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41 Cards in this Set
- Front
- Back
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caspofungin dosing for invasive candidemia
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70 mg IV then 50 mg IV q d
continue 14 days till after a clear culture |
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VRE treatment dose
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7.5 mg/kg IV q 12 hours
Quinipristin/dalfopristin |
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Aminogylcosides can bedosed once a day
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killing is concentration dependent and toxicity is dependent on time so a low trough is important
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Empiric antibiotic therapy for CAP no other risk factors
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azithromycin 500 mg then 250 q d to day 5 all ors
clarithromycin 250 mg bid for 14 days erythromycin 250 mg q 6 hours basically 1 g a day |
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one vial into an iv bag
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low risk
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pharmacy technichian
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bulk compounding,
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pharmacy technicians
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cant take phone prescriptions, councel
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Use demerol with caution due to
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active metobolite
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Joint comision to reduce harm dut to use of anticoag tx
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programmable pumps for heparin
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effient
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more platelets less effective
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New Rx ultram
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amitrytyline
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zofran
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5HT3 antag
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diphenoxylate MOA
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opiod antagonist
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hepatic encephalopathy
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lactulose
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medrol CI
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systemic fungal infection
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What is a strong enzyme inducer
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tegretol
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Macrodantin couseling point
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take with food to increase absorption
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Ery-tab causes increased levelsv of
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theophylline
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Counsel for bacttim
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cant be given in patients < 2 y/o
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causes tendon abnormalities and lesions on weight bearing joints
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cipro
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Cordarone may cause
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pulmonary fibrosis
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Michaelis-Menton kinetics
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phenytoin
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indication for levetiracetam
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seizure
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periorbital changes and blurred vision as a side effect
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topamax
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Patient is on Toradol, zoloft, ibuprofen what is the problem
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toradol and ibuprofen are therapuitic duplication
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Common cause of CAP
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Strep Pneumo
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Patient has a penicillin allergy
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doxycycline
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Which of these is not a penicillinase resistant penicllin
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ampicillin
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Pentasa indication
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ulcerative coilitis
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Something about augmentin
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250-875bid
augmentin XR 2g bid |
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Counsel patients given a fluooroquinonolone
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do not take with antacids/iron
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Indications for therapuitic drug monitoring
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vancomycin therapy aminoglycoside therapy
lithium, anti psychotics, anti epileptics valprioc acid phenyytion |
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Reasons why trough of 15-20 mg/L of vancomycin is acceptable
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mIC > 1 need this dose
troughs less then ten contribute to resistance improve penitration improve concentration at target improve clinical outcomes for S. aureus |
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CAP prevention strategies
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influenza vaccine for risk individuals and healthcare workers
smoking cessation Pneumococcall for patients over 65 cases should be reported immediatly |
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Benifit of central of peripheral
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higher concentrations can be infused due to the high volume that flows through the central veins. The large volume that flows trough central veins quickly dilute and dispers medications that are delivered into them.
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caloric content of fat
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9 kcal/g
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3 factors that increase risk of calcium phosphate precipitation in parenteral solutions
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high temp
high pH high concentration of Ca or phosphate adding the calcium early no mixing |
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drips per ml
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20 drops
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Nurse asks max amount of K that can be given piggy back
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weight
adults or peds patient |
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Four questions to ask before starting an antibiotic treatment
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Have you had antimicrobial therapy within the last 90 days
Currently hospitalized for 5 d or more. high frequency of antibiotic resistance resides in a nursing home home infusion therapy chronic dialysis immunosuppresion desease family member with MRSA |
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Unasyn
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ampicillin/sulbactam together
1.5 1/0.5 |
