Cvs Pharm For Common Ilnesses & Dosages Of Meds

Front 1

A/B for bacterial conjunctivitis?

Back 1

Polytrim
(Trimethroprim-polymyxin B) soln 1 gtt q 3 h for 7-10 days
Polysporin
Bacitracin--polymyxin B) soln 1 gtt q 3-4 h for 7-10 days
More serious use quinolones (Pseudo-contact wears/ corneal ulcer)
Levofloxacin (Quixin) 0.5% soln 1-2 drops q 2h x 2days, then 1or2 drops qid x 5 days

Ofloxin (Ocuflox) 0.3% soln 1 or 2 drops q 2-4h x 2days, then 1or2 drops qid x 5 days

Ciprofloxacin ( Ciloxan) 0.3% soln 1or 2 drops q 2h x 2days, then 1or 2 drops q 4h x 5 days

Front 2

A/B for bacterial OE?

Back 2

Can be used with TM perforation/ tympanostomy tube
Floxin 10 drops qd or bid for 7-10 days
Ciprodex (Cipro 0.3% dexamethasone 0.1%) 4 drops bid for 7-10 days

Acetic acid/propylene glycol/hydrocortisone 1% (VoSol HC) 4-6 drops tid for 10 days

Front 3

A/B for bacterial OM?

Back 3

Amox 500mg PO tid for 7-10 days
Ceftin (cefuroxime) 500 mg po bid for 7-14 days
Ceftriaxone 1 g IM qd for 3 doses

Front 4

If initial OM tx (above) fails, can use?

Back 4

Cefdinir 300 mg po bid or 600 mg po qdx 7-10 days

Front 5

If initial OM tx (above) fails & pt has beta lactam allergy, can use?

Back 5

Moxifloxacin (Avelox) 400 mg po qd x 7-10 days
Levaquin 500 mg po qd+Clindamycin 300 mg po qid x 7-10 days

Front 6

For pt's that are immunocomprimised or have diabetes, use which a/b as primary therapy?

Back 6

Augmentin 500 mg po tid or 875 mg bid x 7-10 days

Front 7

Tx for bacterial Pharyngitis?

Back 7

Penicillin VK 250 mg po qid or 500 -1000 mg po bid x 10 days, or
Penicillin benzathine 1.2 million units IM x 1

Front 8

Tx for bacterial Pharyngitis if pt has PCN allergies ?

Back 8

z pack
Azithromycin 500 mg x1 followed by 250 mg x4 doses
or other macrolides

Front 9

Acute Sinusitis time interval?

Back 9

refers to sinusitis symptoms lasting less than 4 weeks. Most cases begin as a common cold. Symptoms often go away within a week to 10 days; but in some people, a bacterial infection develops.

Front 10

Chronic Sinusitis
other name?
time interval?

Back 10

rhinosinusitis,
is often diagnosed when symptoms have gone on for more than 12 weeks, despite medical treatment

Front 11

subacute bacterial sinusitis lasts b/t what time interval?

Back 11

sinusitis can last 4 to 12 weeks

Front 12

Preferred tx, then
Alternate for acute sinusitis w/o doses?

Back 12

Amoxicillin
Alt tx if allergies-Azithromycin/Bactrim/Doxy
If resistance-Augmentin or Quinolone (Levo/ Avelox)

Front 13

Preferred tx, then
Alternate for acute sinusitis w doses?

Back 13

Amoxicillin 0.5-1.5 g po tid x 10-14 days

Alt tx if allergies-Azithromycin 2 G x 1 or
Azithromycin 500mg po qd x 3 days/
Bactrim DS bid po 10-14 days/
Doxy 100 mg po bid x 14 days
If resistance-Quinolone (Levo/ Avelox)

Front 14

If resistance with acute sinusitis, use which a/b w/ doses?

Back 14

Augmentin 825/125 mg po bidx 10-14 days

Levo 500 mg qd x 5-10 days
Avelox 400 mg qdx 5-10 days

Front 15

Preferred tx, then
Alternate for subacute/ chronic sinusitis w/o doses?

Back 15

Alt tx
Clindaycin 300 mg po tid x 3-6 weeks
watch out for c dif

Moxifloxacin (Avelox) 400 mg po qd for 3-6 weeks
watch out for achilles tendon tear

Front 16

CAP a/b tx?

Back 16

Doxy 100 mg bid po 7-10 days
Azithromycin 500 mg po qd x 3 days (Tri pak)
or Azithromycin 2 g as a single dose (Zmax)

Front 17

CAP a/b tx for pts with cormorbidities (CHF, DM, COPD, recent a/b use?

Back 17

Levo 750 mg/d po x 5 days
Moxi 400 mg qd po x 7 days
then Pathogen specific a/b see below

Front 18

For CAP with S Pneu PCN sensitive?

Back 18

Amox, Ceftriaxone, Cefotaxime, Cefpodoxime, Cefprozil or a macrolide until the pt has been afebrile for 3 days

Front 19

For CAP with S pneu, PCN resistant?

Back 19

Levoflox,
Moxiflox,
Vancomycin (OTOTOXIC)
Linezolid

Front 20

For CAP with M Pneu/ C Pneu?

Back 20

Doxy or a macrolide for 7 days

Front 21

For CAP with Legionella?

Back 21

Azithromycin 3-5 days or a
Quinolone x 7 days

Front 22

For CAP with H influ?

Back 22

common with Smoker/ Tobacco use
Doxy x 1-2 weeks, or
Quinolone x 1-2 weeks, or
2nd/ 3rd generation cephalosporin x 1-2 weeks

Front 23

For CAP with influenza?

Back 23

Zanamivir x 5 days
Oseltamivir x 5 days

Front 24

For CAP with anaerobes?

Back 24

Augmentin
Unasyn
Zosyn
Clindamycin

Front 25

A/B for cystitis?

Back 25

Bactrim DS po bid x 3 days
if local resistance to Bactrim < 10-20% if higher use quinolone- Cipro 250 mg po bid x 3 days
Ofloxacin 200 mg po bid for 3 days
Norfloxacin 400 mg po bid x 3 days

Augmentin 500/125 mg po bid x 3 days

cn do 7 days if longer duration needed
for women with DM don't use 3 day therapy treat 7-10 days

Front 26

For peds, typical Amox dose for OM?

Back 26

80-90 mg/kg/day

Front 27

For peds, typical Amox dose for mild to mod ENT, skin, GU infect?

Back 27

25 mg/kg/day in divided doses

Front 28

For peds, typical Amox dose for severe ENT, skin, GU infect & lower resp infect?

Back 28

45 mg/kg/day in divided doses
AMOx covers MRSA, Strep A,B,C,G, staph, gm +

Front 29

s/s for Mono

Back 29

pharyngitis (most severe sympt) white tonsilar exudates
adenopathy/lymphadenopathy (posterior cervical region; may be diffuse)
Fever
splenomegaly-usually during the second week of illness, if at all)
chills
malaise
anorexia

Front 30

Tx for Mono

Back 30

Monospot test
CBC
Supportive care
Prednisone/ steroid taper for severly enlarged tonsils
Contact sports should be avoided 3 weeks to months as splenic rupture may occur even without clinically detectable splenomegaly
No AMPICILLIN/ AMOX

Front 31

Def & S/S for Hordeolum?

Back 31

Hordeolum Hurts
Stye
acute inflammatory, most commonly infectious process affecting the eyelid; usually caused by Staphylococcus aureus
s/s: abrupt onset accompanied with pain and erythema of the eyelid
localized, tender developing in the eyelid

Front 32

Tx of Hordeolum?

Back 32

Warm compress
Topical bacitracin or erythromycin opth ointment
Refer to opthalmologist if not resolved in 2 days

Front 33

Def & S/S of Chalazion?

Back 33

PAINLESS, beady nodule on the eyelid, infection or retention cyst of a meibomian gland usually on the upper eyelid

swelling on the eyelid
eyelid tenderness
sensitivity to light
increased tearing
if very large may cause astigmatism due to pressure on the cornea

Front 34

Tx for Chalazion

Back 34

warm compress
referral for surgical removal

Front 35

S/S of Blepharitis?

Back 35

Red, scaly, greasy flakes
Thickened, crusted lid margins
Burning
Itching
Tearing

Front 36

Tx for Blepharitis?

Back 36

hot compresses
topical a/b: bacitracin or erythromycin
vigourously scrub lashes and lid margins with eyes closed and follow with through rincing

Front 37

Patho for motion sickness

Back 37

Motion sickness is a common problem in people traveling by car, train, airplanes and especially boats. Motion sickness can start suddenly, with a queasy feeling and cold sweats. It can then lead to dizziness and nausea and vomiting.

Your brain senses movement by getting signals from your inner ears, eyes, muscles and joints. When it gets signals that do not match, you can get motion sickness. For example, down below on a boat, your inner ear senses motion, but your eyes cannot tell you are moving.

Front 38

Motion sickness can present as/ cause?

Back 38

A general feeling of being unwell (malaise).
Nausea or vomiting, or both.
Headache.
Cold sweating, which means you sweat even though you're not overheated.
A pale appearance.
Symptoms usually go away soon after the motion stops. Sometimes it can take a few days for symptoms to go away. Should go away within 3 days

Front 39

Prevention of motion sickness/ Education for motion sickness

Back 39

When you fly, request a seat near the wings.
When you travel on a ship, try to book a cabin near the middle of the vessel and near the waterline.
Move your head as little as possible. Try to keep your head still by resting it on a headrest.
Head movement can increase motion sickness.
When you're on a boat, try to get fresh air. When you're on the deck, look at a fixed point on the horizon.
When you travel by car, avoid reading or watching TV or videos.
Avoid drinking alcohol or eating a heavy meal before travel.
Do not eat or drink during short trips.
During an extended flight, eat small meals of foods that are easy to digest before and during a flight to help reduce nausea and vomiting.
Try to avoid strong odors and spicy foods.

Front 40

with motion sickness, r/o?

Back 40

You may have another condition that causes nausea and vomiting, such as
stomach flu or an inner ear problem

Front 41

Tx for motion sickness

Back 41

Meclizine (Antivert) 12.5-25 mg qid or
Scopolamine (Transderm Scop)
Promethazine (Promethegan)
Antihistamine:
dimenhydrinate (Dramamine)25-50 mg qidDo not give your child antihistamines unless your child's doctor has told you to. If the doctor tells you to give your child medicine, be sure to follow the doctor's advice on how to give it.
People often try alternative methods of preventing motion sickness such as taking ginger or wearing acupressure bands. There is little scientific evidence that these methods work.
Physical therapy may help people who have significant problems with motion sickness. Your physical therapist will guide you through repeated motions in a controlled situation to help your balance-sensing system adapt to motion. No large studies have been done to test this treatment.

Front 42

Flu like symptoms

Back 42

Fever* or feeling feverish/chills
Cough
Sore throat
Runny or stuffy nose
Muscle or body aches
Headaches
Fatigue (tiredness)
Some people may have vomiting and diarrhea, though this is more common in children than adults.