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8 Cards in this Set
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- Back
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how do you treat septic pseudomonas?
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two drugs:
1 beta lactam: piperacilin/tazobactam, or ceftazadime 1 "other" = FQ or aminoglycoside (gent) |
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treatment for meningitis?
what's a normal CSF glucose level? |
note that you begin treatment immediately: before lp, before scan.
1. vanc (strep pneumo) 2. ceftriaxone 3. amp (listeria). CSF glucose should be blood glucose -40. |
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what are the SIRS criteria?
What about sepsis? Severe sepsis? Septic shock? |
SIRS do NOT include BP!
Sirs: >38 degrees (<36) >90 bpm >20 resps/min >12,000 WBC (or under 4000) Sepsis: SIRS + obvious infection severe sepsis organ dysfunction, maintainable with IV fluids Septic shock: IV fluids don't keep organs profused |
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how do you treat anerobes above/below the diaphragm?
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clinda above, metro below.
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what things cause hyperthermia?
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chase nms:
CNS injury Hyperthermia Anticholinergics (also urinary retention) Seratonin syndrome (SSRI + MAOi, linazolid) Endocrine Neuroleptic maglignant syndrome (anti-psychotics, D blockers (metaclopramide = reglan, phenergan = promethazine( Malignant hyperthermia (halide inhalants) Sympathomemetics (cocaine). |
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what are the bactericidal antibiotics?
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very finely proficient at cell murder: vanc, FQ's, penicillin, aminoglycosides, cephalosporins, metronidazole.
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what do use on methicillin-sensitive staph? resistant? what if pen allergy?
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sensitivive = diclox/clox/oxicllin
resistant = cephalosproins allergy = macrolides |
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when do you use nitrofurantoin?
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only UTI in pregnancy.
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