To convert from mg/dL to mmol/L, divide by 88.5.

----------------------------------------------------------------------antibiotics summary :

Aminoglycosides
best for: g-ve aerobes
ex: Gentamicin trade name :Garamycin
side effects :Hearing loss ,Vertigo,Kidney damage
Carbapenems
best for : emberical
ex:Imipenem/Cilastatin trade name: Primaxin
side effects :GIT upset ,Allergy ,covulsions
Cephalosporins
First generation :g+ve ex: Cefadroxil tn:Duricef
2nd generation : some g+ve & some g-ve ex:Cefprozil tn:Cefzil
3rd generation :poor g+ve good g-ve ex:Cefotaxime tn:Claforan
4th generation :g-ve & pseudomonus ex:Cefepime tn:Maxipime
5th generations:for MRSA ex:Ceftobiprole tn:Zeftera
side effects of all : GIT , Allergy
Glycopeptides
best for : emberical
ex:Vancomycin tn:Vancocin
Lincosamides
best for :g+ve ( stap , strept )..etc
ex:Clindamycin tn:Cleocin
s.e:pseudomembranous enterocolitis
Macrolides
best for:g+ve ,respiratory , urinary ,genital ( syphilis).a
ex: Azithromycin tn:Zithromax,
Erythromycin tn:Erythocin,
s.e : git, ecg changes , jaundice
sulphonamides +nitrofurans
best for :emperical , UTI ,GIT
ex : sulphamethoxazol& nitrofurantoin tn:septrin or setrem
s.e:GIT,Allergy , Kidney
Penicillin combinations
Broad spectrum
ex:Amoxicillin/clavulanate tn:Augmentin
ex :Ampicillin/sulbactam tn:Unasyn
s.e: GIT, Allergy,Kidney, Brain
norte : Penicillin G tn:Pfizerpen
Quinolones
best for : UTI , genital (gonorrhea),GIT,Pneumonia
ex:Ciprofloxacin tn: Ciproxin,
s.e: GIT
Tetracyclines
best for : syphilis , lyme , mycoplasma
ex:Doxycycline tn:Vibramycin
s.e:GIT,toxic for fetus ,teeth& bone affection

ie: only give for adult male

------------------------------------------others:
T.B
Ethambutol=Myambutol
Ethionamide=Trecator
Isoniazid=I.N.H.
Pyrazinamide =Aldinamide
Streptomycin
leprosy
Clofazimine tn:Lamprene
Dapsone tn:Avlosulfon
Rifampicin tn:Rimactane for :g+ve & mycobaterium
Fusidic acid tn:Fucidin for: g+ve (acne).a
Metronidazole tn:Flagyl for : anaerobes , protozoa
Rifaximin tn:Xifaxan for:Traveler's diarrhea caused by E. coli
Fosfomycin tn:Monurol for:Acute cystitis in women
--------------------------------for General Practitioners
6 2012
..
7
-------------------(7)-----------------------Gastritis and hyperacidity
* burning pain in epigastrium heart burn
nausea
Management
250

zantac(ranitidine) tagamet(cimetidine)

*
zantac 150 or 300 mg tab
mucogel susp or epicogel 3

proton pump inhibitor omez or omepack losec or

:
piroxicam
Alternatives
Zantac (tab&)
,Ranitidine(tab&)
Histac(tab&)

Aciloc (tab)
Ranitak(tab
=========================================
gastroentritis
diarhea colic vomiting
fever
primpran amp buscopan amp avil amp
adolor amp
dehydrated signs of dehydration ?
500cc saline

antinal cap every 8 h
spasmocin tab 3 times\day
flagyl 500mg tab every 8 hours
fever
ciprofloxacin 500mg tab every 12 h
............................................................
6
--------------------------------(6)-----------------------------------*
sudden decompression of bladder wall haematuria
141
for General Practitioners
29 2011
5
-----------------------------------------(5)-----------------------------------Epistaxis

* hypertension
Nasal trauma,dryness of nasal mucosa , bleeding disorders
*bleeding come mainly from kisselbach's plexus at anterior nasal septum.
First aid
venous pressure-Hand compress nostrils for 10 minutes
-Leaning forward****
-May use cold compresses on nasal septum and not inside nose
-Add amp epinephrine to nasal pack for local use

-Afrin adult spray 0.05%
4
Management
*
nasal pack pressure

 Vaseline gauze
(full flexed to avoid aspiration)
* haemostatic haemostop
* :
Ruta-C tablets 1X3 ,heamostop tablets 1X3 or dicynone
Antihaemorrhagic and capillary protective
*
Pt=prothrombin time=10-15 sec
PTT=partial thromboplastin time=35-45 sec
Bleeding time=2-7 min
Platelet count =150,000 - 400,000
*

recurrent epistaxis


C

Hereditary hemorrhagic telangectasia=HHT
122
for General Practitioners
28 2011
4

------------------------------(4)----------------------------Renal colic
* history
Stone


buscopan

visceralgine

glucolynamine
spasmofen
.
:
loin pain burning
Management
250 ( stone )





--------------------------------------- ---------------------
Crystals:
* urates urosolvin eff.

Zyloric (200-800) tab Or No-uric (100-300) mg
* oxalate
epimag eff

.
* phosphate
vitacid c tab
pus :
* HPF
* 5 30
Uvamine retard cap 12
Macrofuran(50-100) 6
* 30 50 Quinolones UTI
Ciprofar 250 or ciprofloxacin or bactiflox (250-500) 12
Kiroll or tarivan(ofloxacin200)
12 .
*
Antiseptic eff. Coliurinal or proximol 3
Analgesic Rowatinex cap 8
50
--------------------------------------

173
for General Practitioners
28 2011
3
-------------------------(3)---------------------vomiting
*You should at first exclude that:
Appendicitis
Acute abdomen
Insecticides
DKA (diabetic ketoacidosis
* :
cortigen B6 amp
MOTILIUM tab 3


182
for General Practitioners
28 2011
2
-------------------------------(2)----------------------Hypotention less than 80/60

500
CDE
C:cocktail
D:dicadron
E:effortil 10
10 effortil
cbc
152
for General Practitioners
28 2011

( smile )

--------------------------(1)------------------------------------- bronchial asthma

bronchial asthma , MI, HF
:

250

cardiac patient ventolin

AABCD
A:aminophylline
A:avil or ventolin
B: bisolven
C: cocktail
D: dicadron
= nebulizer


2