antibiotics_trauma.txt

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Author:
burkleyjensen
ID:
117115
Filename:
antibiotics_trauma.txt
Updated:
2011-11-16 21:24:43
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Podiatry boards II
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questions for part 2 boards
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  1. What are the abcde's of life treatening conditions in primary survey?
    • Airway (with cervical spine contol) breathing circulation disability (quick neurologic check using AVPU alert, visual stimuli esposure, responds to pain, unresponsive)
    • Exposure ( remove all clothing)
  2. After a primary survey in a trauma case what is the next step?
    Head to toe examination, head ct and lumbar ct
  3. What is first step in extremity injury?
    Assesment of neurovascular
  4. How many of units of blood can be lost in a tibia fracture?
    1.5 units
  5. Define compartment syndrome
    Occurs when interstitial pressure rises above capillary bed
  6. What pressure for compartment syndrome is diagnostic?
    30mmHg
  7. How long do amputated parts remain viable?
    4-6 hrs at room temperature or 18 hrs if cooled
  8. What are contraindications to closed reduction?
    No displacement, no reduction is possible due to comminution, open fracture,
  9. Indications for ooen reduction?
    Articular surface involvement
  10. What is the most common fracture of forefoot?
    Distal phalanx of hallux
  11. Pressure caused by hematoma can damage the nail matrix if not relieved within how long?
    6-12 hrs, if more than 25% of nail plate is involved avulsion of nail should be considered.
  12. What is the most common lesser digit fracture?
    5th digit due to night walking
  13. Wha tis conservative tx for sesamoid fx?
    NWB 4-6 wks
  14. Jahss classification of 1st MTPJ dislocation
    All have dorsal dislocation of proximal phalanx and sesamoids with 1. Intersesamoidal ligament intact. Hyperextention. 2A. Rupture of intersesamoidal ligament. 2B. Transverse fx of one of sesamoids. 2C. Complete disruption of intersesamoidal ligament and transverse fx of both sesamoid.
  15. What is important to consider with metatarsal fractures?
    sagital plane deformity in order to prevent subsequent metatarsalgia
  16. Virchows triad
    Stasis ( arrhythmias, MI, CHF, heart failure, immobilization), blood vessel injury), hypercoagulability
  17. Toe pressures in diabetics associated with healing wounds?
    >55mmhg = healing , 45-55mmhg = range of uncertainty, <45mmhg = no wound healing
  18. ABI breakdown
    .5-.8 IC, <.5 is associated with rest pain and ulcers
  19. Which antifungal uses pulse dosing starting with 200 mg x 1 week, then 3 weeks off. 3 pulses for nails, 2 for finger nails
    Itraconazole
  20. What is augmentin?
    Amoxacillin/clavulonic acit
  21. What is unacyn?
    Ampicillin/sulbactam
  22. What is zosyn?
    Piperacillin/tazobactam
  23. What is rocephin?
    Cephtriaxone
  24. Which drug is nicknamed gorillamycin?
    Imipenem because it has the broadest spectrum
  25. What is dosing for unasyn?
    3.0 g IV q 6, 1.5g IV q6 for renal impairment
  26. When is unasyn used?
    Polymicrobial infection
  27. What is an alternative to unasyn for a patient with PCN allergy?
    Cipro/clinda, levaquin
  28. Does unasyn work against pseudomonas?
    No
  29. What is the dosing for augmentin?
    500 or 875 mg one tab po bid
  30. How much clavulonic acid is in augmentin 500?
    125 mg
  31. When is zosyn used?
    Infections of skin and skin structured
  32. Dosing for zosyn?
    3.375 g IV q 4-6, renal dosing 2.25 g IV q 4-6
  33. What to watch out for ticaricillin?
    Increased Na+ load
  34. What is the doc for diabetic foot infection for someone with penicillin allergy?
    Clindamycin
  35. Which penicillins are not excreted renally?
    Mezlocillin,azlocillin,piperacillin
  36. Name 4 alternative IV antibiotics for PCN allergic pts?
    Clindamycin,levaquin,vanco,bactrim
  37. What PCN are antipseudomonal?
    The fourth and fifth generation PCN, ticarcillin,timentin,piperacillin,zosyn,carbenicillin,mezlocillin,azlocillin
  38. Percent cross sensitivities between cephalosporins and PCN?
    1-5%
  39. Are cephalosporins contraindicated for pt with PCN allergy?
    Only if pt has anaphlactic response, if had stomach ache will give, if had rash no only if pt has taken without issue.
  40. Which cephalosporins are not excreted by kidneys?
    Ceftriaxone and cefoperazone

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