Vancomycin

Typical starting dose:  15 mg/kg based on actual body weight   (as long as the patient has normal renal function, and the dose doesn’t exceed 2000 mg) Should always check computer system for patient records indicating whether the patient has received vanco and if so the dosing used at that time as well as the … Continue reading

Intra-abdominal Infections

Three basic types of Intra-Abdominal Infections: Individual organ infections Generalized peritonitis Abscesses Organ specific infections (these infections are the result of primary or secondary bacterial infections caused by enteric organisms in the hepatobiliary tree or intestinal tract): Appendicitis (appendix) Appendix removal remains the primary treatment. Preoperative prophylaxis:  Cefoxitin or Cefotetan If the appendix is perforated … Continue reading

Ivacaftor

Oral Ivacaftor (VX-770) is an investigational drug that is designed to increase the time that activated cystic fibrosis transmembrane conductance regulator (CFTR) protein channels at the cell surface remain open. It has been shown to decrease pulmonary exacerbations and other respiratory symptoms in cystic fibrosis patients It is only to be used in cystic fibrosis … Continue reading

OTC Pain

The time limit for unsupervised use of systemic analgesics (ex. ibuprofen, naproxen, acetaminophen) is 10 days

Selective Serotonin Reuptake Inhibitors (SSRIs)

SSRIs are one of the newest classes of drugs used in the treatment of depression.  Drugs in this class include:  fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft), and fluvoxamine (Luvox). These drugs are typically as effective as older antidepressants, but they are associated with much less side effects. The use of SSRIs are now also being … Continue reading

Amiodarone

Amiodarone potential side effects:  irreversible pulmonary damage, abnormal thyroid function, elevation in liver enzymes, corneal deposits, and skin reactions. Due to the fact that Amiodarone does have an extensive list of major adverse reactions, it is important to perform baseline lab tests and medical examinations in order to assess the development and progression of symptoms.

Anticholinergic memory tricks

Side effects of anticholinergics:  Can’t pee, can’t see, can’t spit, can’t shit mnemonics: side effects of anticholinergics:  anti-SLUD  (Salivation, Lacrimation, Urination, Defecation)

Symptoms of Schizophrenia

Atypical antipsychotics block both dopamine-2 receptors and serotonin-2A receptors Symptoms of schizophrenia: Positive symptoms: the presence of symptoms that are normally absent Examples of positive symptoms include: hallucinations, disorganized speech, delusions, memory disturbances, and impaired attention. Positive symptoms associated with schizophrenia are improved by blocking dopamine-2 receptors. Negative symptoms: the absence of thoughts or behaviors … Continue reading