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12 Cards in this Set
- Front
- Back
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What are commonly associated organisms for central line bacteremia and what are their treatment options?
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Gram positive - Staphylococcus aureus, Staphylococcus epidermidis, enterococcus
Treatment- Vancomycin, nafcillin Gram Negative- Enterobacter, E. Coli, Pseudomonas, Klebsiella Treatment - Timentin, amikacin, cefotaxime, cefuroxome, tobramycin Fungal- Candida Treatment- Amphotericin |
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What are commonly associated organisms for pneumonia and what are their treatment options?
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Bacterial- Streptococcus pneumoniae, Mycobacterium, Mycoplasma, Legionella
Treatment- Cefotaxime, clindamycin, trimethoprim/sulfamethoxazole, erythromycin Fungal- Cryptococcus, Histoplasma, Coccidioides, Candida, Aspergillus Treatment- Ampho, Fluconazole, Voriconazole Viral- RSV, CMV, Adeno Treatment- Ribavirin, Synagis, Ganciclovir, Foscavir |
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What are commonly associated organisms for necrotizing gingivitis and what are their treatment options?
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Bacteroides, Clostridium, Peptostreptococcus
Treatment- Clindamycin, Flagyl, Imipenem |
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What are commonly associated organisms for Typhlitis and what are their treatment options?
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Pseudomonas aeruginosa, Clostridium difficile
Treatment- Ceftaz, Flagyl, Cefepime, Imipenem, Meropenem |
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What are commonly associated organisms for shunts/meningitis and what are their treatment options?
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Bacterial- Gram + / Gram - (see above)
Protozoan- Toxoplasmosis Treament- Pyrimethamine, sulfadiazine, folic acid |
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What are some signs and symptoms of infection?
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- Fever ≥ 101F
- Chills - Pain, inflammation, erythema, warmth, or purulent drainage - Bacteremia: fever, chills after flushing line - Pneumonia: productive cough, chest pain, rales, rhonchi - Otitis media: otalgia, irritability, drainage - Mucositis: ulcerations, vesicles - Esophagitis: retrosternal burning, chest pain, odynophagia, - Sinusitis: nasal or postnasal drainage, cough, HA, sinus tenderness - Cutaneous: vesicles, pustules, inflammation, warmth, pain, erythema - Typhilitis: RLQ pain, fever, diarrhea, guarding, prostration |
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James is a 9 yr old with history of WAS. He comes to clinic today with BP of 90/45, Temp of 101.8, HR of 130, capillary refill of > 3 seconds. What do suspect this patient has?
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Septic shock
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What are the side effects of Aminoglycosides?
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Otoxicity, renal toxic, drop in blood counts, neurological changes such as HAs, gait changes, paresthesias and tremors
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What are the side effects of extended spectrum penicillins?
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altered taste, dizziness, irritability, seizures, n/v/d, changes in liver and kidney function, hypokalemia and superinfection
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What are the side effects of Cephalosporins?
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First generation: n/v/d, changes in LFTs/RFTs, HA, pancytopenia
Second Generation: hypersensitivity reactions Third Generation: Phlebitis, leukopenia, thrombocytopenia |
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What are the side effects of Macrolides?
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prolonged QT, elevated LFTs, abdominal cramping, diarrhea, myelosuppression, Stevens-Johnson Syndrome
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What are the side effects of Carbepenems?
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anaphylaxis, CNS effects (seizures, confusion)
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