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
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
