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64 Cards in this Set
- Front
- Back
CAP(out)
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Macrolide (azithromycin or clarithromycin)
Macrolide: Erythro, clarithro, azithro 50S mostly for + some - for c and a actually goes into the cell |
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CAP(out) structural lung disease(COPD, asthma)
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FQ (Levo, moxi) respiratory so FQ, good against strep Pneumo
goes after topo, good for - not so w/ plus, good for intra |
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Pneumonia (in) doesn't respond to clar, or untreated patient admitted to hospital
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ceftriaxone, or cefotaxime
plus iv FQ w/o clari cef for - and FQ for intra and + |
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Pneumonia w/ PCN allergy
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FQ moxi or Levo
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Hospital acquired pneumonia
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pip-tazo, or cefepime
pip-tazo for g-, pseudo |
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Strep Pneumo
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Pen G, or P.O. Amoxicillin
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MDR strep pneumo
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if resistant to high Pen G also to gen 3 ceph,
Vancomycin FQ(Moxi, Levo) |
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Legionella Pneumo
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FQ (az, levo) (intracellular, G-)
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PCP Pneumo
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Trim/Sulfa
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Aspiration Pneumo
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Iv or PO Clinda (50s) G(+) and anaerobes.
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URI, out patient w/ PCN allergy
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macrolide
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B hemolytic strep
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Pen G, or Amoxicillin
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B hemolytic strep w/ PCN allergy
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clinda, or FQ
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Prophylaxis for B hemolytic strep
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IM version of Pen G
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infected diabetic foot ulcer
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pip-tazo
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primary/secondary syphilis
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benzathine penicillin
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neurosyphilic
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pen g
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gonorrhea
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cefixime or ceftriacone
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community acquired menigitis
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ceftriaxone or cefotaxime plus Vanc
if under 1month or older 50, add ampicillin to cover listeria |
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bacterial meningitis where bug has been ID
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cefotaxime or ceftriaxone
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febrile neutropenia
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pip tazo or cefeprime plus vanc to cover +
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cellulitis MSSA inpatient
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oxa naf cefaolin
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cellulitis MSSA out
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dicloxacillin or cephalexin
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cellulitis mssa out w/ PCN out
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clinda or doxycyline
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cellulitis MRSA out
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clinda, trimsulfa, or doxycycline
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MRSA
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Vanc
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MRSA w/ Vanc allergy
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Daptomycin or linezolid or Ceftaroline
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MRSA pneumonia
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Vanc, Linezolid
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Osteomyelitis children
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Clinda
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MRSA osteomyelitic
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Vanc
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SSTI by letter strep
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Pen G or Amoxicillin
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Otitis Media
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Amoxicillin, or Amoxacillin + clavulanate or cefdinir
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Pseudomonas
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Pip tazo, Ceftazidime or Cefepime
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Serious gram - infection
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Antipseudomonal beta lactam, aminoglycoside
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Severe gram - in patient allergic to PCN
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aztronam
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Surgical prophylaxis
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cefazolin
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gut decontamination
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neomycin
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perioperative prophylaxis
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cefoxitin or cefotetan
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anaerobic infection knife and gun cllub
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pip tazo
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Pelvic inflamatory disease in patient
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cefoxitin or cefotetan plus doxycycline
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outpatient PID
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im ceftriaxone+metronidazole+doxycycline
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anaerobic infections in PCN allergic
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Metronidazole
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enterococcus
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iv ampicillin, then iv vanco, the iv lenzolid
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ampicillin reist enterococcus
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iv vanco
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VRE
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linezolid, daptomycin
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gram + bacteremia
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vanco
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c.difficile
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po metronidazole, if severe go for vanco
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mycoplasma
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doxycycline or macrolide
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chlamydia
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po doxycycline, macrolide
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rickettsia, borrelia burgdorfi
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doxycycline
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norcardia
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trim sulfa
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diarrhea(salmonella, shigella, e coli, or campylobacter)
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ciprofloxacin (FQ)
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uncomplicated UTI
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po trim-sulfa
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complicated UTI out
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levo or cipro
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complicated UTI inpatient w/ nursing
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cefotaxime, ceftriaxone, cefpodoxime
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pyelonephritis
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ceftriaxone, cefotaxime once home po cefpodoxime
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UTI pregnant
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nitofurantoin
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TB sputum positive
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RIPE
Rifampin, isoniazid, pyrazinamide, ethambutol |
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TB(AIDS)
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same as before
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latent TB infection positive PPD but negative X ray
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isoniazid or rifampin
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sputum negative brucellosis from eating cheese
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doxycycline and gentamicin
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mycobacterium avium (AIDS
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macrolide plus ethambutol
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acne
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minocycline topical clindamycine or topical erthromycine
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leprosy
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dapsone
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