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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
Created by: arp03e