Pharm Respiratory Doc

Front 1

Beta hemolytic streps

Back 1

IV Penicillin G
send home on PO amoxicillin

Front 2

Low resistance strep pneumo

Back 2

IV cefotaxime or IV ceftriaxone

Front 3

MDR strep pneumo and high PCN resistance

Back 3

IV VANC or IV moxifloxacin or high dose IV levofloxacin

Front 4

Prophylaxis for beta hemolytic strep

Back 4

IM procaine pen G or IM benzathine pen G

Front 5

beta hemolytic strep in pt w/ PCN allergy

Back 5

PO clindamycin or PO fluroquinone

Front 6

Cellulitis (MRSA) inpt

Back 6

IV oxacillin, nafcillin $$$
IV cefazolin...cheap

Front 7

Cellulitis (MSSA) outpt w/ PCN allergy

Back 7

PO clindamycin
PO doxycycline

Front 8

Cellulitis (MRSA) outpt

Back 8

PO clindamycin
PO trim-sulfa
PO doxycline

Front 9

MRSA (hospital)

Back 9

IV VANC

Front 10

MRSA (hospital) in pt who can't tolerate VANC

Back 10

IV daptomycin
IV or PO linezolid
IV ceftaroline

Front 11

inpt pneumonia in pt w/ PCN allergy

Back 11

IV moxifloxacin or levofloxacin

Front 12

nosocomial pneumonia

Back 12

IV piperacillin, tazobactam
IV cefepime + VANC

Front 13

legionella pneumonia

Back 13

IV azithromycin
IV levofloxacin or moxifloxacin

Front 14

PCP pneumonia

Back 14

trimeth-sulfa (lg dose)

Front 15

Aspiration pneumonia

Back 15

IV or PO clindamycin

Front 16

outpt URI in a pt w/ PCN allergy

Back 16

PO macrolide

Front 17

beta hemolytic strep

Back 17

IV pen G for inpt and PO amoxicillin for outpt

Front 18

Any SSTI caused by "letter" strep

Back 18

IV pen G for inpt
PO amoxicillin for outpt

Front 19

infected diabetic foot ulcer

Back 19

IV piperacillin-tazobactam

Front 20

primary/secondary syphillis

Back 20

IV pen G

Front 21

neurosyphillis

Back 21

IV pen G

Front 22

gonorrhea

Back 22

IM ceftriaxone

Front 23

CA meningitis (empiric if you don't know the bug) when pt is 1mos-50y.o.

Back 23

IV ceftriaxone or IV cefotaxime
PLUS IV vanc

Front 24

CA meningitis when pt less than 1mos or older than 50

Back 24

add IV ampicillin (need to cover listeria's butt)

Front 25

bacterial meningitis when you know the bug (H. flu, strep pneumo, Neisseria)

Back 25

IV cefotaxime or IV ceftriaxone

Front 26

Febrile neutropenia

Back 26

IV piperacillin-tazo OR
IV cefepime

PLUS
IV vanc (cover gram +)

Front 27

MRSA pneumonia

Back 27

IV vanc
IV linezolid
IV ceftaroline

Front 28

MRSA Osteomyelitis

Back 28

IV vanc

Front 29

osteomyelitis in kids

Back 29

PO clindamycin

Front 30

otitis media

Back 30

PO amoxicillin
PO amoxicillin + clavulanate
PO cefdinir

Front 31

Pseudomonas

Back 31

IV piperacillin-tazobactam
IV ceftazidime
IV cefepime

Front 32

Serious gram - (use empiric)

Back 32

antipseudomonal beta lactam
PLUS
aminoglycoside

Front 33

Serious gram - in pts w/ PCN allergy

Back 33

aztreonam

Front 34

surgical prophylaxis (not intra-abdominal)

Back 34

IV cefazolin

Front 35

gut decontamination before GI surgery

Back 35

PO neomycin (not absorbed from GI)

Front 36

perioperative prophylaxis for GI surgery

Back 36

IV cefoxitin
IV cefotetan

Front 37

anaerobic infections (penetrating GI trauma, appendicitis, lung abscess, post-op GI surgery)

Back 37

IV piperacillin + tazobactam

Front 38

inpt PID

Back 38

cefoxitin, IV cefotetan (for Neisseria and anaerobes)

PLUS

IV doxycyline (for chlamydia)

Front 39

outpt single dose for PID

Back 39

IM ceftriaxone (Neisseria)

PLUS

Po metronidazole (at 2wks; for anaerobes)

PO doxycycline (at 2wks; for Chlamydia)

Front 40

anaerobic infections in PCN allergy

Back 40

IV metronidazole

Front 41

Enterococcus

Back 41

IV ampicillin
Amp resistant: IV vanc
Vanc resistant: IV or PO linezolid or daptomycin

Front 42

VRE

Back 42

IV or PO linezolid
IV daptomycin

Front 43

gram + bacteremia

Back 43

IV vanc

Front 44

C. difficile

Back 44

PO metronidazole
severe: PO vanc
lots relapses: fidixomicin

Front 45

Mycoplasma

Back 45

PO doxycycline
PO macrolide

Front 46

Chlamydia

Back 46

PO doxycyline
PO macrolide

Front 47

Rickettsia

Back 47

PO doxycycline

Front 48

Borrelia burgdorfi

Back 48

PO doxycycline

Front 49

Nocardia

Back 49

trim-sulfa

Front 50

Nocardia w/ sulfonamide allergy

Back 50

minocycline/doxycycline
ceftriaxone
imipenem

Front 51

Diarrhea (salmonella, shigella, E. coli, campylobacter)

Back 51

PO ciprofloxacin

Front 52

Uncomplicated UTI, outpt

Back 52

PO trim-sulfa

Front 53

Complicated UTI, outpt

Back 53

levofloxacin
ciprofloxacin

Front 54

Complicated UTI, inpt including nursing homes

Back 54

IV cefotaxime
IV ceftriaxone
PO cefpodoxime

Front 55

Pyelonephritis (E.coli 80% time)

Back 55

IV ceftriaxone
IV cefotaxime
send home w/ PO cefpodoxime

Front 56

UTI pregnant woman

Back 56

PO nitrofurantoin

Front 57

TB, sputum +

Back 57

all four:
PO rifampin
PO isoniazid
PO pyrazinamide
PO ethambutol

Front 58

TB, AIDS

Back 58

PO rifabutin + "IPE"

Front 59

Latent TB, inpt w/ + PPD but negative CXR and negative sputum

Back 59

PO isoniazid
PO rifampin

Front 60

If it ends in -bacter...

Back 60

1. piperacillin + tazobactam
2. cefipime
3. carbapenems
4. ceftazidine

Front 61

Brucellosis (cheese)

Back 61

PO doxycycline
PLUS
IV gentamycin

Front 62

Mycobacterium avium (AIDS only)

Back 62

PO or IV macrolide
PLUS
ethambutol

Front 63

Acne

Back 63

PO minocycline
topical clindamycin
topical erythromycin

Front 64

leprosy

Back 64

dapsone

Front 65

CAP, outpt

Back 65

PO macrolide (azithro or clarthro)

Front 66

CAP, outpt w/ structural lung disease

Back 66

PO "respiratory" flurorquinones: levofloxacin, moxifloxacin

Front 67

pneumonia, inpt (does not respond to outpt tx w/ macrolide or in untx pt admitted to hospital)

Back 67

IV ceftriaxone, IV cefotaxime
PLUS
IV, PO azithromycin OR
IV moxifloxacin, levofloxacin