ANCC Norandome Study Guide 2023

Verapmil - do not mix with erythromycin and clarithromycin constipation first line Chlamydia, atypical bacterial infection, cervicitis,PID, atypical pneumoniae, urethritis, - doxycycline first line moderate ance, rosacea - tetracycline SE of minocycline - vertigo-- d.c meds warfarin bleeding increased - erythromycin or clarithromycin. sulfa related meds MRSA first line - Bactrim, doxy, minocycline, clindamycin, ---- ;but mastitis is different. Mastitis _.impetigo__non mrsa - dicloxacillin mononucleosis - no amoxicillin give penicillin or macrolide Cipro first line for - anthrax, travels diarrhea, cystic fibrosis pregnant with UTi - amoxicillin first line bractim - PCP, MRSA cellulitis, UTI, Pyelonephritis Azelastine - Antiallergy- eye drops, nasal spray Dextromethorphan contra indicated - MAOI and Eldepryl hypertonia - Jesse Myopia (nearsightedness) - myself. vision 20/60 - 20-- top -- never changes 60-- bottom-- normal people who see at 60 feet. when bottom number is high.. not good. hordeolum ( stye) - hx blepharitis, second line: dicloxacillin or erythromycin Timolol - Beta blocker : decrease aqueous production Xalatan (latanoprost) - topical prostaglandins eye drops--increase aqueous outflow. Blepharitis treatment - lid scrubs + erythromycin or bacitracin ointment prophylactically allergic rhinitis tx - flonase, nascort,astelin,zytec,claritin Streptococcal Pharyngitis - Tonsillar exudate, anterior cervical, fever, no cough!! tx: penicillin or alternatively amoxicillin -- no mono or azythromycin-for PNC allergy AOM - S. pneumoniae- adult H.influenza - Peds M. catarrhalis Bullous myringitis - serous liquid-filled blisters on the tympanic membrane severe of AOM first line amoxicillin second line augumentin levofloxacin... acute bacterial rhinosnusitis-- abx - first line augumentin PNC: levofloxacin over 18yo or doxycycline over 3 yo otitis externa - inflammation of the external auditory meatus (canal) inosa S.aureus tx: cortisporin, ofloxacin, ciprofloxacin prevent: otic domeboro or alchol and vinegar. mono - fever, pharyngitis, lymphadenopathy. posterior sore throat, RMSF - Doxycycline superficial candidiasis appears as - thrush Nystatin terconazole,cicloprox, clotrimazole,... azole.. fungal meds non mrsa - dicloxacillin,cephalexin PNC allergy for MarSA - azythromycin suspect mrsa - bactrim or doxycycline or minocycline. or clindamycin To boosters bite - first line augumentin. PNC allergy- doxycycline, Bactrim,+ flagyl... Clindamycin...