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AANP REVIEW Exam FNP BOARDS PREP
Typology: Schemes and Mind Maps
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*unless pertussis
DIAGNOSIS ANTIBIOTIC
PENICILLINS (-cillin) Well tolerated! Pregnancy and infant safe! Amoxicillin: pneumonia, otitis media, group A strep throat, sinusitis, etc Augmentin: animal bites Dicloxacillin: mastitis
SULFONAMIDES ("Sulfa") Most common: Bactrim UTIs, purulent cellulitis, prophylaxis in AIDs patients, below the waist skin complaints Safety concern: Stevens-Johnson Syndrome MACROLIDES (-mycin) Side effect: GI upset common (can try another from this class) Pneumonia, pertussis Clarithromycin: Part of H. Pylori triple therapy Alternative to penicillins CEPHALOSPORINS (Contain "ceph" or "cef") Good for non-IgE mediated PCN allergy! Pregnancy safe Keflex: Above the waist skin complaints Post op wounds T E A M @ N P R E V I E W S. C O M N P R E V I E W S. C O M
Used for more serious infections Safety considerations: ototoxicity, hard on kidneys "Red Man Syndrome" Used for more serious infections Risk for superinfection 2nd line option option for mastitis Side effects: GI upset, metallic taste Important teaching point: disulfiram-like reaction with alcohol use vancomycin (Vancocin): clindamycin (Cleocin): metronidazole (Flagyl):
TETRACYCLINES (-cycline) Avoided during pregnancy Side effect: N/V/D, photosensitivity RMSF, Lyme disease, purulent cellulitis, pneumonia Not given < 8 years old* Stains teeth! *Exceptions: RMSF, Lyme Disease First line option for UTI Tuberculosis Side effect: turns excretions red Monitor: LFTs nitrofurantoin (Macrobid): rifampin (Rifadin):