
AE: tooth discoloration (children)
Fanconi Syndrome(Type II RTA proximal)
Photosynsitivity,
esophagitis and ulcer |
|
|
Term
What are the adverse effects of?
TMP/SMX
Vancomycin
What causes 'gray baby syndrome' |
|
Definition
rash, untolerated in G6PD
Redman syndrome
Chloramphenicol |
|
|
Term
For Meningitis what is the BIT?
MAT?
When are these not used? |
|
Definition
Both BIT/MAT is Lumbar puncture
CT before LP only if there is a possibility of Space occuping lesion:
Papilledema, seizures, Focal neurological, Confusion |
|
|
Term
What is the Sign of Papilledema on fundoscopy?
when are latex agglutination tests done? |
|
Definition
a blurred, fuzzy disc margin from increased intracranial pressure
when a pt has possible bacterial menengitis and has taken antibiotics before an LP, this might mess up culture? |
|
|
Term
what is the Most accurate dx test for these forms of meningitis?
TB
Lyme&Rickettsia
Cryptocoocus
Viral |
|
Definition
Acid Fast stain and culture on 3 LPs
Serologic testing, ELISIA, westernblot, PCR
Cryptococcal antigen, not India Ink
Generally dx of exclusion |
|
|
Term
what LP findings have 1000s of neurtrophils?
What has elevated protein level?
what has low glucose? |
|
Definition
|
|
Term
what is the best Emperical treatment for an adult with bact meningitis?
What is the MC cause of encephalitis |
|
Definition
Ceftriacone, Vanc, and steroids
add ampicillin if Imunnocompromised to Listeria
Eldery, Immunosupp, Neonates, Prego
-----------
HSV |
|
|
Term
What are the main ass. with encephalitis? S&S
What is the BITest?
What is the MATest? |
|
Definition
acute onset of fever and confustion.
BIT: Head CT
MAT is serology for HSV; PCR |
|
|
Term
What are the main ass. with encephalitis? S&S
What is the BITest?
What is the MATest? |
|
Definition
acute onset of fever and confustion.
BIT: Head CT
MAT is serology for HSV; PCR |
|
|
Term
What are the main ass. with encephalitis? S&S
What is the BITest?
What is the MATest? |
|
Definition
acute onset of fever and confustion.
BIT: Head CT
MAT is serology for HSV; PCR |
|
|
Term
What are the main ass. with encephalitis? S&S
What is the BITest?
What is the MATest? |
|
Definition
acute onset of fever and confustion.
BIT: Head CT
MAT is serology for HSV; PCR |
|
|
Term
What are the main ass. with encephalitis? S&S
What is the BITest?
What is the MATest? |
|
Definition
acute onset of fever and confustion.
BIT: Head CT
MAT is serology for HSV; PCR |
|
|
Term
What is the treatment for Herpes Encephalitis?
If resistant?
What is the adverse effect?
What then? |
|
Definition
Acyclovir
If resistant: Foscornet
Both have Renal toxicity
Foscornet has more
So if Acyclover develops renal toxicity decrease dose of Acyclover |
|
|
Term
| What are the adverse effects of Quinolones (Cipro, Gemifloxacin, levofloxacin) x2 |
|
Definition
Bone Growth abnormalities in children and pregnant women
Tendonitis and Achilles tendon rupture |
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