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HY PHARM IM

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eesohbel's version from 2016-07-05 17:46

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Question Answer
first line treatment for c. diff colitismetro
if patient resistant to metro (vancomycin oral)
treatment for migrainesNSAIDS, DHE, sumatriptan
contraindication to sumatripanother serotongeric agonists
first line prophylaxis for migrainesamitriptyline and propanolol
tx for uncomplicated diverticulitisbowel rest (NPO), NG tube placement and broad spectrum antibiotics (metro and fluroquinolone or cephalospirn)
diverticulitis perforationimmediate surgical resection
treatment for mild acute pancreatitisbowel rest (NPO), IV fluids, pain control
treatment for severe pancreatitisparenteral nutrition and potentially antibioitics (imipenem)
symptomatic treatment for RANSAIDS or steroids
first line agents for RADMARDS. best is methotrexate
side effects of methotrexatebone marrow suppression (give folinic acid), pulmonary fibrosis, liver injury
alternative to methotrexate for RAhydroxychloroquine (eye exams every 6 months)
if methotrexate not fully contain RAadd anti-TNF
treatment for acute goutNSAIDS indomethacin 1st, colchicine, steroids
gout prophylaxisuricosuric durgs (probenecid, sufinpyrazone) increase renal excretion. for overproduction give allopurinol
treatment for hypercalcemiaIV fluids first step, calcitonin, bisphosphonates
treatment for lupusNSAIDS, steroids, hydroxychloroquine, cyclophosamide (renal biopsy)
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