Pharm: Bug Drugs Doc

Front 1

CAP outpatient

Back 1

p.o. macrolide

(azithromycin or clarithromycin_

Front 2

CAP outpatient w/ structural lung disease
(COPD< astham, smokers)

Back 2

p.o. fluoroquinolones

-levofloxacin
-moxiflozacin

-also targets strep. pneumo

Front 3

Pneumonia (inpatient)

CAP not responding to outpatient Tx. w/ macrolide or CAP admitted directly)

Back 3

I.v. ceftriaxone or i.v. cefotaxime
+
I.v. azithromycin

OR
moxifloxacin or levofloxacin (i.v.)

Front 4

inpatient pneumonia w/ PCN allergy

Back 4

i.v. moxifloxacin or lovefloxacin

Front 5

HA-pneumonia

VA-pneumonia

Back 5

i.v. piperacillin- tazobactam

OR
I.v. cefepime

PLUS
i.v. vacnomycin

Front 6

Step. pneumo
pneumonia

Back 6

i.v. penicillin G

send home on amoxicillin

Front 7

Pen G resistant Strep. pneumo
(low level PCN res.)

Back 7

i.v. cefotaxime

OR

i.v. ceftriaxone

Front 8

MDR Strep. pneumo

Back 8

i.v. vancomycin
OR
i.v. moxifloxacin
OR
high dose i.v. levofloxacin

Front 9

Legionella pneumoniae

Back 9

i.v. azithromycin
OR
i.v. levofloxacin
OR
i.v. moxifloxacin

Front 10

PCP pneumonia

Back 10

trimethoprim-sulfamethoxazole
(larger than normal dose)

Front 11

aspiration pneumonia

Back 11

i.v. or p.o clindamycin

Front 12

outpatient URI w/ PCN allergy

Back 12

p.o. macrolide
(azithromycin)

Front 13

B-hemolytic Strep. - inpatient
(pharyngitis, tonsilitis)

Back 13

i.v. Pen G

Front 14

B-hemolytic Strep- outpatient
(Pharyngitis, tonilitis)

Back 14

p.o. amoxicillin

Front 15

B-hemolytic Strep
PCN allergy
inpatient
(textbooks)

Back 15

p.o. clindamycin

Front 16

B-hemolytic Strep
PCN allergy
inpatient
(real world)

Back 16

p.o. FQ

-levofloxacin

-moxifloxacin

Front 17

prophylaxis for B-hemolytic Strep.

Back 17

i.m. procaine pen G

OR

i.m. benzathine

Front 18

any SSTI caused by a letter strep
inpatient

Back 18

i.v. pen G

Front 19

SSTI caused by a letter strep
oupatient

Back 19

p.o. amoxicillin

Front 20

infected diabetic foot ulcer

Back 20

i.v. piperacillin-tazobactam

Front 21

Primary or Secondary Syphillis

Back 21

i.m. benzathine penicillin

Front 22

Neurosyphillis

Back 22

i.v. Penicillin G

Front 23

Gonorrhea

Back 23

i.m. Ceftriaxone
(painful)

Front 24

CA-meningitis
unknown agent
between 1 mo. and 50years

Back 24

iv. ceftriaxone OR iv. cefotaxime

PLUS

i.v. vancomycin

Front 25

CA-meningitis
unknown agent
younger than 1 mo. OR older than 50 yrs.

Back 25

i.v. ceftriaxone OR i.v. cefotazime

PLUS i.v. vancomycin

PLUS i.v. ampicillin (covers Listeria)

Front 26

CA-meningitis
bug is H. flu/ Strep .pneumo/ Neisseria

Back 26

iv. cefotaxime

OR

i.v. ceftriaxone

Front 27

febrile neutropenia

Back 27

i.v. peperacillin- tazo

OR
i.v. cefepime

PLUS
i.v. vancomycin

Front 28

Cellulitis MSSA
Inpatient

Back 28

i.v. oxacillin or i.v. nafcillin ($$$)

OR

i.v. cefazolin

Front 29

Cellulitis MSSA
outpatient

Back 29

p.o. dicloxacillin

OR
p.o. cephalexin

OR
p.o. amoxicillin + clauvanate

Front 30

Cellulitis MSSA outpatient
PCN allergy

Back 30

p.o. clindamycin

OR
p.o. doxycycline

Front 31

Cellulitis MRSA
outpatient

Back 31

p.o. clindamycin

OR
p.o. trim-sulfa

OR
p.o. doxycycline

Front 32

MRSA
(hospital)

Back 32

i.v. vancomycin

Front 33

MRSA hospital
can't take the vanc.

Back 33

i.v. daptomycin

OR
i.v./p.o. linesolid

OR
i.v. ceftaroline

Front 34

MRSA pneumonia

Back 34

i.v. vancomycin

OR
i.v. linezolid

OR
i.v. ceftaroline

Front 35

osteomyelitis
(children)

Back 35

p.o. clindamycin

Front 36

MRSA osteomyelitis

Back 36

i.v. vancomycin

Front 37

Otitis Media

Back 37

p.o. amoxicillin

OR
p.o. amoxicillin + clauvanate

OR
p.o. cefdinir

Front 38

Pseudomonas

Back 38

i.v. piperacillin- tazobactam

OR
i.v. cefepime

OR
i.v. ceftazidime

Front 39

serious Gram (-) infections
(empiric)

Back 39

antipseudomonal beta-lactam
(piperacillin OR ticarcillin)

+

aminoglycoside
(STAG-N)

Front 40

severe Gram (-) infections
pt. PCN allergy

Back 40

aztreonam

Front 41

surgical prophylaxix
(non-abdominal)

Back 41

i.v. cefazolin

Front 42

gut decontamination
prior to elective GI surgery

Back 42

p.o. neomycin
(not absorbed from GI)

Front 43

periop. prophylaxis for GI surgery

Back 43

i.v. cefoxitin

OR
I.v. cefotetan

Front 44

penetrating GI trauma

Back 44

i.v. piperacillin-tazo

Front 45

lung abscess

Back 45

i.v. piperacillin-tazo

Front 46

appendicitis

Back 46

i.v. piperacillin-tazo

Front 47

post-op GI surgery

Back 47

i.v. piperacillin-tazo

Front 48

inpatient PID

Back 48

i.v. cefotetan
OR
i.v. cefoxitin

PLUS
i.v. doxycycline

Front 49

outpatient PID

Back 49

single i.m. ceftriaxone
+
p.o. metronidazole
+
p.o. doxycycline

Front 50

Chlamydia

Back 50

p.o. doxycycline

OR

p.o. macrolide
(azithromycin OR erythromycin OR clarithromycin)

Front 51

Mycoplasma

Back 51

p.o. doxycycline

OR

p.o. macrolide
(azithromycin OR erythromycin OR clarithromycin)

Front 52

Rickettsia

Back 52

p.o. doxycycline

Front 53

C. difficile

Back 53

2 rounds p.o. metronidazole

THEN

p.o. vancomycin

THEN

P.O. FIDIXIMYCIN

Front 54

VRE

Back 54

i.v. OR p.o. linezolid

OR

i.v. daptomycin

Front 55

Gram (+) bacteremia

Back 55

i.v. vancomycin

Front 56

enterococcus

Back 56

i.v. ampicillin

if res. = i.v. vancomycin

if vanc. res. = i.v. or p.o. linezolid OR daptomycin

Front 57

MDR (vanc res.) enterococcus

Back 57

i.v. or p.o. linezolid

OR

i.v. daptomycin

Front 58

anaerobic infections w/ PCN allergy

Back 58

i.v. metronidazole

Front 59

Borrelia burgdoferi

Back 59

p.o. doxycycline

Front 60

uncomplicated UTI
(OP)

Back 60

trim-sulfa

Front 61

complicated UTI
(OP)

Back 61

p.o. cipro

OR

p.o. levofloxacin

Front 62

UTI pregnant female

Back 62

p.o. nitrofurantoin

Front 63

Nocardia

Back 63

trim-sulfa

Front 64

Nocardia (sulfonamida allergy)

Back 64

minocycline OR doxycycline

OR
ceftriaxone

OR imipenem

Front 65

diarrhea
-Salmonella
-Shigella
-E. coli
-Campylobacter

Back 65

p.o. ciprofloxacin

Front 66

pyelonephritis

Back 66

i.v. ceftriaxone

OR

I.v. cefoxatime

send home on
p.o. cefpodoxime

Front 67

Complicated UTI inpatient
(nursing home)

Back 67

i.v. ceftriaxone
OR
i.v. cefoxatime

send home on
p.o. cefpodoxime

Front 68

Protease Inhibitors

Back 68

Ritonavir + Lopinavir

Atazanavir

Front 69

Atazanavir

Back 69

Protease Inhibitor

Front 70

Ritonavir

Back 70

Protease Inhibitor

Front 71

Integrase inhibitor

Back 71

Raltegravir

Front 72

NNRTI

Back 72

Nevirapine

Efavirenz

Front 73

Efavirenz

Back 73

NNRTI

Front 74

NRTI

Back 74

Lopinavir
Abacavir
Tenofovir
Emtrictabine
Zidovidine

Front 75

Efavirnez v. Emrticatabine

Back 75

Efavirnez = NNRTI

Emtricatabine= NRTI

Front 76

Fusion Inhibitors

Back 76

Maravioc

Enfuvirtide

Front 77

Enfuvirtide

Back 77

Fusion inhibitor

gp41

last resort

Front 78

Red Man Syndrome

Back 78

vancomycin

give diphenhydramine

Front 79

Seizurecillin

Back 79

imipenem

Front 80

turns everything orange

Back 80

rifampin

Front 81

Pyrodoxone res. peripheral neuropathy

Back 81

Isoniazid

Front 82

teeth problems

Back 82

tetracyclines

doxycycline
minocycline

Front 83

DOC herpes keratitis

Back 83

trifluridine

Front 84

DOC CMV retinitis

Back 84

Gancyclovir retinal implants

Front 85

dont take with milk or cations

Back 85

tetracyclines

Front 86

Cipro S/E

Back 86

tendon rupture

Q-T prolongation (slow K+ current)

phototoxicity

Front 87

slows K+ current

Back 87

cipro

Q-T prolongation

Front 88

DOC Giardia

Back 88

***Metranidazole***

Nitazoxanide

Front 89

DOC Entomoeba

Back 89

***Metranidazole***

follow-up= paromycin

Front 90

Chloroquine

Back 90

p.o. once a week

all sensitive strains, NOT hypnozoites

Front 91

Primaquine

Back 91

only drug to kill hypnozoites

hemolytic anemia in G-6-P
methemhemoglobinemia

Front 92

not for G-6-P malaria patients

Back 92

Primaquine

Front 93

Methemhemoglobinemia in G-6-P

Back 93

Primaquine

Front 94

Mefloquine

Back 94

only drug to kill MDR P. falciparum

makes you crazy

prophylaxis?

Front 95

anti-malaria
crazies

Back 95

Mefloquine

Front 96

DOC P. ovale

Back 96

cholropquine + primaquine

Front 97

DOC P. vivax

Back 97

chloroquin + primaquine

Front 98

effective against MDR malaaris

Back 98

Mefloquine- rarely used

DOC
doxycycline + clindamycin

Front 99

for severe P. falciparum when NPO

Back 99

Quinidine

(cardiac toxicity)

Front 100

Quinidine

Back 100

for severe P. falciparum when NPO

cardiac toxicity

Front 101

DOC chloroquine resistant malaria

Back 101

atovaquone- proguanil

Front 102

DOC toxo- immunocompetant

Back 102

pyrimethamine- sulfazidine

Front 103

DOC Toxo- AIDS

Back 103

trimethoprom- sulfa

Front 104

DOC Threadworrm

Back 104

Ivermectin

Front 105

DOC Pinworms

Back 105

Albendazole (mixed infections)

Mebendazole (+round/ tapeworms)

Pyrantel pamoate

Front 106

DOC mixed worm infections

Back 106

albendazole

Front 107

DOC Schistomes

Back 107

Praziquantel

Front 108

DOC Cestodes

Back 108

albendazole

Front 109

DOC Trematodes

Back 109

(Schistomes/ Flukes)

Praziquantel

Front 110

anti-helmetic

reversible alopecia

Back 110

Albendazole

Front 111

DOC Scabies

Back 111

5% permethrin

Front 112

DOC Lice

Back 112

1% Permethrin

Front 113

Ivermectin

Back 113

P.o. scabies

Threadworm

Front 114

p.o. scabies

Back 114

Ivermectin

Front 115

DOC HIV Cryptococcus

Back 115

amphoteracin B

Front 116

Amphoteracin B
S/E

Back 116

-nephrotoxic

-shake and bake (fever + chills)

-hypochromic anemia

Front 117

shake and bake syndrome

Back 117

Amphroteracin B

Front 118

Amphoteracin B after Azoles

Back 118

NO!

azoles remove acting site of AmphoB

Front 119

DOC Asperilligus

Back 119

***Voriconazole***

Amphoteracin B

Posaconazole

(not fluconazole)

Front 120

Asperilligus and Fluconazole

Back 120

NOPE

Front 121

Posaconazole

Back 121

-all fungi covered

-must have fat in GI (poor F)

-only p.o.

Front 122

DOC Asperilligus or Candida not responding to Tx

Back 122

Caspofungin

"salvage therapy"

$$$

Front 123

DOC Cryptococcal meningitis

Back 123

Amphoteracin B

Flucytosine (for CNS)

Fluconazole (for life)

Front 124

Amphoteracin B
Administration

Back 124

i.v. or topical

Front 125

Flucytosine
Administration

Back 125

p.o.

Front 126

MET (tines)

Back 126

tolnaftate (topical)

giseofulvin (p.o.)

Front 127

Oral candida

Back 127

nystatin (oral suspension)

clotrimazole (oral troches)

Front 128

DOC Ringworm

Back 128

Griseofulvin (topical)

also:
Ketonazole
Terbinafine
fluconazole

Front 129

Athletes foot

Back 129

topical TERBINAFINE

Front 130

Onchomycosis

Back 130

topical TERBINAFINE

Front 131

salvage antifungal

Back 131

Capsofuscine (i.v)

Aspirgillus
Candida
PCP

Front 132

DOC Aspirgillus

Back 132

Voriconazole

(AmphoB will also work)

Front 133

Where griseofulvin builds up where

Back 133

keratin cells

Front 134

AmphoB
S/e

Back 134

-shake and bake

-renal toxic

-hypochromatic anemia

Front 135

DOC ringtowm

Back 135

griseofulvin

Front 136

DOC Cryptococcus

Back 136

flucytosine (5-FT)

+

amphoteracin

Front 137

linezolid
S/E

Back 137

Serotonin syndrome

optic neuropathy (blindness)

bone marrow suppression

Front 138

photosensitive

Back 138

doxycycline

(tetracycline)

Front 139

renal or ototoxicity

Back 139

vancomycin

Front 140

azithromycine
S/E

Back 140

n/v

painful iv

use topically for acne

Front 141

M. avium DOC

Back 141

Ethambutol

Macrolide
(azithromycin)

Front 142

Pinworms

Back 142

Albendazole

Pyrantel-panzoate