Power-horse Library

Indication for Azithromycin - ANSWER antibiotic for bacterial infections Use for Azithromycin - ANSWER Macrolide Antibiotic used for uncomplicated urethral, cervical, or rectal infections in adults or adolescents such as: Chlamydia, Gonorrhea, Urethritis, Canchroid Uses for Erythromycin - ANSWER bacterial infections such as chlamydial infections (urethritis, cervicitis) and for pneumonia caused by Mycobacterium pneumoniae. prevent conjunctivitis in newborns

Anti-Androgens - ANSWER Finasteride (Propecia) Leuprolide (Eligard, Lupron, Lupron Depot) Spironolactone (Aldactone) Finasteride (Propecia, Proscar) - ANSWER blocks conversion of testosterone to dihydrotesterone Used to tx: -BPH -male pattern baldness 3 months of therapy need to see benefits Stopping, reverses effect w/in 12 months Adverse side effects: - Decreased libido -Impotence dutasteride (Avodart) - ANSWER 5-alpha reductase inhibitor used to tx: BPH Can s...

Doxazosin side effects - ANSWER orthostatic hypotension, falls, reflex tachycardia, headache, and nasal congestion Dutasteride patient teaching and response to delayed onset of therapeutic effect - ANSWER o benefits take months to develop o decreased ejaculate volume and libido. o FDA Pregnancy Risk Category X. It can be absorbed through the skin, so pregnant women should not handle the drug. o men should not donate blood while using it or for at least 6 months after stopping it to avoid...

Antibiotic Classes and examples of infectious disease drugs - ANSWER ß-Lactams : penicillins -Penicillin G, V -Nafcillin, oxacillin, dicloxacillin -ampicillin, amoxicillin -piperacillin -combo-amp/sulbactam(unasyn), amox/clav (augmentin), pip/taco (zosyn) B-lactation: cephalosporin -cephalexin (keflex) -cefoxitin (mefoxin) -cefotaxime (claforan) -cefepime (maxipime) -ceftaroline (teflaro) Fluoroquinolones -ciprofloxacin (cipro) -ofloxacin (floxin) -levofloxacin (levaquin) -moxi...

Chlamydia treatment first line drug, dose, route and frequency - ANSWER Doxycycline 100 mg PO BID x 7 days or Azithromycin 1000 mg po once Uncomplicated gonorrhea urethritis treatment - ANSWER ceftriaxone 500 mg IM single dose with or without doxycycline 100 mg 2x days for days Bacterial Vagionosis 1st line Treatment - ANSWER Non pregnant metronidazole 500 mg 2xdays for 7 days pregnant - vaginal metronidazole 2% for 7 days clindamycin 1% for 7 days HSV (herpes simplex virus) 12s...

CAP causative agents - ANSWER strep pneumo, atypical bacteria (mycoplasma pneumo) and viruses (influenza, RSV) most likely pathogen causing CAP in cystic fibrosis - ANSWER psuedomonas aeruginosa Chlamydial pneumo treatment - ANSWER macrolides (azithromycin) then tetracycline and fluoroquinolones when to use narrow spectrum - ANSWER when causative agent is known Renal dose adjustment for sulfonamides crcl <15 - ANSWER stop drug immediately SEVERE penicillin allergy what do you ...

Common CAP pathogens - ANSWER S. Pneumoniae (most common) H. Influenzae (smokers/COPD) P. Aeruginosa (CF) CAP first line treatment - ANSWER Macrolides, Doxycyline, Amoxicillin what to give if 1st CAP treatment doesn't work? - ANSWER Respiratory Fluoroquinolone if not received abx in the past 3 months Mycoplasma pneumoniae - ANSWER atypical pneumonia; commonly seen in children pediatric atypical pneumonia treatment - ANSWER Macrolides (Erythromycin), if failed then Respiratory...

How to respond to missed doses or changing of contraceptive types from one to another? - ANSWER For products that use a 28-day cycle, the following recommendations from the Centers for Disease Control apply: • If one or more pills are missed in the first week, take one pill as soon as possible and then continue with the pack. Use an additional form of contraception for 7 days. • If one or two pills are missed during the second or third week, take one pill as soon as possible and then ...

Chlamydia (Among Adolescents and Adults) Treatment - ANSWER Doxycycline 100 mg Orally BID for 7 day **Alternative therapy: - Azithromycin 1g Orally in a single dose - Levofloxacin 500 mg orally daily for 7 days Uncomplicated gonococcal urethritis Treatment - ANSWER Chlamydial infection is excluded: Ceftriaxone 500 mg IM single dose If Chlamydial infection has not been excluded: - Ceftriaxone 500 mg IM single dose - Doxycycline 100 mg Orally BID for 7 day **Alternative therapy...

What pathogen is highly associated with CAP in general population? - ANSWER streptococcus pneumoniae Other common pathogens with CAP - ANSWER atypical bacteria (mycoplasma pneumonia) viruses (influenza, respiratory syncytial virus) First line treatment CAP in previous healthy adults - ANSWER Amoxicillin, doxycycline, macrolides (DAM) Treatment of CAP in pregnancy - ANSWER amoxicillin, cephalosporins, erythromycin (ACE) Treatment for mycoplasma pneumonia in the pediatric patient ...