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PodoPeds
| Question | Answer |
|---|---|
| What bacteria does Tetracycline Cover? | Rickettsia, M. Pneumonia, Chlamydia |
| What spectrum does Tetracycline Have? | Some Gram (+) and Gram (-) |
| What contraindications does Tetracycline Have? | 1) Avoid milk products. 2) Under 8 years of age due to tooth discoloration. |
| What coverage does Ciprofloxacin have? | Good gram (+) including Staph and occasional MRSA. Very good gram (-), including Pseudomonas. |
| What contraindications does Ciprofloxacin have? | Tendon rupture and arthropathies in pediatric populations. Avoid Calcium products. |
| What forms does Ciprofloxacin come in? | Tablets, IV, Suspensions |
| What does Bacitracin cover? | Staph and Strep (NARROW spectrum) |
| What forms does Bacitracin come in? | Cream and Ointment |
| What is another name for Bactroban? | Mupirocin |
| What form does Bactroban come in? | Ointment 2% |
| What is the spectrum of Bactroban? | Staph and Strep |
| What is the specific indication for Bactroban? | Impetigo |
| What are the Broad spectrum topical antibiotics? | Neosporin, Silvadene cream 1% (Silver sulfadiazine), Betadine (Povidone iodine) |
| What drugs are contained in neosporin? | Polymyxin B and Neomycin (for cream). Polymyxin B, Neomycin and Bacitracin (for ointment) |
| Broad spectrum antibiotic used for burn victims? | Silvadene Cream 1% (Silver Sulfadiazene) |
| Silvadene Cream 1% (Silver sulfadiazene) coverage? | Broad spectrum |
| Betadine (Povidone iodine) coverage? | Broad spectrum |
| What forms does Betadine (Povidone Iodine) come in? | Solution, Cream, Ointment |
| What drug is specifically indicated for Impetigo? | Bactroban (Mupirocin) |
| What is the brand name of Acetaminophen for babies? | Tempra |
| What is the brand name of Acetaminophen outside the US? | Panadol |
| Is tylenol anti-inflammatory? | No |
| Is tylenol an analgesic and anti-pyretic? | Yes |
| What forms is Acetaminophen available in for children? | Chewable tablet and solution |
| Properties of NSAIDS? | Analgesic, Anti-pyretic, Anti-Inflammatory (non-steroidal) |
| What SE's do NSAIDS have? | GI upset, bleeding, peptic ulcer |
| Contraindications to NSAIDS? | If allergy to ANY anti-inflammatory is present |
| What is an NSAID specifically indicated for pediatrics? | Tolmetin Sodium |
| Is Tolmetin Sodium children-friendly? | No (even though indicated specifically for children)...only available in Tablet form |
| What are brand names for Ibuprofen? | Motrin and Advil |
| Is Ibuprofen (Motrin/Advil) an NSAID? | Yes |
| What forms does Ibuprofen come in for Children? | Syrup and Elixir |
| What is an NSAID indicated for Juvenile Rheumatoid Arthritis? | Naprosyn (Naproxen) |
| What is the brand name of Naprosyn? | Naproxen |
| What form does Naprosyn come in? | Orange-pineapple suspension |
| When do you give a child ASA? | As long as the child is not experiencing "flu-like" symptoms |
| What is the main concern with givin children ASA? | Reye's Syndrome |
| When to use Steroids? | Dermatological Inflammatory Conditions (Dermatitis, Eczema, Inflammatory Tinea Pedis) |
| When using TOPICAL steroids in ADULTS, what potency/duration is best? | High potency, Short Duration |
| When using TOPICAL steroids in CHILDREN, what potency is best? | Low to intermediate strength |
| Things to avoid with topicalsteroid use? | Occlusion, overuse/prolonged use and intertriginous areas (to decrease absorption) |
| SE's of topical steroids? | Steroid atrophy, Striations, Ulceration, Hypothalamic-Pituitary adrenal axis suppression, Cushing's Syndrome |
| What is the contraindication for topical steroids? | Varicella (chicken pox) |
| What are the ULTRA HIGH potency topical steroids? | Diprolene (augmented betamethasone), Ultravate, Temorate |
| What are the HIGH potency topical steroids? | Betamethasone Dipropionate, Betamethasone 0.05%, Fluocinonide |
| What are the INTERMEDIATE potency topical steroids? | Betamethasone Valerate, Betamethasone 0.025%, Elocon (mometasone furoate) |
| What are the LOW potency topical steroids? | Hydrocortison, Dexamethasone ....both are OTC |
| What ages is Elecon (mometason furoate) indicated for? | Cream and ointment (12 yrs and up)...Lotion (2 years and up) |
| Name a NON-steroidal topical Anti-Inflammatory? | Elidel (Pimecrolimus) |
| What is another name for Elidel? | Pimecrolimus |
| What is is Elidel's indication? | Atopic Dermatitis |
| What is Elidal MOA and use precautions? | It inhibits T cell activation. Do not use with occlusive dressings. And only use for children >2 years. |
| How long should one use Anti-Fungals for? | 4 weeks (i.e. skin turnover time) |
| What are the topical anti-fungal drugs? | Lotrimin, Loprox, Lamisil, Oxistat |
| What are 2 derivatives of Lotrimin and how are they different? | Lotrimin Ultra -> More powerful Lotrison -> Lotrimin + Betamethason Dipropionate. Therefore good for treating INFLAMMATORY TINEA |
| What drug is good for treating inflammatory tinea? | Lotrisone |
| What forms does Loprox come in? | Cream, lotion and gel. Gel -> 16 years old and up Cream/Lotion -> 10 years and up |
| Is Lotrimin OTC? | Yes |
| What forms does Oxistat come in? | Lotion and cream |
| What do Keratolytics do? | They degrade/slough the skin |
| What are Keratolytics used for? | Verruca, Psoriasis, Eczema |
| What are the 3 categories of Keratolytics? | Urea, Salycylic Acid and Ammonium Lactate |
| Name 3 Urea Keratolytics and what they're primarily used for. | Carmol 10, 20, 40. Carmol HC and Keralac. Used for Ingrown nail. Carmol HC used especially for Onychomycosis. |
| Name 3 Salycylic Acid Keratolytics. | Duoflim 16.7%, Mediplast 40%, Custom |
| Name the Ammonium Lactate Keratolytic and the forms it comes in. | Lac-Hydrin...Cream and Lotion |
| Dosage Conversions | 1 Teaspoon = 5 mL (cc) 1 Tablespoon = 15 mL (cc) 1 Oz. = 30 mL (cc) |
| q.d. | Once a day |
| b.i.d. | twice a day |
| t.i.d. | three times a day |
| q.i.d. | four times a day |
| q | every |
| h | hours |
| h.s. | at night (before sleep) |
| p.c. | with food (after meals) |
| a.c. | without food (before meals) |
| prn | as needed |
| p.o. | by mouth |
| d.a.w. | dispense as written |
| What forms does Lotrimin come in? | Powder, solution, lotion cream |
| Mediplast comes in what form? | Patch |
| Fried's Rule | Based on age. Patients < 1 year old. (Age in months/150) * Adult Dose |
| Young's Rule | Based on age. Patients 2 or older. (Age in years/Age in years + 12) * Adult Dose |
| Clarke's Rule | Based on weight. Patients 2 or older. (Weight in lbs./150) * Adult Dose |
| Body Surface Area is calculated using what Chart? | West Monogram |
| PDR means what with respect to dosage? | Physician's Desk Reference |
| What types of ORAL medications are there? | Antibiotics Analgesics NSAIDS Steroids Antipyretics |
| Route of Topical Administration from most drying to least. | Powder, Solution, Gel, Lotion, Cream, Ointment (O come let's get some people) |
| Types of Topical Medications? | Antibiotis, Antifungals, Steroids, Keratolytics, Emollients |
| What is penicillin used to treat? | ONLY strep ...Gram (+) |
| What bacteriae does Amoxicillin/Ampicillin cover? | H. Influenzae, P. Mirabilis, Klebsiella, Enterococcus, E. coli |
| Is Amoxicillin/ Ampicillin Beta-lactamase resistant? | No |
| What is the drug of choice for animal bites? | Augmentin |
| What bacteriae does Aubmentin cover? | Same as ampicillin. But also better at Enterococcus. Also covers some anaerobes...especially Bacteroides Fragilis |
| What form does Augmentin come in? | Suspension (banana and orange) Chewable Tablet (lemon-lime and cherry-banana) |
| What's the main SE of Augmentin? | Diarrhea |
| What do Cephalosporins cover? | Good Gram (+). Adequate Gram (-). Variable beta-lactamase resistance. |
| What is the brand name for Cephalexin and what form does it come in? | Keflex. Cherry-flavored suspension. |
| What form does Cefadroxil come in? | Pineapple-Orange flavored suspension |
| What coverage does Erythromycin have? | Good Gram (+) including Staph. Also covers M. Pneumonia, Legionella, Chlamydia |
| What form does Erythromycin come in? | Cherry-flavored Suspension |
| What SE is common for Erythromycin? | GI upset |
| If a patient has a penicillin allergy what drug should you use? | Erythromycin |