Shared Flashcard Set

Details

Medication review (mostly anbx)
Basic med review
48
Medical
Graduate
04/28/2010

Additional Medical Flashcards

 


 

Cards

Term
Why should pregnant women avoid laxatives, especially in the third trimester?
Definition
Laxatives can induce labor.
Term
What are two antibiotic classes safe for use in pregnancy?
Definition
Penicillins and cephalosporins are safe in pregnancy (amoxicillin, cephalexin)
Term
What's the drug class of finasteride (Proscar)?
Definition
Alpha reductase inhibitor
Term
What's the indication for finasteride (Proscar)?
Definition
BPH
Term
What important thing should be kept in mind regarding finasteride (Proscar) and pregnant/childbearing women?
Definition
They should avoid handling crushed or broken tablets.
Term
What's the pregnancy class of finasteride (Proscar)?
Definition
X
Term
What's the pregnancy class of hormone therapy?
Definition
X
Term
What's the drug class of Raloxifen (Evista)?
Definition
Selective Estrogen blocker
Term
What's the indication for raloxifen (Evista)?
Definition
Osteoporosis bone disorders, etc.
Term
What's the pregnancy category of raloxifen (Evista)?
Definition
X
Term
What are two major contraindications to raloxifen (Evista) therapy?
Definition
Premenopausal women, hx of thromboembolism.
Term
What drug class is misoprostol?
Definition
Prostaglandin analog
Term
What's the pregnancy class of misoprostol?
Definition
X
Term
What's the indication for misorpostol therapy?
Definition
Prevention of GI bleeds if on chronic NSAIDs & medical abortions. - Chronic NSAIDs, so think OA & RA
Term
What drug class is leuprolide (Lupron)?
Definition
GnRH Analog
Term
What pregnancy class is leuprolide (Lupron)?
Definition
X
Term
What're the indications for leuprolide (Lupron) therapy?
Definition
Endometriosis, infertility, precocious puberty, prostate cancer, etc.
Term
What are some important notes to remember about Leuprolide (Lupron) therapy?
Definition
Side FX: gynecomastia. also used in vitro fertilization. Used for hormone-dependent cancer.
Term
What drug class is methotrexate?
Definition
Antimetabolite
Term
What are some indications for methotrexate therapy?
Definition
RA, psoriasis, cancer, etc.
Term
Penicillins - examples & dz's tx'd?
Definition
Dicloxacillin (Dynapen), amoxicillin (Amoxil); Gram-positive bacteria (cellulitis, erysipelas, impetigo, OM, strep throat, syphilis (spirochete)
Term
Cephalosporins First gen - examples & dz's tx'd?
Definition
Cephalexin (Keflex) - Gram-positive bacteria; cellulitis, strep throat
Term
Cephalosporins 2nd gen - examples & dz's tx'd?
Definition
Cefprozil (Cefzil), cefaclor (Ceclor) - Both gram-positive & gram-negative pneumonia, OM, sinusitis
Term
Cephalosporins 3rd gen - examples & dz's tx'd?
Definition
Ceftriaxone (Rocephin) Gram-positive, gram-negative, and anaerobes. PID, pneumonias, pyelonephritis, etc.
Term
Macrolides - examples & dz's tx'd?
Definition
Erythromycin, azithromycin (Zithromax), Clarithromycin (Biaxin - preg cat C); Atypical bacteria, gram negatives; atypical pneumonia, chlamydia infections, sinusitis, OM
Term
Tetracyclines - examples & dz's tx'd & preg cat?
Definition
Tetracycline, minocycline (Minocin), doxycycline (Vibramycin). Atypical bacteria/rickettsial/spirochete; Lyme's dz, mucopurulent cervicitis, Rocky Mountain spotted fever. Preg cat C.
Term
Fluoroquinolones - examples & dz's tx'd & preg cat?
Definition
Ciprofloxacin, ofloxacin, Levafloxacin (Levaquin), Gemifloxacin (Factive). Gram negatives, UTIs, STDs, pyelonephritis; Both gram--positive and gran-negative Pneumonia, sinusitis, OM. Preg cat C.
Term
Sulfa drugs - examples & dz's tx'd & preg cat?
Definition
Sulfamethoxazole/trimethoprim (Bactrim, Septra); Gram negatives - UTIs , pyelonephritis. Preg cat C
Term
Antifungals - examples & dz's tx'd & preg cat?
Definition
Fluconazole (Diflucan), terbinafine (Lamisil tablets), Lamisil cream. Vaginitis (candida infections), onychomycosis (tinea infections), vaginitis. Preg cat C.
Term
Name 5 regular immunizations contraindicated in pregnancy/severely immunocompromised pts.
Definition
Measles, mumps, rubella, varicella, live flu vaccine (nasal spray)
Term
Staphylococcus aureus (gram ?)
Definition
+
Term
Streptococcus sp (gram ?)
Definition
+
Term
Staphylococcus aureus drugs?
Definition
penicillins, 1st to 2nd gen cephalosporins, broad-spectrum fluoroquinolones (i.e. Levaquin).
Term
Streptococcus drugs?
Definition
penicillins, 1st to 2nd gen cephalosporins, broad-spectrum fluoroquinolones (i.e. Levaquin).
Term
Haemophilus influenzae (gram ?)
Definition
-
Term
Moraxella catarrhalis (gram ?)
Definition
-
Term
Neisseria gonorrheae (gram ?)
Definition
-
Term
Escherichia coli (gram ?)
Definition
-
Term
Proteus mirabilis (gram ?)
Definition
-
Term
Drugs to treat gram -?
Definition
2nd to 3rd gen cephalosporins, Bactrim/Septra, macrolides, broad-spectrum fluoroquinolones (i.e., Levaquin)
Term
Mycoplasma pneumoniae, type of bact?
Definition
atypical
Term
Chlamydia trachomatis, type of bact?
Definition
atypical
Term
Ureaplasma, type of bact?
Definition
atypical
Term
Recommended Rx for atypical bacteria?
Definition
Tetracyclines, macrolides
Term
Borrelia burgdoferia, what's it cause & type of bact?
Definition
Spirochete, Lyme dz
Term
Rickettsia rickettsii, what's it cause & type of bact?
Definition
Rocky Mountain spotted fever, spirochete
Term
Treponema pallidum, what's it cause & type of bact?
Definition
Syphilis, spirochete
Term
Recommended drugs for spirochetes?
Definition
Doxycycline, amoxicillin/penicilin, 3rd gen cphalosporin.
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