Exam 1

Front 1

Acyclovir-What are the uses?

Back 1

Oral: Antiviral-HSV 1/2 & Varicella Zoster; Herpes simplex encephalitis in pts>6mo; herpes zoster(shingles) & chickenpox; Ointment: initial HSV genital infxns; Unlabeled use: cytomegalovirus & HSV infxn following transplant, herpes simplex infxns, varicella pneumonia, disseminated primary eczema herpeticum.

Hint 1

Antiviral; Herpes

Front 2

Acyclovir-Preg Category

Back 2

B; Lactation Safe

Hint 2

okay for prego/bf

Front 3

Acyclovir-Side Effects

Back 3

CNS: h/a, vertigo, depression, tremors, encephalopathic chgs;
Skin: inflammation or phlebitis at inj sites, rash, hair loss; GI: n/v, diarrhea, anorexia;
GU: crystalluria w/rapid IV adm, hematuria; Topical adm: transient burning at site of application

Front 4

Amoxicillin-What are the uses?

Back 4

Antibiotic, penicillin-ampicillin type; H.pylori infxn in combo w/other agents; Post-exposure prophylaxis against Bacillus anthracis; Unlabeled: Chlamydia trachomatis in prego

Front 5

Amoxicillin-Preg Category

Back 5

B;

Hint 5

Antibiotic-Penicillin

Front 6

Amoxicillin-Side effects

Back 6

CNS: lethargy, hallucinations, seizures;
GI: glossitis, stomatitis, gastritis, sore mouth, furry tongue, black “hairy” tongue, n/v, diarrhea, abd pain, bldy diarrhea, enterocolitis, pseudomembranous colitis, nonspecific hepatitis;
GU: Nephritis; Hematologic: anemia, thrombocytopenia, leucopenia, neutropenia, prolonged bleeding time; Hypersensitivity: rash, fever, wheezing, anaphylaxis;
Other: superinfections-oral & rectal moniliasis, vaginitis

Front 7

Avelox-Uses

Back 7

Adults w/comm. Acquired pneumonia; bacterial sinusitis; acute bacterial exacerbation of chronic bronchitis; uncomplicated skin infxns

Hint 7

Antibiotic; Fluoroquinolone

Front 8

Avelox-Class

Back 8

Antibiotic; Fluoroquinolone

Front 9

Avelox-Preg Category

Back 9

C

Front 10

Avelox-Side effects

Back 10

CNS: h/a, dizziness, insomnia, fatigue, somnolence, depression, nervousness, anxiety, paresthesia;
CV: palpitations, tachycardia, HTN, hypotension, prolonged QT interval;
GI: n/v, dry mouth, diarrhea, anorexia, gastritis, stomatitis; Hematologic: altered PTT (prothrombin time), thrombocytopenia, eosinophilia;
Resp: asthma, cough, dyspnea, pharyngitis, rhinitis; Other: fever, rash, sweating, photosensitivity, tendonitis

Front 11

Bactroban-aka

Back 11

mupirocin topical ointment

Front 12

Bactroban-Class

Back 12

Antibiotic; topical

Front 13

Bactroban-Uses

Back 13

Used to tx impetigo caused by Staph aureus, Streptococcus, & Staph pyogenes; also nasal agent- used to eradicate nasal colonization of MRSA

Hint 13

Antibiotic; topical

Front 14

Bactroban-Side effects

Back 14

Serious rxns: superinfxn (prolonged use); Common rxns: burning, pain, pruritis, erythema, dry skin, tenderness, cellulitis

Front 15

Biaxin XL-Class

Back 15

Macrolide antibiotic

Front 16

Biaxin XL-Uses

Back 16

URI & LRI; skin & structure infxns; Disseminated mycobacterial infxns; active duodenal ulcer w/H.pylori in combo w/proton pump inhibitor; acute otitis media, acute max sinusitis; mild-mod comm.acquired pneumonia

Front 17

Biaxin XL-Preg Category

Back 17

B

Front 18

Biaxin XL-Side effects

Back 18

CNS: dizziness, h/a, vertigo, somnolence, fatigue;
GI: diarrhea, abd pain, nausea, dyspepsia, flatulence, vomiting, melena, pseudomembranous colitis;
Other: superinfxns, inc PT, dec WBC

Front 19

Cefzil-Class

Back 19

Antibiotic; Cephalosporin (2nd generation)

Front 20

Cefzil-Uses

Back 20

pharyngitis or tonsillitis; 2ndary bacterial infxn of acute bronchitis & exacerbation of chronic bronchitis; Dermatologic infxns; Otitis media; acute sinusitis

Front 21

Cefzil-Preg Category

Back 21

B

Front 22

Cefzil-Side effects

Back 22

CNS: h/a, dizziness, lethargy, paresthesia; GI: n/v, diarrhea, anorexia, abd pain, flatulence, pseudomembranous colitis, liver toxicity; GU: nephrotoxicity; Hematologic: Bone marrow depression; Hypersensitivity: ranging from rash to fever to anaphylaxis, serum sickness reaction;
Other: superinfxns

Front 23

Cephalexin-Class

Back 23

Antibiotic; Cephalosporin (1st generation)

Front 24

Cephalexin-Uses

Back 24

Resp tract infxn; Dermatologic infxns d/t staph & streptococci; Otitis media; Bone infxns; GU infxns

Front 25

Cephalexin-Preg Category

Back 25

B

Front 26

Cephalexin-Side effects

Back 26

CNS: h/a, dizziness, lethargy, paresthesias;
GI: n/v, diarrhea, anorexia, abd pain, flatulence, pseudomembranous colitis, liver toxicity; GU: nephrotoxicity; Hematologic: bone marrow depression; Hypersensitivity: ranging from rash to fever to anaphylaxis, serum sickness reaction;
Other: superinfxns

Front 27

Ciprofloxacin HCL-Class

Back 27

Antibacterial; Quinolones

Front 28

Ciprofloxacin HCL-Uses

Back 28

Infxns d/t susceptible gram-neg bacteria; Acute otitis externa (otic); chronic bacterial prostatitis; nosocomial pneumonia; typhoid fever (oral); STD N.gonorrhea (oral);
prevention of anthrax following exposure to anthrax bacilla (prophylactic use in regions suspected of germ warfare); unlabeled: cystic fibrosis w/pulm exacerbations

Front 29

Ciprofloxacin HCL-Preg Category

Back 29

C

Front 30

Ciprofloxacin HCL-Side effects

Back 30

CNS: h/a, dizziness, insomnia, fatigue, somnolence, depression, blurred vision;
CV: Arrhythmias, hypotension, angina; GI: n/v, dry mouth, diarrhea, abd pain; Hematologic: Elevated BUN, AST, ALT, serum creatinine & alkaline phosphatase, dec WBC, neutrophil count, Hct;
Other: fever, rash

Front 31

Diflucan-Fluconazole-Class

Back 31

Antifungal

Front 32

Diflucan-Uses

Back 32

oropharyngeal, esophageal, & vag candidiasis; cryptoccal meningitis; systemic fungal infxns;
prophylaxis to dec incidence of candidiasis in bone marrow transplants

Front 33

Diflucan-Preg Category

Back 33

C

Front 34

Diflucan-Side effects

Back 34

CNS: h/a;
GI: n/v, diarrhea, abd pain;
Other: rash

Front 35

Doxycycline Hyclate-Class

Back 35

Tetracycline antibiotic

Front 36

Doxycycline-aka

Back 36

Vibramycin

Front 37

Doxycycline-Uses

Back 37

Infxns d/t rickettsiae; agents of psittacosis; When penicillin is contraindicated; adjunct to amebicides in acute intestinal amebiasis; Oral tetracyclines used for acne, uncomplicated adult urethral, endocervical, or rectal infxns d/t C. trachomatis; Malaria prophylaxis for short term use in travelers; Tx of periodontal dx as adjunct to scaling & root planning; Unlabeled: prevention of “traveler’s diarrhea"

Front 38

Doxycycline-Uses (Lalona's)

Back 38

Infections with gram pos & neg organisms. Chylamydia, gonorrhea, syphilis, malaria prevention, PID, cutaneous anthrax, acne, e.coli travelers diarrhea

Front 39

Doxycycline-Dental s/e

Back 39

Dental: discoloring & inadequate calcification of primary teeth of fetus if used by prego women and of permanent teeth if used during period of dental development

Front 40

Doxy-more s/e

Back 40

Skin: phototoxic reactions, rash, exfoliative dermatitis (more freq & more severe w/this tetracycline than others);
GI: fatty liver, liver failure, anorexia, n/v, diarrhea, glossitis, dysphagia, enterocolitis, esophageal ulcer; Hematologic: hemolytic anemia, thrombocytopenia, neutropenia, eosinophilia, leukocytosis, leucopenia;
Local: irritation at inj site;
Other: superinfxns, nephrogenic diabetes insipidus syndrome

Front 41

Doxy-Preg Category

Back 41

D

Front 42

Erythromycin-Class

Back 42

Macrolide antibiotic

Front 43

Erythromycin-applications

Back 43

applications: Systemic, oral, ophthalmic ointment, topical solutions, topical ointment

Front 44

Erythromycin-uses

Back 44

Systemic Administration:
Acute infxns; URIs, LRIs, skin & soft tissue infxns;
PID; In conjunction w/sulfonamides in URIs; As adjunct to antitoxin in infxns; Prophylaxis against alpha-hemolytic strep endocarditis before dental or other procedures in pts allergic to penicillin w/valvular heart dx; Oral: tx of intestinal amebiasis; infxns in newborn & in prego d/t Chlamydia; & in adult chlamydial infxns when tetracycline cannot be used; primary syphilis

Front 45

Erythromycin-more uses

Back 45

in penicillin-allergic pts; eliminating Bordetella pertussis organisms from nasopharynx of infected individuals & as prophylaxis in exposed & suspectible individuals;
unlabeled: erythromycin base used w/neomycin before colorectal surg to reduce wound infxn; tx of severe diarrhea asso w/ Campylobacter enteritis or enterocolitis; tx genital inguinal or anorectal lymphogranuloma venereum infxn; tx of Haemophilus ducreyi (chancroid); Ophthalmic ointment: tx superficial ocular infxns d/t susceptible strains of microorganism; prophylaxis of ophthalmia neonatorum d/t. N.gonorrhea or C. trachomatis;
Topical skin solns for acne vulgaris;
Skin ointment: prophylaxis against infxn in minor skin abrasions

Front 46

Erythromycin-s/e

Back 46

Systemic:
CNS: Reversible hearing loss, confusion, uncontrollable emotions, abn thinking;
GI: Abd cramps, anorexia, diarrhea, vomiting, pseudomembranous colitis, hepatoxicity; Hypersensitivity: allergic rxns ranging from rash to anaphylaxis;
Other: superinfxns;

Front 47

Erythromycin-more s/e

Back 47

Ophthalmic ointment:
Skin: edema, urticaria, dermatitis, angioneurotic edema; Local: irritation, burning, itching at site;
Topical skin prep: Local: superinfxns, particularly w/long term use

Front 48

Erythromycin-uses (Lalona's)

Back 48

Acute PID, intestinal amebiasis, to prevent rheumatic fever, urethritis, syphilis in pts allergic to PCN, mycoplasmic pneumonia, URI/LRI

Front 49

Erythromycin-s/e (Lalona's)

Back 49

Fever, ventricular arrythmias, vein irritation, hearing loss, cholestatic jaundice, urticaria, rash, eczema, overgrowth of nonsusceptible bacteria or fungi

Front 50

Erythromycin-Preg Category

Back 50

B