Treatments For Clin Pharm

Front 1

5-ASA

Back 1

Proctitis, mild to moderate
- Topical; in combo with oral

Front 2

6-Mercaptopurine

Back 2

Proctitis, severe

Front 3

Acetaminophen (9)

Back 3

Common Cold (Max 4g/day)
DISCONTINUE – Delirium (combined with codeine)
Herpes – genital Prn
Mononucleosis
Peritonsillar abscess
Pharyngitis
Pneumonia, bacterial and viral
Renal calculi (If stone doesn’t pass in 24hr refer to uro
Sinusitis)
Urolithiasis (Refer to uro if stone doesn’t pass in 2-4 weeks)

Front 4

Acyclovir

Back 4

Herpes zoster

Front 5

Adapalene

Back 5

Acne vulgaris
- Topical gel – at night
- 4 weeks for results

Front 6

Afrin

Back 6

Common Cold
- Rebound congestion >5 days

Front 7

Albuterol

Back 7

Asthma - Inhaler
Bronchiolitis - Nebulized
Bronchitis

Front 8

Alendronate

Back 8

Osteoporosis

Front 9

Amoxicillin (4)

Back 9

Lyme Disease
Meningitis – L. monocytogenes
Otitis media
Perforated TM

Front 10

Ampicillin

Back 10

Cellulitis – Periorbital and orbital With sulbactam IV
Pyelonephritis - With gentamicin
- Until resolution of fever for 24hr

Front 11

Antacids

Back 11

Dysphagia - Take prior to meals
- F/U endoscopy in 2 weeks

Front 12

Antihistamines

Back 12

Dermatitis – Atopic
- For pruritis

Front 13

ASA

Back 13

Myocardial infarction

Front 14

Augmentin

Back 14

Bites – human and animal
- Irrigate with nl saline; incomplete closure
Dermatitis – Contact
- If bacterial infection occurs at rash site (scratching)
Paronychia

Front 15

Azathioprine

Back 15

Protitis, chronic

Front 16

Azithromycin (5)

Back 16

Chlamydia – Pneumonia, IV in ICU
Chlamydia – STD With cefixime for gonorrhea
Pertussis
Pneumonia, bacterial and viral
- Advice influenza and pneumococcal vaccination
Urethritis, chlamydia

Front 17

Bacitracin

Back 17

Balanitis – Bacterial
Blepharitis - Topical ophthalmic ointment, Staph
Conjunctivitis - Ophthalmic ointment

Front 18

Bactrim

Back 18

Urinary tract infection

Front 19

Benadryl

Back 19

Dermatitis – contact

Front 20

Benzoyl Peroxide

Back 20

Acne vulgaris (Topical – in morning)
- SE: erythema, dryness, scaling, hypopigmentation
- 4 weeks for results

Front 21

Botulinum

Back 21

Temporomandibular joint disease
- Injection

Front 22

Broad-spectrum Antibiotics

Back 22

Cellulitis – generalized
- Covers S. aureus and GABHS
- Tailor abx after cx

Front 23

Calomine lotion

Back 23

Dermatitis – contact
Herpes zoster

Front 24

Cantharidin solution

Back 24

Molluscum contagiosum
- Apply to lesions and cover with occlusion dressing; wash off in 2-6 hours. Repeat 1-4 weeks until resolution
Warts - F/U in 10 days

Front 25

Captopril (ACE-I)

Back 25

Diabetes Mellitus Type 2 (high blood pressure)

Front 26

Carbamazepine

Back 26

Seizure disorders
Trigeminal neuralgia
- Order baseline CBC with platelet count before tx

Front 27

Cefixime

Back 27

Chlamydia - With azithromycin for gonorrhea coverage
Gonorrhea

Front 28

Cefotaxime (3rd gen ceph) (3)

Back 28

Epiglottitis = Empiric tx until cx
Meningitis – S. penumoniae With vancomycin
Meningitis – N. meningitides

Front 29

Cefoxitin OR cefotetan

Back 29

Dysmenorrhea secondary to PID
With Doxycylcine

Front 30

Ceftriaxone (3rd gen ceph) (7)

Back 30

Gonorrhea
Meningitis, bacterial and viral (IV prophylaxis)
- Max 4g/day
- Outpatient tx after inpatient tx > 6 days AND absence of neurologic dysfx, fever, seizures, or other sig sxs
Meningitis – S. penumoniae (With vancomycin)
Meningitis – N. meningitides
Sepsis (Empiric tx)
Thrombophlebitis, septic
Urethritis, gonorrhea

Front 31

Chlorhexidine

Back 31

Hidradenitis suppurativa (Topical)

Front 32

Chlorpheniramine

Back 32

Common Cold
- For sneezing and rhinorrhea

Front 33

Ciprofloxacin

Back 33

Crohns
- Reduce inflammation and bacterial overgrowth
Diarrhea, acute
Epidiymitis
Pyelonephritis
- After amp+genta and resolution of fever

Front 34

Citrucel

Back 34

Irritable bowel syndrome
- OTC, increase fiber intake

Front 35

Colchicine

Back 35

Gout

Front 36

Ampicillin/sulbactam

Back 36

Cellulitis – Periorbital and orbital
- IV

Front 37

Cefoxitin OR Cefotetan + Doxycycline

Back 37

Dysmenorrhea secondary to PID
- Cont doxy after discharge

Front 38

Vancomycin + ceftriaxone OR cefotaxime

Back 38

Meningitis – S. penumoniae
- IV

Front 39

Ampicillin + gentamicin

Back 39

Pyelonephritis
- Until fever remits for 24hr, then switch to cipro

Front 40

Corticosteroids (3)

Back 40

Dermatitis – Atopic (Topical)
Proctitis, severe (Systemic)
Tendinitis (Injection if NSAIDs fail)

Front 41

Cortifoam

Back 41

Hemorrhoids
- Ointment

Front 42

Cortisporin

Back 42

Otitis externa
- Drops

Front 43

DesmopressIn

Back 43

Diabetes Insipidus
- Drug of choice for central DI!

Front 44

Dexamethasone

Back 44

Bronchiolitis
- Nebulized
RSV

Front 45

Dextromethorphan

Back 45

Bronchitis
Common Cold
- For cough

Front 46

Doxycycline

Back 46

Dysmenorrhea secondary to PID
- With cefoxitin or cefotetan
Lyme Disease
Reiter Syndrome

Front 47

Enoxaparin

Back 47

Renal failure, acute (ARF)
- Foley, I&O, UA, EKG

Front 48

Epinepherine

Back 48

Laryngotracheobronchitis
- 1:1000 dilution, repeat prn
- RSV
- Inhaled

Front 49

Excedrin Migraine

Back 49

Migraine
- Combo of acetaminophen, aspirin, and caffeine
- No more than 2 pills q 24 hours

Front 50

Furosemide

Back 50

Congestive Heart Failure With Lisinopril

Front 51

Glipizide (a sulfonylurea)

Back 51

Diabetes Mellitus Type 2
- In addition to metformin

Front 52

HCTZ

Back 52

Hypertension, essential

Front 53

Heparin

Back 53

Thrombophlebitis
- Reduce risk of DVT

Front 54

Hydrocortisone

Back 54

Dermatitis – Diaper
- Low-potency topical
Dermatitis – Seborrheic
- Cream

Front 55

Ibuprophen/NSAIDs (12)

Back 55

Headache – tension
Herpes zoster prn
Hidradenitis suppurativa
Interstitial cystitis
Lower back pain
Osgood-Schlatter disease
Otitis externa
Otitis media
Reiter Syndrome
Temporomandibular joint disease
Tendinitis
Thrombophlebitis

Front 56

Imiquimod

Back 56

Condyloma acuminate
- Cream
- Also recommend Gardasil

Front 57

Insulin

Back 57

Diabetes Mellitus Type 1
- Unless K < 2.5 mg/dL
DKA
- IV infusion regular insulin

Front 58

Ketoconazole

Back 58

Dermatitis – Seborrheic
- Shampoo

Front 59

Labatalol

Back 59

Hypertension, emergencies
- Bolus or infusion
- Titrate with <20% drop in BP in 1st hour, then lower to 160/110 in next 2 hours

Front 60

Lexapro

Back 60

Anxiety

Front 61

Lidocaine

Back 61

Epistaxis
- Stop blood loss, pain relief
Mononucleosis
- Gargle

Front 62

Lisinopril

Back 62

Congestive Heart Failure with Furosemide

Front 63

Loperamide (4)

Back 63

Crohns
Diarrhea, acute
Irritable bowel syndrome
Ulcerative colitis

Front 64

Loratidine (2nd gen H1 blocker)

Back 64

Uticaria

Front 65

Lorazepam

Back 65

Delirium

Front 66

Lovastatin

Back 66

Hypercholesterolemia
- Lower LDL < 130

Front 67

Metamucil

Back 67

Irritable bowel syndrome
- Increase fiber intake

Front 68

Metformin

Back 68

Diabetes Mellitus Type 2

Front 69

Metoprolol

Back 69

A fib
- Control heart rate

Front 70

Metronidazole

Back 70

Acne Rosacea
- Gel, Cream or lotion – morning and bedtime after cleaning face

Trichomoniasis
- Avoid alcohol

Front 71

Miconazole

Back 71

Vaginitis, bacterial and candidal
Cream, intravaginally

Front 72

Morphine

Back 72

Burns
Myocardial Infarction

Front 73

Mupirocin

Back 73

Folliculitis
(Topical)

Front 74

Naloxen

Back 74

DKA (altered mental status)

Front 75

Nasonex

Back 75

Rhinitis, allergic
- Corticosteroid spray each nostril q12hr

Front 76

Nitroglycerine

Back 76

Myocardial infarction

Front 77

Nystatin

Back 77

Balanitis – Fungal

Front 78

Anxiety

Back 78

CBT

Front 79

Cerumen Impaction

Back 79

Curette & suction

Front 80

Constochondritis

Back 80

Reassurance, rest, heating pad, try NSAIDs or Tylenol

Front 81

Dementia

Back 81

50cc CSF removed, refer to surgeon for ventriculoperitoneal shunt, counsel caretaker

Front 82

Dermatitis – Atopic

Back 82

Emollient creams

Front 83

Enuresis

Back 83

Educate and reassure patient and family, regulate voiding habits, limit fluid intake, alarm therapy, positive reinforcement, psychotherapy, family therapy

Front 84

Epstein-Barr Virus

Back 84

NSAIDs/Tylenol, increase fluids, no strenuous activity x 3-4 weeks

Front 85

Fever of Unknown Origin

Back 85

Admit

Front 86

Headache – cluster

Back 86

Oxygen 100% 7-15ml, refer to neuro

Front 87

Laryngitis

Back 87

Ricola lozenges, “throat coat” OTC, vocal rest, fluids, refer to ENT

Front 88

Menorrhagia

Back 88

Removal of Paraguard IUD, insert Mierna, higher dose OCP to regulate bleeding, refer to ob/gyn

Front 89

Molluscum Contagiosum

Back 89

Cryotherapy 5-10 seconds q weeks until resolution
Curretage if cryotherapy fails

Front 90

Myocardial infarction

Back 90

MONA: morphine, oxygen, NTG, ASA

Front 91

Obesity

Back 91

Lifestyle mods, diet, exercise, cont medications, refer to cardio, monitor wt loss, consider meds if needed at 6 mo

Front 92

Osgood-Schlatter disease

Back 92

Ice, refer to PT, avoid high impact exercise

Front 93

Osteoporosis

Back 93

Calcium and vitamin D supplements, weight bearing exercise, fall prevention

Front 94

Paronychia

Back 94

I&D would and C&S sample

Front 95

Pharyngitis

Back 95

Salt water gargles, anesthetic lozenges, and cool-mist humidifier prn

Front 96

Psoriasis

Back 96

Moisturizing, occlusion therapy, soak and remove plaques, limit sun exposure, avoid triggers

Front 97

Respiratory distress syndrome, adult and neonatal

Back 97

Adequate oxygenation, ventilator support, fluid resuscitation, metabolic/electrolyte management, prophylactic treatment for infx prevention

Front 98

Respiratory syncytial virus (RSV)

Back 98

Admit, hydrate, IVF, airway, oxygen, mechanical ventilation

Front 99

Restless leg syndrome

Back 99

Exercise, wt loss, diet, dopamine agonist if intervention unsuccessful

Front 100

Seizure disorders

Back 100

Telemetry, CPP, EKG, neuro consult, 2D echo, carotid plaque, UA, urine tox screen

Front 101

Ulcerative colitis

Back 101

Calcium supplementation to reduce risk of osteoporosis

Front 102

Oxybutynin

Back 102

Interstitial cystitis

Front 103

Oxymetazoline

Back 103

Epistaxis
- Stop blood loss and pain relief

Front 104

Penicillin (5)

Back 104

Erysipelas (PCN V)
Meningitis – L. monocytogenes (PCN G)
Peritonsillar abscess (PCN G)
- Discharge pt on PCN V when able to swallow
Pharyngitis - Only abx proven to prevent rheumatic fever, Noninfectious after 24hr of abx
Syphilis - Benzathine PCN G

Front 105

Phenergen

Back 105

Vomiting
- F/U with ENT within 2 days
- Causes sedation, no driving

Front 106

Phenylephrine

Back 106

Sinusitis (Nasal spray)

Front 107

Phenytoin

Back 107

Seizure disorders

Front 108

PPI

Back 108

Gastritis
GERD: Omeprazole

Front 109

Prednisone

Back 109

Dermatitis – Contact
- If rash widespread or blisters
Headache – cluster
Ulcerative colitis
- For inflammation

Front 110

Promethazine

Back 110

Vomiting
- Must F/U with ENT within 2 days
- Causes sedation, no driving

Front 111

Propanolol

Back 111

Portal hypertension
Prophylaxis against variceal bleeding
(Can also use nadolol)

Front 112

Psyllium

Back 112

Constipation – Mechanical, Functional

Front 113

Pyrantel Pamoate

Back 113

Pinworms
- Tt sx-ic family members

Front 114

Rocephin

Back 114

Mastoiditis
- IV, admit pt

Front 115

Scopolamine

Back 115

Motion sickness
- Transdermal patch at least 4 hours before boat

Front 116

Sertraline

Back 116

Depression, SSRI, Must take for 6-12 months
Postpartum Depression, SSRI

Front 117

Somatostatin

Back 117

Portal hypertension
- Therapy for acute variceal hemorrhage
- Can also use vasopressin or octeotide

Front 118

Sulbactam

Back 118

Cellulitis – Periorbital and orbital
With ampicillin IV

Front 119

Sulfasalazine

Back 119

Crohns (Take with folic acid to reduce risk of malignancy)
Ulcerative colitis

Front 120

Tagamet

Back 120

Dysphagia (If sxs don’t improve)

Front 121

Tamiflu (Oseltamivir)

Back 121

Influenza B (If <48 hours onset)

Front 122

Terazosin

Back 122

Prostatic hyperplasia, benign

F/U in 1 month to see if scs resolved, Return annually for F/U DRE and PSA

Front 123

Terbinafine

Back 123

Onychomycosis (If baseline LFT and CBC are normal)
Tinea cruris

Front 124

Tetracycline

Back 124

Acne Rosacea (Low-dose)

Front 125

Valacyclovir

Back 125

Herpes – genital
Herpes simplex (HIV screen)

Front 126

Valium

Back 126

Anxiety

Front 127

Valproic acid

Back 127

Seizure disorders

Front 128

Vancomycin

Back 128

Meningitis – S. penumoniae
PLUS ceftriaxone OR cefotaxime

Front 129

Warfarin

Back 129

A fib: Check INR weekly

Front 130

Xanax

Back 130

Anxiety

Front 131

Zolmitriptan

Back 131

Headache – cluster; Nasal spray prn

Front 132

Zyrtec

Back 132

Rhinitis, allergic
- Once a day at bedtime