#1 chance factor for Hep C - ANS-IV drug use
+ syphills, asymptomatic, remaining terrible was five months ago - ANS-early latent syphillis (<1
yr ago)
1 day herpes therapy - ANS-Recurrent
Valacyclovir 2g PO BID FOR 1 DAY
Famciclovir 1500mg PO x1 dose FOR 1 DAY
1 week symptoms, maculopapular rash, flu, 6 weeks ago had sex - ANS-secondary syphillis
10 more recurrent genital herpes - ANS-Valcyclovir 1 g for 1 year or longer
Acute disease manifestations Hep C - ANS-0-24 weeks
30% clear naturally
nondescript feverlike stuff
Adefovir experienced avoid which drug? - ANS-Tenofavir
AE of IV acyclovir - ANS-CRYSTALS IN renal tutubles
-> nephrotoxicity
***PREHYDRATION***
Afraid of needles for influenza - ANS-Afluria -> useless injector
Fluzone Intradermal
Although a unmarried agent is usually desired, combination of or greater antimicrobials is
suggested inside the following scenarios: - ANS-Broaden the spectrum of coverage
Synergy
Prevent resistance
altnerative regimen for pregnant patient with past due latent syphillis - ANS-densensitization. No
opportunity.
Animal chunk -cats and human tx - ANS-ALWAYS augmentin
(canine bites if s/s contamination)
At least ___ of the four following symptoms and symptoms must be present for a patient to fulfill
"SIRS" standards - ANS-TWO
Temperature >38°C or <36°C
Heart rate >90 beats according to minute
WBC >12,000 or <4,000 or >10% bands
Respiratory fee >20 breaths per minute
Avoid ribavirin at all charges due to - ANS-Anemia (hbg drops)
Shortness of breath
Rash and pruritus
Teratogenic
Bacteremia the way to det. Effectiveness - ANS-take a look at repeat blood cultures
report clearance [day 1 tx = day of first negative culture blood]
, Behavioral counseling clamidya/gonorrhea - ANS-No sex for 7 days or till asymptomatic
TELL YOUR PARTNERS in 60 days
Benefits of recent HepC cures - ANS-High remedy charge (>ninety%) (vs 70% vintage)
Tablet best formulations (vs. Injections vintage)
Low tablet burden (vs. Ribavirin 6 tabs qd)
Well tolerated
Bicillin inj SE - ANS-Jarisch-hexheimer first 24 hrs (fever, headache, hurts) - give tylenol
Can you use daptomycin for MRSA pneumonia? - ANS-NONONONO will be deactivated by way
of the lungs
CAP CURB -65 is on what web page Sanford guide - ANS-PAGE 39!!
CAP high-quality lifestyle for strep pneumo - ANS-NOT EVER
CAP-Outpatient (strolling pneumonia tx) - ANS-Macrolides- Azithromycin HI DOSE 500 MG
****(now not Z-pak like stanford manual)****
or doxycycline
Chronic ailment Hep C - ANS-24 weeks - 50 years
LFTs
Coagulopathy
Jaundice
ascities
clamidya is the---- - ANS-maximum common STI within the US
**CO-ifnected with gonnerrhea***
clamidya presentation - ANS-ASYMPTOMATIC
(just some discharge)
Clinical situations wherein bactericidal motion needful - ANS-Endocarditis
Meningitis
Osteomyelitis
Neutropenia
Common misuses of ABX - ANS-Treat too LONG
Prolonged empiric treatment with out clear proof of infection
Treatment of a advantageous medical subculture in the absence of sickness
Failure to slim therapy while a causative organism is recognized
concentration dep. Abx _____ submit antibiotic effect - ANS-has appropriate
Confirming Sepsis - ANS-Sepsis: lifestyles-threatening ***organ dysfunction*** caused by a
dysregulated host response to infection
Consequences of ABX use - ANS-toxicity
resistance
collateral damage- 2ndary contamination **C.Diff**
Daklinza (daclatasvir) - ANS-Dose adjustment:
30 mg daily if used with strong CYP-3A4 inhibitors
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