Term
| If you worked in pediatrics in FL and now you are moving to another state, who should write prescribing letters on your behalf to the board of medicine? |
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Definition
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Term
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Definition
Amphetamines
Muscle relaxers with narcotics combined
Psych meds
Benzos
Chemo drugs
Narcotics |
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Term
| If you need a doc to sign a script, who can do it? |
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Definition
| Only a doc that is associated with the patient |
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Term
| How many hours of CME do you need in your specialty every renewal period? |
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Definition
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Term
| Shorthand no longer acceptable on scripts |
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Definition
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Term
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Definition
Not under 8.
Causes light sensitivity (sunburns) |
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Definition
| No cipro under 18. Causes tendon rupture. |
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Term
| Can I give otic drops to someone with a ruptured TM? |
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Definition
| Not usually. Ciprodex is an exception, but check with your doc first or send to ENT. |
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Term
| At which age should I treat kids with otitis media? |
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Definition
Kids > 2 w/ symptoms.
Under 2, wait and see, it is probably viral. |
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Term
| Treatment for otitis media |
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Definition
Hydration, tylenol, abx
Amoxicillin
Augmentin (ES: for kids >3mo)
Omnicef (6mo-12yrs)
If PCN allergy: Bactrim or Zithromax |
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Term
| How do I dose a large kid? |
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Definition
| Do not dose over adult dose even if calculations go over. |
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Term
| Treatment for otitis externa |
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Definition
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Term
What do you do if you suspect malignant otitis externa?
How do you treat it? |
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Definition
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Term
| Treatment for swimmer's ear |
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Definition
| Cortisporin, ofloxacin, dicloxacillin (cipro if allergic to PCN) |
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Term
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Definition
| EMERGENCY: Get a CT and start patient on IV CIPRO |
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Term
| External ear abscess treament |
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Definition
I&D, antibitotic oitment, dressing
Keflex |
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Term
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Definition
Augmentin
If PCN allergy: biaxin or cipro |
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Term
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Definition
| OTCs: debrox, lubricants, colase, hydrogen peroxide |
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Term
Tx for foreign body in ear?
What if there is trauma to ear? |
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Definition
lidocaine to kill bug then forceps to remove FB
KEFLEX if there is trauma to the ear. |
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Term
| Tx for bacterial conjunctivitis in children < 1 yr |
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Definition
| ERYTHROMYCIN drops, most other treatments contraindicated |
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Term
| Tx for bacterial conjunctivitis |
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Definition
| Azasite, Bleph-10 (can use in kids >2 mos), Ciloxin, Ocuflox, Quixin, Tobrex, Vigamox, Zymar |
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Term
| Tx for allergic conjunctivitis |
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Definition
NO ABX- unless 2ndary infx has developed
Benadryl (avoid in asthmatics)
Claritin
Zyrtec, Allegra, Palgic |
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Term
| Tx for viral conjunctivitis |
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Definition
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Term
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Definition
wash lids with baby shampoo
warm compress
artificial tears |
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Term
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Definition
Hot packs
DICLOXACILLIN
If MRSA suspected- use BACTRIM |
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Term
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Definition
E-MYCIN or BACITRACIN ointment
NSAIDS, Vicodin, Darvocet, or Ultram for pain
Contact wearers: CIPRO (gram - coverage) |
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Term
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Definition
| Sinus brady, 2nd or 3rd degree heart block |
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Term
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Definition
asthma, COPD
Sinus brady, 2nd 3rd degree heart block |
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Term
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Definition
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Term
| CI and precaution for Alphagon |
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Definition
CI: MAOIs
precaution: cardiac dz |
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Term
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Definition
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Term
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Definition
| hypokalemia/hyponatremia, sulfa allergy |
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Term
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Definition
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Definition
Hx of bronchospasms, asthma, COPD
2nd 3rd degree heart block |
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Term
| Tx for varicella zoster ophthalmicus |
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Definition
Refer to Ophtho
Famcyclovir or Valacyclovir
NO STEROIDS! |
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Term
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Definition
Stat Optho referral
Stain eye to see denritic ulcer
TRIFLURIDINE |
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Term
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Definition
Cyclogyl or isopto (pilocarpine)
NO ABX |
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Term
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Definition
ADMIT!
IV Nafcillin or Vanc+Rocephin+Flagyl
If PCN allergy: Vanc+levaquin |
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Term
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Definition
Keflex, Unasyn
Cleocin (severe)
Bactrim (not it kids <2)
Doxy (nt in kids <8, avoid sunlight) |
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Term
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Definition
Red Man Syndrome (stop immediately)
Hypotension
Steven-Johnson, ototoxic |
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Term
| Something to look out for with Bactrim |
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Definition
| Make sure pharmacy fills it TMP/SMZ and not the other way around |
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Term
| Tx of foreign bodies in eye |
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Definition
| Remove, tetanus shot if not in last 5 years, abx |
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Term
| Viral vs bacterial pharyngitis |
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Definition
| Bacterial: fever, nodes, can't swallow, |
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Term
| Tx for bacterial pharyngitis |
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Definition
Pen VK x 10 DAYS to prevent rheumatic fever
Gram - abx for exudative: E-maycin, Azithromycin, biaxin, 2/3 gen cephalosporin |
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Term
| What should you do in there is a lot of swelling with pharyngitis |
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Definition
| Prescribe a steroid to reduce inflammation |
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Term
Tx for pain in pharyngitis?
SE? |
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Definition
Viscous lidocaine
SE: hypoTN, arrhythmias |
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Term
| Tx for gonococcal pharyngitis |
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Definition
Rocephin
Plus treat chlamydia empirically with Zithromax or doxy |
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Term
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Definition
Cefotaxime or Rocephin
2nd line: bactrim, unasyn |
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Term
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Definition
voice rest,humidified air
NO ABX!
If GERD is culprit: prevacid |
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Term
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Definition
Augmentin, Amoxicillin (if pt hasn't been on a ot of abx), Omnicef
Allergic to PCN: fluoroquinolones |
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Term
| Chronic sinusitis (> 12 weeks) |
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Definition
| Send to ENT with CT results in hand |
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Term
| Sinus med used in kids > 2 |
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Definition
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Term
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Definition
MONAH
Morphine: watch for resp. depression, hypoTN
Oxygen
Nitroglycerin: 1 q 5min x 3
Aspirin
Heparin |
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Term
Target aPTT with heparin tx post MI?
Concerns with heparin? |
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Definition
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Term
| Protocols for Lovenox are based on what? |
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Definition
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Term
| Why are we concerned with compliance of Lovenox in post MI patients? |
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Definition
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Term
| What do we treat Printmetals angina with? |
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Definition
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Term
Corgard, Inderal, Lopressor, Toprol XL
These are what class of med? |
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Definition
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Term
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Definition
long term angina mgmt
CI: asthma, bradycardia, heart block, CHF |
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Term
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Definition
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Term
Caduet, Cardizem, Norvasc, Procardia, Tiazac
These are what class of drugs? |
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Definition
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Term
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Definition
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Term
| Uses and CIs for Cardizem |
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Definition
chronic stable angina
CI: SSS, acute MI, heart block, pulmonary edema |
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Term
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Definition
| aortic stenosis, tagamet (potentiates effects of nicardipine) |
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Term
| What can't you prescribe with nitrates? |
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Definition
Phosphodiesterase inhibitors (viagra)
leads to hypotensive shock |
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Term
| A patient presents with CHF. Besides drugs, what do you do? |
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Definition
| NPO, foley cath, heplock, O2, EKG, labs |
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Term
| What do you treat CHF with 1st line? When would there be an exception? |
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Definition
Diuretics (LASIX, bumex,chlorthiazide, demadex, torsemide)
CI: if anuric or electrolyte deficient |
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Term
If heart failre is not controlled by diuretics, what's the next step?
CI? Precautions? |
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Definition
Accupril (ACEi)
CI: angioedema
watch for: salt volume depletion and hyperkalemia |
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Term
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Definition
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Term
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Definition
Ventricular arrhythmias
CI: 2/3rd degree heart block |
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Term
Uses for Verapamil (CCB)
In combo? |
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Definition
PSVT prophylaxis
Note: Use with digitalis to control ventricular rate |
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Term
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Definition
| heart failure controlled by digitalis and diuretics |
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Term
| Cordarone (Amiodarone) uses, CIs, concerns |
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Definition
Uses: Vfibb, Unstable ventricular tachycardia
CI: 2/3rd deg heart block
Watch for: pulm fibrosis, alveolitis, corneal deposits, optic neuropathy |
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Term
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Definition
Use with diuretic or ACEi for A-fibb
CI: V-fibb
SE: blurred/yellow viison, CNS effects |
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Term
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Definition
beta blocker
CI: bronchospasm, heart block, SSS, severe bradycardia |
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Term
| Best drug to lower trigs and raise HDL? |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Use when trigs are > 1000 and pancreatitis is likely |
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Definition
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Term
| Two drugs that work by lower LDL and total cholesterol |
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Definition
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Term
| If a patient comes in with respiratory complaints, what should you consider for relief right away? |
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Definition
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Term
| Main treatment for bronchiolitis |
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Definition
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Term
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Definition
Anti-tussives, bronchodilators
NO ABX unless fever suggests a bacterial infx |
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Term
| Patient presents with cough for more than 2 weeks. What reemerging dz should you be concerned about? |
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Definition
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Term
| What should be used to treat pertussis |
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Definition
Mainstay: Erythromycin (hard on stomach)
Others: Biaxin, bactrim, Amox/augmentin, Doxy |
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Term
| Abx usef for pneumonia in kids 4mos-5yrs? |
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Definition
Amoxiciliin
If admitted: Ampicillin or rocephin |
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Term
| Treatment of pneumonia besides abx? |
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Definition
| oxygen, bronchodilators, refer to pulm or PCP in 2 days |
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Term
| Treatment of pneumonia in kids 5-15 (outpatient)? |
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Definition
| Amoxicillin, biaxin, zithromax, doxy (if >8) |
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Term
| Treatment of pneumonia in kids 5-15 (inpatient)? |
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Definition
zmax + rocephin
or
vancomycin |
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Term
| Treatment of pneumonia in adults (outpatient)? |
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Definition
| ZITHROMAX, Biaxin, Doxy, Augmentin, Fluoroquinolones |
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Term
| Treatment of pneumonia in adults (inpatient)? |
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Definition
Rocephin + Zithromax
or
Invanz+Zithromax
or
Levaquin,Moxifloxacin |
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Term
| Treatment of pneumonia in adults (ICU)? |
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Definition
Avelox, Levaquin
or
Rocephin+Zithromax
or
Invanz+Zithromax |
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Term
| Treatment of aspiration pneumonia |
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Definition
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Term
| Treatment of pneumonia in HIV+ patients |
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Definition
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Term
Treatment to speed recovery from Flu?
CI? |
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Definition
Tamiflu, Relenza
-Not for kids <1 yr |
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Term
| What is the time period to administer Tamiflu? |
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Definition
| 48 hours from onset of symptoms |
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Term
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Definition
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Term
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Definition
| Albuterol neb, Albuterol/Atrovent (Duoneb), Xopenex |
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Term
| Steroid options for asthma |
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Definition
| Prednisone, prednisolone, Prelone, Solumedrol |
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Term
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Definition
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Term
| What would we be concerned about with cellulitls in ortho? |
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Definition
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Term
| Abx used for soft tissue infections |
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Definition
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Term
| Abx used for cellulitis (inpatient)? |
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Definition
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Term
| Abx that can be used if MRSA is suspected in cellulitis? |
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Definition
| Vanco, Clindamycin, Doxycycline, Bactrim |
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Term
| Abx for cellulitis with gram - bacteria? |
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Definition
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Term
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Definition
| codeine, tylenol w/ codeine, darvocet, tylenol |
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Term
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Definition
| Nubain, Vicodin, lortab, ultracet, ultram |
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Term
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Definition
very addictive
lowers seizure threshold |
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Term
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Definition
| Demerol, dilaudid, oxycodone, fentanyl, morphine |
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Term
| Med best for post-herpetic neuralgia? |
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Definition
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Term
| Drugs used for RSD, fibromyalgia pain? |
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Definition
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Term
| Why should you avoid diazepam (valium) as a muscle relaxer? |
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Definition
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Term
Soma, flexeril, robaxin, skelaxin, bacolfen
What are these drugs used for? |
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Definition
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Term
| Which muscle relaxer is good for MS and muscular dystrophy? |
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Definition
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Term
| Widely used class B muscle relaxers in pregnancy |
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Definition
| Flexeril, Amrix (extended release) |
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Term
| Most common class used for nausea/vomiting? |
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Definition
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Term
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Definition
| Class C, sedating, CNS depression |
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Term
| Worrisome SE of compazine? |
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Definition
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Term
| Class of drugs used for mild nausea (motion sickness)? |
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Definition
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Term
| Examples of OC meds used for nausea/ motion sickness |
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Definition
| hydroxyzine, meclizine, dimehydrinate, scopolamine |
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Term
| SE of transdermal scopolamine |
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Definition
| blurry vision, dilated pupils, urinary retention, dry mouth |
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Term
| Gastritis most commonly caused by? |
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Definition
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Term
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Definition
2 abx and a PPI
amoxicillin, prevacid, biaxin |
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Term
| Interesting fact about bismuth? |
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Definition
| Damages bacterial cell walls |
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Term
| When and why should you avoid Aciphex? |
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Definition
| Renal impairment due to bicarb |
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Term
| Tagament has drug interactions with which drugs? |
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Definition
| anticoagulants, theophylline, phenytoin, benzodiazapines, nifedipine, propranolol |
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Term
| Which drug has the same drug interactions as tagamet? |
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Definition
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Term
| Aciphex, nexium, prevacid, prilosec, protonix are all in which class? |
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Definition
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Term
| axid, pepsid, tagamet, zantac are in what class? |
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Definition
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Term
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Definition
| diarrhea and lactic acidosis (black box warning) |
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Term
| Treatment of transient diarrhea? |
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Definition
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Term
| When would antidiarrheal agents be contraindicated? |
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Definition
| parasitic and bacterial infections |
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Term
| How is amoebiasis transmitted? What is the treatment? |
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Definition
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Term
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Definition
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Term
| Treatment of C. difficile |
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Definition
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Term
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Definition
possibly carcinogenic
disulfiram-like reaction with alcohol
caution with renal impairment |
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Term
| Treatment for constipation |
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Definition
| Metamucil, Mitrolan (bulk forming agents) |
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Term
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Definition
| post-partum bleeding, ectopic pregnancy |
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Term
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Definition
| labor induction, post-partum bleeding |
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Term
| Drugs used to treat emesis in pregnancy |
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Definition
| Zofran, Reglan, Phenergan (class C, avoid if possible) |
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Term
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Definition
Class C, Can not give more than 25 mg- may cause severe tissue injury
If patient gets sweats, rash, d/c immediately |
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Term
| Meds used to stop contractions |
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Definition
| ptocin, magnesium sulfate, glucocorticoids, b-receptor agonists, cox2 inhibitors |
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Term
| treatment for pre-eclampsia/eclampsia |
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Definition
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Term
| What should you give to mature lungs if premature delivery is necessary |
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Definition
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Term
| If a woman is pre-eclamptic/eclamptic, when should you deliver the baby? |
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Definition
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Term
| Treatment for mild anemia in pregnancy? SE? |
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Definition
Iron supplementation
May cause constipation, green BMs |
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Term
| Abx to avoid in pregnancy |
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Definition
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Term
| Treatment of gonorrhea in pregnancy |
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Definition
Ceftriaxone
If PCN allergy: macrolide |
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Term
| Treatment of syphilis in pregnancy |
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Definition
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Term
| Treatment of trichomonas in pregnancy |
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Definition
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Term
| treatment for bacterial vaginitis in pregnancy |
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Definition
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Term
| treatment of herpes during pregnancy |
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Definition
| acyclovir (36 weeks- delivery |
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Term
| What class of drugs do you use to treat DUB? |
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Definition
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Term
| what labs do you do when someone comes in with DUB? |
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Definition
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