9 to watch for with Bactrim? - CORRECT ANSWER: 1-Dosing :Double dose or singlr
dose/Weight dosing is based on TMP componant ratio always 5:1
SD 400/80 DD 800/160
2-Sulfa allergy
3-pregnancy at terma and
4-breastfeeding
5-coombs test / TEN&SJS
6-Folate
7-Warfarin/ INR^
8-For injection:
Do not freeze
,9-dextrose only
9 to watch for with Bactrim? - CORRECT ANSWER: 1-Dosing :Double dose or singlr
dose/Weight dosing is based on TMP componant ratio always 5:1
SD 400/80 DD 800/160 / injection (5ml is SD tablet)
2-Sulfa allergy
3-pregnancy at terma and
4-breastfeeding
5-coombs test / TEN&SJS
6-Folate
7-Warfarin/ INR^
8-For injection:
Do not freeze
9-dextrose only
A case with Amiodarone , Drugs to watch, medicals , Labs? - CORRECT ANSWER:
Drugs: look for DIgoxin and statins, warfarin as well as G Packman
Labs: look for Electrolytes
Vitals: look for QT and HR
with Multaq look for pregnancy.
Top three: Digoxin, Statin, K, warfarin.
A lady came in pharmacy with an Exzema, what can we recommend? - CORRECT
ANSWER: in the following sequence:
1-Topical Steroids ( Anti histamin if itching and anti bacteria if infected) + keep skin
hydrated
,another option is PDE4 inhibitors (Eucrisa)
2-Topical immunosuppressant like Protopic (tacrolimus) or Elidel(Elidel)
3-Oral immunosuppressants if above did not work (like cyclosporine, MTX, Anti TNF)
a mother and child came in pharmacy, the child has a minor cut in hand what
recommendation regarding tetanus Vaccine? - CORRECT ANSWER: 1-if series is taken
, should be no more >10 year last shoot.
2-if series is taken and wound is durty , should be no more than 5 yrs
A mother and daughter walked into the pharmacy , the daughter has itching at hear
head hair, what do you recommend for lices? - CORRECT ANSWER: 1-First choice
Permethrin , safe and used >2 months
2-Also Benzyl alcohol >6 months
3-Malathion (Ovide) inflamable
4-Lindane (Kwell) not any more due to neurotoxicity
5-Only in severe cases / resistant Ivermectin (Sklice ) cream and also it has an oral
formula (diffiuclt to tolerate)
A patient walk in pharmacy with a toenail & finger nail fungal infection what do you
recommend? - CORRECT ANSWER: 1- Better to confirm the infection (Onychomycosis(
with KOH 20% smear as treatment will take loooong time
2-We can use Topical for mild cases or when systematic is not tolerated or when in
combination with oral ( Topical like Ciclopirox/Penlac not alone but only in combination,
Tavaborole/Kerydin , Efinaconazole-Jublia) for 48 weeks!!! QHS must remain 8hrs
before waching
3-Oral is most effective (Lamisil for both toe 12week and 6week finger or Itraconazol
sparonox.
Abscess - CORRECT ANSWER: I&D only. We give antibiotic if multiple or systemic
symptoms to cover MRSA:
SMX-TMP or
Doxycycline
ACS VRS DVT/PE what to choose for blood clotting? - CORRECT ANSWER: ACS : Anti
platelets
DVT/PE : Oral anti coagulants
Acute Otitis Media Treatment - CORRECT ANSWER: first line : Amoxicilin high dose
90mg/kg/day
or Augmentin high dose 90mg/kg/day use lowest Clavunate
Second line : ceftriaxon IM or IV .
We can use beta lactam in this case even with non sever PNC alleragy
ADHD capsules that can be added to food applesauce? - CORRECT ANSWER:
Focalin, Ritalin, Aptensio, Adderall XR
ADHD patch? - CORRECT ANSWER: Daytrana
put two hrs before desired time
ADHD stimulant chewable? - CORRECT ANSWER: quillichew ER & vyvance
ADHD stimulant that can be added to water or juices - CORRECT ANSWER: Vyvance
Adisson's disease - CORRECT ANSWER: Addison's disease is a disorder in which the
adrenal glands do not produce enough of the hormones cortisol and aldosterone.
Mneumonic : please ADD streoids.
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