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25 Cards in this Set
- Front
- Back
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2 memebers of the herpes virus family
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HSV and VZV
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two drugs used to treat HSV and VZV
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acyclovir and valacyclovir
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why is valtrex better?
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bioavailility of 55% as compared to 15-30%
better relief, pain, duration, transmission |
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how long does it take to get a herpes test?
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72 hours
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what lab monitoring needs to be done for acyclovir?
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renal monitoring
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how does oral vs. topical help in Herpes 2
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topical- reduces duration of shedding but does not promote healing
oral- duration severity and prevents new lesions |
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what would you use on recurrent infections of herpes?
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not topical only oral
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whenis topical indicated and what side effect
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cold sore and genital lesions and stinginf
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side effects of acyclovir
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NVD HA vertigo
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how to prevent renal problems with IV acyclovir
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infuse slowly over an hour and hydrate before and 2 hours after
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who can get neurtoxity with acyclovir?
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dialysis pts
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what can happen in immunocompromiced pts on Vlatrex?
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TTP/HUS- purpur + uremic
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what is the valtrex dosages for intial, recurrent and suppression
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initial- 1 gm 2x for 10 days
recurrent-500 mg 2x for 3 days suppression- 500-1000 mg 1x daily |
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what are VZH prescribed
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high dose acyclovir and prednisone
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what are the nerve patterns in zoster called
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dermotomes
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3 most important thing about giving IV acyclovir
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I&O
hydration infuse slowly check kidney labs |
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3 adverse effects of IV acyclovir
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plebitis, reversable nephrotox,neuro tox
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treatment for hep c
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peg interferon and ribavirin
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advers effects of hep C drugs
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neuropsych, depression, heart damsge, thyroid problems, bone marrow suppression, alopecia, GI
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drug for hep B
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interferon alfa-2b peg-intron
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normal creatinine
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.7-1.4
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normal bun
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7-25
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noraml AST
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0-42
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normal ALT
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0-48
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what is the difference bt conventional and peged interferon
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convention is short lived and less convenient- 3x week
peg- neutropenia and thrombocytopenia but more effective |
