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Exam (elaborations)

Nurs 643 - Final Exam - Disease/Abx Treatment

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NURS 643 - FINAL EXAM - DISEASE/ABX TREATMENT

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NURS 643 - FINAL EXAM - DISEASE/ABX
TREATMENT

Campylobacteroo-ooans--erythromycinoo40mg/kg/dayoo;TIDoodosing(oo5-7oodays)

Clostridiumoo-ooans--metronidazoleoo30mg/kg/day;ooQIDoodosingoo(7-10oodays)

Salmonellaoo-ooans--antibioticsoochildrenoo<oo1ooyearooofooageooorooimmune-
compromised-Trimethoprim-sulfamethoxazole oo(TMP-SMZ);oo8mg/kg/
day;ooBIDoodosingoox7-10days

Shigellaoo-ooans--TMP-SMZ

E-colioo-ooans--TMP-SMZooifoodiarrheaoomod-severe

Giardiaoo-ooans--Furazolidoneoo5-8oomg/kg/day;ooQID;oo(7-10days)
Metronidazoleoo40mg/kg/day;ooTID;oo(oo7-10oodays)

Enterobiasisoo(Pinworms)oo-ooans--Mebendazoleoo(Vermox)oo100mgootabletoox1-
oorepeatooinoo14oodays
○ooOnlyooforoo>2yrs,ooDOC
Pyranteloo(Antiminth)11mg/kgoox1oodose-repeatooinoo14oodays
○ooSE:ooStainsoostooloo&ooemesisoored

UTI:oofirstoolineootherapyoo-ooans--Amoxicillin:oo40oomg/kg/dayooinoo3oodoses

UTI:ooPCNooallergyoo-ooans--Bactrimoo(ooSulfa/TMX)oo6-10oomg/kg/
dayoobasedooonootrimethoprimoo(CI=G6PD)
Co-trimoxazole,oowhichooisooaoocombinationooofootrimethoprim/
sulfamethoxazoleoo(TMP/SMX,ooBactrim)

UTI:oomedicationoothatoocannotoobeoogivenootoooptoo<1oomonthoo-ooans--
Cephalexinoo(Keflex)oo50-100oomg/kg/dayooinoo4oodoses
Nitrofurantoinoo(Macrodantin)

UTI:oootheroomedicationsoo-ooans--Cefdiniroo(Omnicef)oo14oomg/kg/day
Cefiximeoo(Suprax)oo16oomg/kg/dayooinoo2oodosesoodayoo1;thenoodayoo2oo-8mg/kg/day/
qd
Cefpodiximeoo(Vantin)oo10oomg/kg/dayooinoo2oodoses

, Cefproziloo(Cefzil)oo30oomg/kg/dayooinoo2oodoses

Balanitisoo-ooans--TopicalooBactroban

AcuteooPost-strepooGlomerulonephritisoo(AGN)oo-ooans--Anti-hypertensive
Loopoodiuretics
Caoochanneloo&ooBeta-blockers
ACEooinhibitors
Antibioticsooforooactiveoostrepooinfection

NephroticooSyndromeoo-ooans--Corticosteroidsoo*oo=ooTOC
IntravenousooImmunoglobulinsoo(IVIG)oo*oo=ooTOCooinoohospital

MinorooWoundsoo-ooans--
POooabxooNOTooroutinelyooindicatedooinoohealthyoopatientsoo→oousuallyoojustootopicaloo-
ooBacitracinoooroomupirocinoo
notooneededooafteroo24oohours

AnimalooorooHumanoobitesoo-ooans--Augmentinoo
(Cefdiniroo+ooclindaoo=ooMRSAoooroohistory/typeoo1ooallerg)

CatooBitesoo-ooans--cefdinirooandooclindaootooocoveroopasteurella

I&D:ooMRSAoocoverageoo-oohemodynamicallyoostable,oowoundootoooface/hand/
perineumoo-ooans--Clindamycinoo30oomg/kg/
dayoodividedooTIDoo→oomostoocommonlyoousedDoxycyclineoo2ootooo4oomg/
kgooperoodayooorallyooinoo1oooroo2oodoses
Trimethoprim-sulfamethozazoleoo(TMP-SMX)oo8ootooo12oomgooTMP/kg/
dayoodividedooBID

Ioo&ooD:ooMSSAoocoverage→oostableoopt,oowithoutoowoundsootoooface/hand/
peri,oonoooriskooofooMRSAoo-ooans--Cephalexinoo50-100oomg/kg/
dayoodividedooTIDoo(maxoo500mg/dose)oo→ooDOC

Ioo&ooD:ooInpatientooIVootherapyoo→oowarrantedootoooforooptsooshowingoosystemicoos/
sooofooinfection,oocan'tootolerateooPOoo(MSSA)oo-ooans--Cefazolinoo20oomg/kg/
doseooqoo8oohours
Oxacillinoo100ootooo150oomg/kg/dayooinoodividedooqoo6oohours
Nafcillinoo100ootooo150oomg/kg/dayooinoodividedooqoo6oohours

Ioo&ooD:oowarrantedootoooforooptsooshowingoosystemicoos/
sooofooinfection,oocan'tootolerateooPOoo(MRSA)oo-ooans--Clindamycinoo10oomg/kg/
doseooqoo8oohours
Vancomycinoo60ootooo80oomg/kg/dayooinoodividedooqoo6oohours

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