Power-horse Library

What are the common pathogens for community acquired pneumonia (CAP)? - ANSWER S. Pneumoniae What is the first line treatment for community acquired pneumonia (CAP)? - ANSWER Amoxicillin (beta-lactam), Doxycycline (tetracycline) or azithromycin (macrolides) What drugs do you give for community acquired pneumonia is the first drugs did not work? - ANSWER Respiratory Fluoroquinolones (Levofloxacin, Moxifloxacin) If someone has been treated with an antibiotic in the previous 90 days of ...

First line drug, dose, route, frequency: Chlamydia (Among Adolescents and Adults) - ANSWER Doxycycline 100 mg PO BID x 7 days ALTERNATIVE: Azithromycin 1000 mg po once Or Levofloxacin 500mg PO daily for 7 days First line drug, dose, route, frequency: Uncomplicated gonococcal urethritis - ANSWER ceftriaxone 500 mg IM single dose First line drug, dose, route, frequency: Bacterial Vaginosis - ANSWER metronidazole 500 mg BID for 7 days OR Metronidazole gel 0.75%one full applicator (...

treatment of obesity: evaluation of phentermine/topiramate - ANSWER Schedule IV drug indicated for chronic weight loss. Phetermine suppresses appetite which topirmate increses satiety. Most common side efrects are dry mouth, constipation, blurred vision, and numbness tingling. -serious effects are memory loss, concentration, HTN, tachycardia, hypoglycemia treatment of obesity: evaluation of phentermine/topiramate contraindications: - ANSWER Glaucoma or hyperthyroid -Should not be given ...

Amphotericin B - ANSWER -polyene macrolide -broad spectrum antifungal *HIGHLY TOXIC* -only given for infections that are progressive and potentially fatal - given IV only Amphotericin B Black Box Warning - ANSWER should only be used in the setting of a potentially life-threatening infection Amphotericin B side effects - ANSWER -infusion reactions (fever, chills,rigors, nausea, headache) -neprhotoxic -bone marrow suppression Itraconazole (Sporanox) - ANSWER -alternative to am...

A person with what type of condition should not take echinacea? - ANSWER Prolonged use should be avoided in those who are immunocompromised including HIV, cancer, drug therapy for TB, RA, and SLE Therapeutic effect of coenzyme Q-10 - ANSWER Antioxidant that serves a vital role in cellular energy production Structurally similar to vitamin K, not used with warfarin What is the dietary supplement act of 1994 (DSHEA)? - ANSWER Categorizes botanical products (herbal supplements), vitamins, ...

Regarding osteoporosis, what are the two SERM drugs? - ANSWER -Tamoxifen -Raloxifene Tamoxifen is a good drug because it protects against osteoporosis, but what is it's downside? - ANSWER -Higher risk for cancer -Higher risk for blood clots What is the the awesome benefit of Tamoxifen other than bone health? - ANSWER -Promotes good blood lipid levels What are the 3 main benefits of hormone therapy? - ANSWER -suppression of vasomotor symptoms -prevention of urogenital atrophy -p...

Treatment of glaucoma- beta blockers - ANSWER -approved for topical use in treating open-angle glaucoma are: Betaxolol, Carteolol, Levobunolol, and Timolol. -treat by reducing IOP which can slow or even stop the disease progression -lower IOP by decreasing production of aqueous humor Adverse reactions of Glaucoma Beta Blockers use - ANSWER local stinging, conjunctivitis, blurred vision, photophobia, and dry eyes -bradycardia and AV heart block can also occur -pulse should be monitored ...

For treatment of existing osteoporosis, the dose of alendronate - ANSWER 10 mg/day or 70 mg/week Initial dosage for bone less prevention alendronate and risedronate - ANSWER 5 mg/day or 35 mg/week Testosterone replacement therapy - ANSWER Erythrocytosis is a risk; Hgb and Hct levels checked, expect increase first 6 mths, unless Hgb level higher than 17.5 g/dL, Hct higher than 54%, or both suggests overtreatment or occasionally abuse. IM happens more than transdermal. If the Hct is great...

Excessive cerumen in the ear - ANSWER can lead to conductive hearing loss. Causes: - ANSWER impactions are often caused by patients pushing excessive cerumen further into the ear canal while cleaning. Treatment: - ANSWER Irrigation of the ear canal with warm water or saline is the recommended intervention. Debrox an OTC medication of carbide peroxide can also be used to soften ear wax forays removal. It does not prevent acute otitis external-AOE. DO NOT REMOVE the cerumen Otomyco...

Chlamydia - ANSWER Doxycycline 100mg PO BID x7 days Chlamydia - ANSWER Doxycycline 100mg PO BID x7 days Uncomplicated gonoccal urethritis - ANSWER Ceftriaxone, 500 mg IM once (if chlamydia infection is excluded) Ceftriaxone, 500mg IM once + Doxycycline 100mg PO 2 times a day x 7 days (if chlamydia infection has not been excluded) Uncomplicated gonoccal urethritis - ANSWER Ceftriaxone, 500 mg IM once (if chlamydia infection is excluded) Ceftriaxone, 500mg IM once + Doxycycline 100m...