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Bactericidal for gpc, gpr, gnc & Penicillin G (IV), penicillin V (oral)
spirochetes
Staph aureus CONDM
HELPS kill enterococci Ampicillin, amoxicillin
Pseudomonas species, gnr Carbenicillin, piperacillin, ticarcillin
G+c PEcK 1st generation cephalosporins
G+c HEN PEcKS MBC 2nd generation cephalosporins
Serious gram neg infections 3rd generation cephalosporins
resistant to other beta-lactams,
meningitis
Serious pseudomonas Ceftazidime
Serious gonorrhea Ceftriaxone
Gnrs (Klebsiella, pseudomonas, Aztreonam
serratia), penicillin allergic pts &
those with renal failure who can’t
tolerate aminoglycosides
Gpc, gnr, anaerobes Imipenem + cilastin
DOC for enterobacter Imipenem + cilastin
Serious gram pos multidrug- Vancomycin
resistant organisms (S aureus, C
difficile/PMC)
Severe gnr infections, synergistic
with β-lactam antibiotics
VACUUM Your Bed Room By Friday Tetracylcines
URTIs, pneumonias, STDs (gpc – Macrolides
Strep infections in pts allergic to
penicillin), Mycoplasma, Legionella,
Chlamydia, Neisseria
Last resort for meningitis (H Chloramphenicol
influenzae, N meningitides, S
pneumoniae)
Anaerobic infections above Clindamycin
diaphragm (B fragilis, C difficile)
DOC list : www.gamspg.webs.com : © 2009 GAMS
(opioid)
Acute migraine, cluster headache Sumatriptan
attacks
Control vomiting postop & in pts Ondansetron
undergoing cancer therapy
Partial seizures (simple & complex) Phenytoin, carbamazepine, lamotrigine,
gabapentin, topiramate
Generalized tonic-clonic Phenytoin, carbamazepine, lamotrigine,
gabapentin, Phenobarbital, valproate
Generalized absence Ethosuximide, valproate
Status epilepticus Phenytoin, benzodiazepines
(diazepam/lorazepam)
Trigeminal neuralgia Carbamazepine
DOC for generalized tonic-clonic Phenytoin
Most common drug used for Midazolam
endoscopy, used adjunctively with
gaseous anesthetics & narcotics
Dissociative anesthetic, CV Ketamine
stimulant, ↑ cerebral blood flow
Used with other CNS depressants Morphine, fentanyl
during general anesthesia
(narcotics)
Rapid anesthesia induction & short Propofol
procedures, less post-op nausea
than thiopental
Minor surgical procedures, spinal Procaine, cocaine, tetracaine, lidocaine,
anesthesia bupivacaine
Severe HTN, CHF Hydralazine
HTN, angina, arrhythmias Ca2+ channel blockers
HTN, CHF, diabetic renal dz ACE inhibitors, losartan
Glaucoma, urinary alkalinization, Acetazolamide
metabolic alkalosis, altitude sickness
Edematous states (CHR, cirrhosis, Furosemide
DOC list : www.gamspg.webs.com : © 2009 GAMS
β blocker OD Glucagon
Iron poisoning Deferoxamine
Lead poisoning CaEDTA, dimercaprol, succimer,
penicillamine
Arsenic, mercury, or gold poisoning Dimercaprol (BAL), succimer
Copper, arsenic, or gold poisoning Penicillamine
CN poisoning Nitrite, hydroxocobalamine, thiosulfate
Methemoglobin problem Methylene blue
CO poisoning 100% O2, hyperbaric O2
Methanol, ethylene glycol Ethanol, dialysis, fomepizole
(antifreeze) poisoning
Opioid OD Naloxone/naltrexone
Benzodiazepine OD Flumazenil
TCA OD NaHCO3 (nonspecific)
Heparin OD Protamine sulfate
Warfarin OD Vit K, fresh frozen plasma
t-PA, streptokinase OD Aminocaproic acid
Erectile dysfunction Sildenafil
Infertility Clomifene
Abortifacient Mifepristone (RU-486)
Peptic ulcers, gastritis, esophageal H2 blockers, omeprazole, lansoprazole
reflux, Zollinger-Ellison syndrome
Peptic ulcer dz Sucralfate
Prevention of NSAID-induced Misoprostol
peptic ulcers, maintains PDA
Immediate anticoagulation for PE, Heparin
stroke, angina, MI, DVT, can use
during pregnancy
Chronic anticoagulation, can’t use Warfarin (Coumadin)
during pregnancy
Early MI Thrombolytics (Streptokinase,
urokinase, tPA, APSAC)
Decreases incidence/recurrence of Ticlopidine, clopidogrel
DOC list : www.gamspg.webs.com : © 2009 GAMS
BPH Finasteride
Prostate ca Flutamide
Tx of polycystic ovarian syndrome Ketoconazole, spironolactone
to prevent hirsutism
Suppresses organ rejection after Cyclosporine
transplantation, selected
autoimmune disorders
Kidney transplantation, autoimmune Azathioprine
disorders (incl glomerulonephritis &
hemolytic anemia)
Potent immunosuppressive used in Tacrolimus (FK506)
organ transplant recipients
DOC for chronic tx of simply Levothyroxine (T4)
hypothyroidism (myxedema)
Thyroid storm Propylthiouracil
Tx of angina that consistently Verapamil
decreases the heart rate & can
prevent vasospastic angina attacks
Chemoprophylaxis for chloroquine- Mefloquine
resistant P falciparum endemic
regions
Microcytic anemia of pregnancy Ferrous sulfate
DOC for acute attacks of Chloroquine
nonfalciparum malaria
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