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91 Cards in this Set

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DOC for Viridans strep (endocarditis)
PCN G
DOC for Treponema palladium (syphylis)
PCN G
DOC for Strep A, C, and G pharyngitis
PCN V
PCN used for non-compliance
Bicillin
PO impetigo or cellulitis from S. aureus; Strep Gp A
Dicloxacillin (anti-staph PCN)
PCN effective against GNB incl H. influenzae
Ampicillin IV; Amoxicillin Oral
Infected wounds /c sepsis; peritonits s/p bowel perf
Unasyn
Otitis media resistant to Amoxi; sinusitis; animal bites; inf wounds
Augmentin
PCN that extend Ampicillin to include Pseudomonas aeruginosa and other GNB
Piperacillin and Ticarcillin
B-lactam inhibitors comb /c other PCNs
Clavulanic acid
Sulbactam
Tazobactam
ceph used for skin infx by S. aureus; Gp A strep
Cephalexin (Keflex)
DOC ceph for surgical prophylaxis
Cephazolin (Ancef)
1st Gen Ceph
ceph option for resistant OM; alt for CAP and pharyngitis
Cefaclor (Ceclor)
ceph used for /a /p surg of abdomen
Cefoxitin (Mefoxin)
alt ceph in OM and resistant sinusitis
Cefpodoxime (Vantin)
DOC for N. gonorrhea urethritis; also used for resistant OM, meningitis, pharyngitis
Ceftriazone (Rocephin)
cephs used for severe GNB ifx incl meningitis, endocarditis
Cefotaxime (Claforan)
Ceftazime (Fortaz)
empiric tx for febrile neutropenia and some strains of enterobacter
Cefepime (Maxipime)
works against GNB only; B-lactamase resistant
Aztreonam (Azactam) - monobactam
1st line for enterobacter, pseudomonas, serratia, febrile neutropenia, sever resistant ifx (xreax /c PCN)
carbapenems (imipenem /c cilastatin; meropenem; ertapenem)
narrow spectrum GPB; restricted used MRSA; pt /c B-lactam allergy or life threatening C. dif colitis
vancomycin
synergistic effects when used /c aminoglycosides against E. faecium and faecalis
vancomycin
PO only for C. dif colitis
vancomycin
vancomycin renal and ototoxic effect increase /c?
aminoglycosides
topical use glycopeptide used for GPB
bacitracin
topical used for impetigo, S. aureus, Gp A Strep, MSSA, and MRSA
Mupirocin (Bactroban)
Rx for Rocky Mtn spotted fever; typhus in children <8 (rickettsia)
Chloramphenicol (Chloromycetin) or Coxycycline (Vibramycin)
DOC for abd surgery
Ampicillin
DOC for gonorrhea
Rocephin(R)
Gen of cephs used for severe gram neg ifx
3rd Gen
beta lactam w/ low cross reactivity
aztronam (azactam) - beta lactamase resistant; gm neg only
broadest available spectrum drugs used if resistant to -cillins and cephs-
carbapenems (imipenem, meropenem, ertapenem)
carbapenems have a __% cross reactivity w/ pcn
50%
Alt drug if MRSA, B-lactam allergy, or PO for C. difficile colitis
vancomycin
what drug causes red man/neck syndrome if given too fast?
vancomycin
DOC for vancomycin resistant enterococcus faecium (VREF)
synercid (IV)
zyvox (PO)
Alt drug for vancomycin
Used for staph, strep, and vanc-susc E. faecalis
Daptomycin (Cubicin)
grey teeth SE caused by
tetracycline
grey baby syndrome caused by
chloramphenicol
-cycline DOC for renal impairment
doxycycline
doxycycline DOC for
CARL is living w/ goats in the rocky mountains and gets lyme dz from the fleas, anthrax from the pelts, and the clap from the animal lovin' (chlamydia, anthrax, rmsf, lyme dz)
macrolide for H. inf
clarithromycin
macrolide for legionnaires
erythromycin
macrolide that must be taken w/ food
erythromycin
macrolides used for CAP
azithromycin and telithromycin (ketek)
which macrolide causes C. dificile overgrowth
clindamycin (cleocin)
DOC for tx c. dificile overgrowth?
Metronidazole or PO vancomycin
adverse rxns of aminoglycocides
ototoxicity and nephrotoxicity
DOC for OM prophylaxis?
sulfonamide - sulfisoxazole (gantrisin)
DOC for non-infected burns?
silver sulfadiazine (silvadene)
DOC for prostatitis >35yo?
FQ or Bactrim
DOC for uncomplicated UTI in child?
Bactrim
DOC for pneumocystis carinii pneumonia (PCP)?
Bactrim
Which antifolate drug if sulfa allergy?
Trimethroprim
SE of trimethroprim?
megaloblastic anemia (due to folate deficiency)
DOC for inflammatory bowel dz (ulcerative colitis, Crohn's Dz)?
sulfasalazine (azufidine)
DOC for suppurative conjunctivitis?
Polytrim
which gen of FQ best for gram neg?
2nd gen FQ
"-floxacin"?
FQ
"-mycin", "-micin"?
macrolides and aminoglycosides
"-cycline"?
tetracyclines
"cef-" or "ceph-"?
cephalosporins
"-cillin"?
penicillins
Indications for FQs?
UTI, prostatitis, gonorrhea, inf diarrhea, CAP, alt for bronchitis, sinusitis, skin ifx
CI for FQs?
prego and <18yo (due to cartilage erosion)
CI for Nitrofurantoin use?
G6PD deficiency
prophylaxis for UTI when?
>3 UTIs/yr (Nitrofurantoin)
DOC to control burning assoc w/ UTI?
Pyridium
anti-Tb drugs incl?
"RIPES"
Rifampin
Isoniazid
Pyrazinamide
Ethambutol
Streptomycin
which anti-tb drug CI in preg?
streptomycin
MC nosocomial fungal pathogen?
candida albicans
DOC for vanginal candidiasis?
Fluconazole
dose of fluconazole to tx vaginal candidiasis?
150mg x1 dose
DOC for fungal ifx in immunocompromised?
Vfend
monitor ? when using Vfend?
liver, renal, and visual disturbances
DOC for finger and toenail fungal ifx?
lamisil
DOC for oral thrush?
Nystatin
DOC for tinea corporis and tinea pedis?
clotrimazole 1% (lotramin)
hallmark of malaria treatment?
prophylaxis
primary anti-malarial if chloroquine resistance?
malarone
anti-malarial DOC for preg?
mefloquine
anti-malarial DOC for aviators?
Doxycycline
used to tx uniform for 50 washes against mosquitoes?
permthrin impregnation kit (IDA)
which antivirals used for influenza?
amantadin, rimantadine, relenza(R) and tamiflu(R)
which antivirals used for prophylaxis?
amantadine and rimantadine
which flu antiviral used for treatment only?
relenza and tamiflu
DOC for herpes (all)?
acyclovir (zovirax)
Famciclovir is the prodrug for ?
Penciclovir
OTC top agent for herpes labialis?
abreva
DOC for HIV and Hep B?
Lamuvidine (3TC, Epivir)
DOC for post exposure to HIV needle stick?
Zidovudine and Lamivudine; add Indinavir if large exposure