what is an ACE cough and how do you treat? - ✔✔dry hacking cough within first few months
of starting
stop med and switch to a SARTAN - ARB
can pregnant or nursing moms receive ACE / ARB - ✔✔NO!!
Name the tetracyclines - ✔✔Tetracycline
Doxycycline
Minocycline
Use of tetracyclines - ✔✔std's, h.pylori, anthrax, acne (broad spectrum)
ADR of tetracyclines - ✔✔Permanent teeth discoloration (yellow-gray-brown) Avoid in
children ≤ 8 years old
Reversible depression of bone growth in premature infants
Photosensitivity
Esophageal irritation/ulceration
Black hairy tongue
AVOID IN PREGNANCY
tetracycline decrease efficacy of OCP
Name of Macrolides and ADRS - ✔✔Erythromycin - don't give with myasthenia gravis
Azithromycin - works well with most RX
Clarithromycin (biaxin) - interactions with CCB, Benzo, tegretol. Do not use in pregos.
All - N/V/D abdominal pain, prolonged INR
1st line treatment for gonorrheal infections - ✔✔IM ceftriaxone 250 mg
1st line therapy for MRSA skin infections (boils abscess) - ✔✔trimethoprim - sulfa (bactrim
DX)
doxycycline or minocycline and clindamycin
treat for 5-10 days
Pt with true allergy to Penicillin (anaphylaxis, angioedema) should not use: -
✔✔cephalosporins - especially first generation (cephalexin-keflex)
can use in preg for UTI
Third Generation Cephalosporins - ✔✔ceftriaxone - Rocephin
, Cefdinir (omnicef)
cefixime - suprax
ADR of Penicillins - ✔✔N/V/D
steven johnson syndrome
vaginitis
C. diff
Use of amoxicillin with mononucleosis causes what? - ✔✔causes a generalized rash
Mono is self limiting
which penicillin to use for mastitis and impetigo? - ✔✔dicloxacillin
recommendation to pt taking PNC and is susceptible to candida vaginitis? - ✔✔probiotics &
eating yogurt daily
names of fluoroquinilones - ✔✔ciprofloxacin
ofloxacin
levofloxacin
moxifloxacin
Gemifloxacin
Use of fluoroquinolones - ✔✔Gram-negative
urinary and GI tracts (including pseudomonas),
chlamydia
mycoplasma
legionella
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