-
what is the treatment for mild/moderate cellulitis?
- penicilin V (oral + flucloxacillin
- or co-amoxiclav alone
- or erythromycin alone (if pen allergic)
-
what is the treatment for severe cellulitis?
- iv benzylpenicillin
- and flucloxacillin
- or co-amoxiclav alone
-
what is the treatment for septic arthritis?
- flucloxacillin iv
- or clindamycin alone
-
what is the treatment for osteomyelitis?
- iv flucloxacillin and FUSIDIC ACID
- or clindamycin alone
-
what is the treatment for sinusitis and otitis media?
- nothing if thing viral
- amoxicillin or erythromycin
-
what is the treatment for throat infections?
- nothing
- penicillin V
- or erythromycin
-
what is the treatment for CAP?
- mild: amoxicillin or erythromycin (if atypical)
- severe: co-amoxiclav
- or benpen and clary
- or cefuroxime and clary
-
what is the treatment for M.TB
- RIPE for 2 months
- RI for 4 months
-
what are the SE of rifampicin?
- discolouration of body fluids
- hepatitis
- induces liver enzymes so inactivates pill, warfarin
-
what are the SE of isoniazid?
- polyneuropathy (prevent with B6, pyridoxine)
- agranulocytosis
- hepatitis
-
what are the SE of pyrazinamide?
- hepatotoxicity
- arthralgia
- hyperuricaemia so CI in gout
-
what are the SE of ethambutol
optic neuritis, lose colour vision first
-
if you are pen allergic, what is the treatment for COPD exacerbation? and what are SE of this drug?
- tetracycline
- grey staining bone and teeth, photosensitive, D&V
-
what are the range of treatments for mild/mod UTI?
- TANC
- tetracycline (not in pregnancy)
- amoxicillin
- nitrofurantoin
- ciprofloxacin
-
what is the treatment of severe UTI?
- co-amoxiclav
- 2nd/3rd gen cephalo and gentamicin if severe sepsis
-
what is the treatment of viral Gastroenteritis?
nothing
-
what is the treatment for E coli gastroentereis?
nothing, self limit
-
what are common organisms for travellers diarrhoea and how treat (3) and SE of that drug?
- campylobacter, salmonella, tyhpoid fever
- treat with ciprofloxacin (SE: seizure, tendon inflame and rupture)
-
what is 1st and 2nd line treatment of pseudomemb colitis?
- 1st: metronidazole
- 2nd: vancomycin £ and taste bad
- c.diff
-
what is treatment for GI tract surgery or peritonitis?
- 2nd/3rd generation cephalosporin and metronidazole
- or co-amoxiclav alone
-
what is the treatment for meningitis?
cetriazone iv
-
what is the treatment for meningococcal contacts as prophylaxis?
rifampicin or ciprofloxacin
-
what is the treatment for septicaemia?
ceftriaxone and gentamicin
-
what is the treatment for septicaemia if anaerobes suspected? and SE?
- ceftriaxone and gentamicin
- and metronidazole
- well tolerated but disulfiram like reaction if take alcohol
-
what is the treatment for septicaemia if staph aureus suspected?
- ceftriaxone and gentamicin
- and flucloxacillin
-
what is the treatment for septicaemia if MRSA suspected? and SE and MOA of the main drug?
- ceftriaxone and gentamicin
- and vancomycin
- SE of vancomycin: nephrotoxicity, ototoxicity, red man syndrome (have to measure blood levels)
- MOA: glycopeptide, inhibit cell wall synthesis
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