LAST MINUTE HIGH YIELD STUFF

The pain is almost over. I don't even give a fuck if I pass anymore, I'm so damn tired!!

Lipitor

Atorvastatin

Crestor

Rosuvastatin

Zocor

Simba statin

Lescol

Fluvastatin

Altoprev

Lovastatin

Livalo

Pitavastatin

Pravachol

Pravastatin

Praluent

Alirocumab

Evolocumab

Repatha

Welchol

Colesevelam

Prevalite

Cholestyramine

Lopid

Gemfibrozil

Tricor

Fenofibrate

Lovaza

Omega 3 ethyl esters

Vascular

Icosapent ethyl

Drugs that can increase LDL (not TG)

SGLT2 inhibitor

Pioglitazone

Fibrates

Fish oils

Drugs that increase TG (not LDL)

IV Lipids

Propofol

Alcohol

Bile Acid Sequesterants

Main side effects of statins

HMG

Hepatoxic, Myalgia, Glucose (increase)

Which other cholesterol meds should you NOT use with Zetia

Don’t use Gemfibrozil or fenofibrates

Which bile acid sequester-ant is OK in pregnancy

Pregnancy

Contra indications of bile acid sequesterants

Bowel obstruction, biliary obstruction, TG >500

Which classes mainly used to reduce triglycerides

Fibrates, Niacin, Fish Oils

If you have a statin which cholesterol med should you avoid adding

Fibrates like Gemfibrozil or the others

Which lipid lowering agents are hepatotoxic as hell

Statins

Zetia

Gemfibrozil

Niacin

Preferred initial treatments for hypertension

Thiazides

DHP-CCBs

ACE/ARB

With what BP would you start combination therapy

>20/10 over goal (150/90)

Benicar HCT

Olmesartan/HCTZ

Diovan HCT

Valsartan/HCTZ

Exforge

Valsartan/Amlodipine

Hyzaar

Losartan/HCTZ

Ziac

Bisoprolol/HCTZ

Lotrel

Benazepril/Amlodipine

Zestoretic

Lisinopril/HCTZ

HTN agents in pregnancy whats safe

Labetolol, Nifedipine, Methyldopa

Thiazide : Contraindications and Side effects?

Sulfa allergy

Photosensitivity, impotence, GOUT

Where do Thiazides work

Distal convoluted tubule

Where does Acetazolamide work

Proximal convoluted tubule

Where do loop diuretics work

Ascending loop

Where does spironolactone work

Collecting duct

Where do SGLT-2 inhibitors work

Proximal tubule (like Acetazolamide)

Side effects of all CCBS

Peripheral edema, gingival hyperplasia

Non-DHP CCBS: are they + or - chronotropes? Inotropes

Negative both

Which antihypertensives to avoid in heart failure

Non-DHP CCBs

Cardizem

Diltiazem

Tiazac

Diltiazem

Calan

Verapamil

Lotensin

Benazepril

Vasotec

Enalapril

Zestril

Lisinopril

Quinapril

Accupril

Ramipril

Altace

Avapro

Irbesartan

Cozaar

Losartan

Benicar

Olmesartan

Diovan

Valsartan

CONTRAINDICATIONS for Spironolactone

Hyperkalemia

Renal disease

Addison’s

Heart failure beta blockers

BE MORE CHILL

Bisoprolol, Metoprolol, Carvedilol

Brevibloc

Esmolol

stable angina treatment approach mnemonic

ABCDE

ANTIPLATELT

BLOOD PRESSURE

CHOLESTEROL AND CIGARETTES

DIET AND DIABETES

EXERCISE AND EDUCATION

Which medication can increase oxygen supply in angina

CCB

Which class to avoid in Prinzmetal? Which is preferred

Avoid beta blockers

Yay CCBS are good

MOST COMMON DOSE FOR SHORT ACTING NITRATES?

0.4

Mnemonic for ACS treatment

MONA-GAP-BA

Clopidogrel what CYP genotype should you avoid it with

CYP2C19 poor metabolizers

What class if Eptifbatide

Glycoproteins IIb/IIa antagonist

What drug class is tirofiban

Glycoproteins IIb/IIa antagonist

LVEF of HFREF

below 40%

Mnemonic for drugs that can worsen HF

DINATION

DPP 4

Immunosuppressant

NonDHP CCB

Antiarrythmics

Thiazoldinediones

Itraconazole

Oncology

NSAIDS

GDMT for Heart Failure with TARGET DOSES

Metoprolol = 200 mg daily

Carvedilol = 50 mg daily if IR, 80 if ER

Sprinolactone =25-50 mg daily

Eplereonone = 50 mg daily

SGLT-2s = 10 mg daily

Digoxin: Chronotropy vs Inotropy

Positive inotrope, negative chronotrope

Treatment for meningitis

Ceftriaxone (or Cefotaxime) plus Vanco (Add Ampicillin for listeria if neonate or old/immumocompromised)

When to treat otitis media vs observe (in kids)

Always treat if patient is < 6 months

Treat if 2 years of older if severe symptoms

And in-between those treat if symptoms are bilateral

1st like treatment for otitis media with dose? What if allergy?

Amoxicillin or Augmentin 90 mg/kg/day. If allergy do 3rd gen ceph

Treatment for acute sinusitis

Augmentin

Treatment for bronchitis

Nothing

Treatment for whooping cough

Macrolides

When to treat bacterial COPD exacerbation and what to use

Three cardinal symptoms: dyspnea, sputum volume and purulence

treat with Augmentin can also do Z pack, doxy, or respiratory quinolone

CAP treatment with no comorbidites

Amox, Doxy, or macrolide

CAP treatment with comorbidities

Beta Lactam + Macrolide or Doxy

FQ mono therapy

Severe inpatient CAP treatment

Beta Lactam + Macrolide OR

Beta Lactam + FQ

Anti pseudomonas beta Lactam

Cefepime

Meropenem

Zosyn

Aztreonam

Treatment for HAP/VAP

Start with base of MSSA coverage: Cefepime, Zosyn, Levo for example

Add vanco/linezolid if MRSA risk

Add 2nd antipseudomonal if been hospitalized for 5 days or more before onset (Don’t do 2 beta Lactams, mix it up)

Active TB treatment

RIPE x 2 months, then just RI

Rifampin

Isoniazid

Pyrazinamide

Ethambutol

Pyridoxine

Vitamin B 6

Infective Endocarditis Prevention

Amoxicillin 2 grams

Azithro/Clarithro 500 mg

Doxycycline 100

Treatment for SBP

Ceftriaxone, can consider carbapenems as alternative

2nd art prophylaxis for SBP

Bactrim or FQ

Outpatient SSTI treatment

Keflex, Bactrim, Doxy

Necrotizing fasciitis treatment

Zosyn or Meropenem

Plus Vanco or Dapto

Plus Clindamycin

UTI treatment in pregnancy

Augmentin or Keflex

Acute Cystitis treatment options and when to use each

Macrobid (don’t use in renal impairment)

Bactrim (don’t use if sulfa)

Fosfomycin is ok

Pyelonephritis treatment

Cipro + Levo

C. DIFF treatments and options (how long to use)

Treat for 10 days

1.) Fidoxamicin (Dificid)

2.) Vanco

3.) Metronidazole

If fulminant do Vanco + Flagyl

Symptoms of Chlamydia + Treatment

Genital Discharge

Doxy (if pregnant do Azithro)

Symptoms of gonorrhea + treatment

Genital discharge. Treat with Keflex (if you haven’t ruled out chlamydia then do doxy too)

Symptoms of Genital Warts and treatment

Single or multiple pink lesions

Imiquimod

Symptoms of Syphyllisand treatment

Painless smooth sores

Penicillin G 2.4 units IM

Symptoms of BV and treatment

Vaginas discharge with FISH, pH>4.5, little to no pain

Flagyl

Trichomoniasis symptoms and treatment

Yellow/green frothy discharge, pH >4.5, painful

Flagyl

Treatment for tick borne disease

Doxy (even if kids)