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Best Treatment

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iliapas97's version from 2018-01-29 06:08

Disease and Common Treatment

DiseaseTreatment
Necrotizing fasciitisclindamycin, penicillin G, and vancomycin
Close contacts of patients diagnosed with Neisseria meningitidisrifampin or ciprofloxacin
First line prophylaxis for traveler’s diarrhea ciprofloxacin.
H. Pylori triple therapy Proton pump inhibitor (omeprazole), Clarithromycin and Amoxicillin
H. Pylori quadruple therapyproton pump inhibitor, Bismuth, Metronidazole and Tetracycline
Best initial therapy for bacterial meningitis for 1 month - 60 year oldsceftriaxone, vancomycin, and steroids
bacterial meningitis in elderly, neonates, immunocompromised or pregnant add ampicillin to ceftriaxone, vancomycin, and steroids
Tinea versicolor treatment of choice ketoconazole 2% cream or selenium sulfide 2.5% shampoo
Treatment for Hep C oral ribavirin and weakly interferon alpha injections
Drug of choice for endocarditis prophylaxis for dental procedures Amoxicillin
Hypocalcemia IV calcium gluconate
Acute treatment of Waldenstrom's macroglobulinemia plasmapheresis
Wilson’s disease penicillamine and trientene
Primary Biliary Cirrhosisursodeoxycholic acid
seasonal affective disorder Light therapy
Ischemic stroke within 3 to 4.5 hrs of onset Tissue plasminogen activator
Ischemic stroke > 4.5 hrs of onset Thrombectomy
New onset of neutropenic fever Ceftazidime (or other antibiotics with Pseudomonal coverage) add Vancomycin if MRSA is suspected or infection is due to a contaminated port
persistent neutropenic feversadd a broad spectrum anti-fungal agent Amphotericin B
first-line medication for status epilepticus Lorazepam
Second-line medication for status epilepticus Phenytoin
Treatment shown to reduce mortality in COPDsmoking cessation and supplemental oxygen therapy
Only Loop diuretic for someone with sulfa allergyEthacrynic acid
treatment of ALS Riluzole (Glutamate antagonist)
chronic CMLimatinib (or stem cell transplant)
blast phase of CML dasatinib (or stem cell transplant)
Treatment of choice for congenital adrenal hyperplasia Glucocorticoids
Treatment for IgA nephritis (Berger disease) Corticosteroids and ACE/ARB
OBGYN Disorders Treatment
Initial treatment for Uterine atonyBimanual massage and compression
First-Line drug to treat Uterine Atony Oxytocin (if bimanual massage does not work)
Severe depression in pregnancy that isrefractory to medical treatment Electroconvulsive therapy
HELLP or Preeclempsia < 32 weeksBetamethasone for lung maturity and magnesium for seizure prophylaxis before delivery
HELLP or Preeclempsia > 32 weeksMagnesium and induction of labor
best initial treatment for Hyperemesis Gravidarum Change diet “avoidance of triggers"
best empiric treatment for asymptomatic bacturea nitrofurantoin, amoxicillin, and cephalexin.
Postpartum endometritis treatmentclindamycin and gentamicin
Most commonly used tocolytic Magnesium sulfate
first-line therapy for primary dysmenorrhea NSAIDS
first-line therapy for endometriosis Combination oral contraceptive pills (OCPs)
Definitive treatment for endometriosis in women who want to conceive Ablation of lesions
Definitive treatment for endometriosis in women who do not want to conceive hysterectomy and bilateral salpingo-oophorectomy (TAH/BSO)
Prophylaxis for Neonatal Conjunctivitis ophthalmia neonatorum Erythromycin ointment or tetracycline ointment and Silver nitrate solution
Treatment for Breach presentation during pregnancy external cephalic version (after 36 weeks)
First-line treatment for shoulder dystocia McRoberts maneuver
Cardiac DiseaseTreatment
Best initial therapy” for both HOCM and ordinary HCM Beta blockers (verapamil and disopyramide can also be useful)
Best initial management of all forms of pulselessness (Asystole, Ventricular fibrillation (VF), pulseless Ventricular tachycardia (VT), Pulseless electrical activity (PEA) CPR
Best additional therapy for asystole epinephrine (Shunts blood back to the heart and brain)
When to use unsynchronized cardioversion Only VF and ventricular tachycardia (VT) without a pulse
Ventricular fibrillation (VF) is managed with 1st shock, 2nd shock, epinephrine, 3rd shock, amiodarone (first line) or lidocaine, 4th shock, drug, 5th shock and CPR at all times
Pulseless VT management same as VF
Hemodynamically stable VT management First treat medically amiodarone (first-line), 2nd lidocaine, then procainamide.
Hemodynamically stable VT with no improvement after medical treatment Cardiovert
Hemodynamically unstable VT Perform electrical cardioversion several times, followed by medications such as amiodarone, lidocaine, or procainamide.
Best initial therapy for Hemodynamically Unstable Afib and flutter synchronized cardioversion
Best initial therapy for Hemodynamically Stable Afib and flutter control the rate (< 100) with beta blockers, calcium channel blockers, or digoxin
Most appropriate next step after rate control for Hemodynamically stable Afib and flutter with a CHADS2 score ≤ 1 Anticoagulate with Aspirin
Most appropriate next step after rate control for Hemodynamically stable Afib and flutter with a CHADS2 score ≥ 2 Anticoagulate with (novel anticoagulant (NOAC) drugs (direct thrombin inhibitor) Dabigatran, (Factor Xa inhibitors) Rivaroxaban, Edoxaban, Apixaban
Most appropriate next step after rate control for Hemodynamically stable Afib and flutter with a CHADS2 score ≥ 2 and a history of mitral stenosis or metal heart valves Warfarin
Treatment for Multifocal Atrial Tachycardia Same as Afib however avoid B-blockers (condition has high association with COPD)
Acute therapy for Wolff-Parkinson-White Syndrome ( WPW arrhythmia on presentation) Procainamide or Amiodarone
Definitive treatment for WPW Radiofrequency catheter ablation (curative)
initial treatment for Paroxysmal supraventricular tachycardia Carotid sinus massage
treatment of unresolved Paroxysmal supraventricular tachycardia after a carotid massage Adenosine (IV)
Most common EKG patterns from tricyclic overdose Sinus tachycardia, Widened QRS complex, prolonged PR and QTc intervals
Treatment of choice for Torsades Magnesium sulfate
First-line treatment for descending aortic dissection Beta-blockers
First-line treatment for ascending aortic dissection Surgery
venous air embolism is suspectedplace in lateral position with left side down. "First aspirate catheter and give 100% O2"
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