Resp Empirical Treatments Flashcards Preview

Holy Grail Docs > Resp Empirical Treatments > Flashcards

Flashcards in Resp Empirical Treatments Deck (25)
1

Infective exacerbation of COPD?

amoxicillin then doxycycline
(only if purulent sputum)

2

H. Pylori infection?

1 week of:
- omeprazole
- clarithromycin
- Amoxicillin/metronidazole

3

campylobacter infection?

ciprofloxacin or erythromycin (if co-morbidity)

4

Shigella infection?

ciprofloxacin or azithromycin

5

salmonella infection?

ciprofloxacin or cefotaxime (if co-morbidity)

6

Typhoid?

ciprofloxacin or cefotaxime

7

C. Diff infection?

Non-severe = oral metronidazole
Severe = Oral vancomycin
(diagnosed by CDT in stool)

8

Biliary tract infection?

Ciprofloxacin or gentamicin or cephlasporin

9

Peritonitis?

metronidazole + gentamicin

10

Endocarditis blind therapy?

flucoxacillin + gentamicin

11

Mild/moderate CAP?

amoxicillin

12

Severe CAP?

CO-amoxiclav + clarythromicin

13

HAP?

early onset = co-amoxiclav
late onset = broad spectrum cephlasporin

14

side effects of rifampicin?

orange secretions
rash
hepatotoxicity/hepatitis

15

Izoniazid?

tingling
parasthesiae of extremities
hepatitis

16

Pyrazinamide?

joint pain
rash allergic reaction
yellow skin/eyes
gout
hepatitis

17

ethambutamol?

colour blindness to blindness
hepatitis?

18

TB treatment?

2 months RIPE, 4 months RI

19

how is osteoporosis diagnosed?

DEXA bone scan

20

antibiotics for unknown source of infection?

IV amoxicillin + metronidazole + gentamicin
(consider adding flucox if concerned about staph)
if penicillin allergic - IV vancomycin + metronidazole + gentamicin

21

is bronchopneumonia neutrophilic or eosinophilic?

neutrophilic

22

0-2 CURB65 score?

mild pneumonia
amoxicillin/doxycycline

23

3-5 CURB65 score?

severe pneumonia
IV co-amoxiclav and IV clarithromycin
then step down to oral doxycycline

24

HAP or aspiration pneumonia?

IV amoxicillin + metronidazole + gentamicin
step down to co-trimoxazole + metronidazole orally

25

COPD exacerbation?

SABA/SAMA > check FEV1
- >50% = LABA/LAMA, then LABA + ICS, then add LAMA
- <50% = LAMA/LABA + ICS, the LABA + ICS + LAMA