Cvs To Put Up

Front 1

CAP a/b tx?

Back 1

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 2

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

Back 2

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

Front 3

For CAP with S Pneu PCN sensitive?

Back 3

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

Front 4

For CAP with S pneu, PCN resistant?

Back 4

Levoflox,
Moxiflox,
Vancomycin (OTOTOXIC)
Linezolid

Front 5

For CAP with M Pneu/ C Pneu?

Back 5

Doxy or a macrolide for 7 days

Front 6

For CAP with Legionella?

Back 6

Azithromycin 3-5 days or a
Quinolone x 7 days

Front 7

For CAP with H influ?

Back 7

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 8

For CAP with influenza?

Back 8

Zanamivir x 5 days
Oseltamivir x 5 days

Front 9

For CAP with anaerobes?

Back 9

Augmentin
Unasyn
Zosyn
Clindamycin

Front 10

A/B for cystitis?

Back 10

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 11

For peds, typical Amox dose for OM?

Back 11

80-90 mg/kg/day

Front 12

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

Back 12

25 mg/kg/day in divided doses

Front 13

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

Back 13

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

Front 14

s/s for Mono

Back 14

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 15

Tx for Mono

Back 15

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 16

Def & S/S for Hordeolum?

Back 16

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 17

Tx of Hordeolum?

Back 17

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

Front 18

Def & S/S of Chalazion?

Back 18

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 19

Tx for Chalazion

Back 19

warm compress
referral for surgical removal

Front 20

S/S of Blepharitis?

Back 20

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

Front 21

Tx for Blepharitis?

Back 21

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

Front 22

Patho for motion sickness

Back 22

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 23

Motion sickness can present as/ cause?

Back 23

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 24

Prevention of motion sickness/ Education for motion sickness

Back 24

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 25

with motion sickness, r/o?

Back 25

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

Front 26

Tx for motion sickness

Back 26

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 27

Flu like symptoms

Back 27

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.