Term
|
Definition
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|
Term
| endemic area stretches from what 2 states |
|
Definition
|
|
Term
| what type of env are these states- 3 |
|
Definition
| sandy, alkaline soil, few rainfalls |
|
|
Term
| what are the risk factros for aquiring the primary diseasE? |
|
Definition
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|
Term
| risk factors for aquiring sevre, disseminated? 2 |
|
Definition
race
preggo (2nd-3rd trimester
immune status |
|
|
Term
| what are the top races for aqruign sevre? 3 |
|
Definition
| fillipinos, Af AM, Na. Am |
|
|
Term
females or males get severe more?
in general what age group is at risk? |
|
Definition
|
|
Term
| what 2 blood types are at risk for severe |
|
Definition
|
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Term
|
Definition
|
|
Term
| what % make up asymptomatic |
|
Definition
|
|
Term
| which type of coccid pateints have a fine rash? |
|
Definition
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|
Term
| what type of infection has productive cough + dense infiltrates |
|
Definition
|
|
Term
| how long do you havae primary penumo before its chronic? |
|
Definition
|
|
Term
| what are syptoms of chronic pneumo? 3 |
|
Definition
pulmonary scarring
hemoptysis
necrosis |
|
|
Term
|
Definition
|
|
Term
| what are the symptoms of valley fever-4 |
|
Definition
joint aches
fever
macropapular rash
chest pain |
|
|
Term
| common sites of disseminated disease? 4 |
|
Definition
| skin, lymph, bone, meninges |
|
|
Term
| what are some diagnostic tests 4 |
|
Definition
microscopic 10% KOH
CFS analysis
chest radiograph
serum antibody/skin test |
|
|
Term
| what do you monitor for with azole drugs-3 |
|
Definition
co meds
hepatic/renal function
adverse rxns |
|
|
Term
what do you monitor for with echinocandins? 2
what is the common adverse rxn |
|
Definition
hepatic funct
phlebitis at inj site;
rash, facial swell with rapid infusion |
|
|
Term
| mechanisms of nephrotox in Ampho B -2 |
|
Definition
1) direct damage of distal memb- wasting electrolytes
2)contrict afferent arterioles= less glomer filtration |
|
|
Term
| what do you monitor for with Ampho B? 5 |
|
Definition
| heache, n/v, weihgt loss, thrombophelblitis, anemia |
|
|
Term
for renal function with ampho B or if using other nephro tox agents- what do you do fro hydration?
what about if get nephro tox due to ampho b? |
|
Definition
NS .5 L before and after ampho B
reduce 50% or every other day |
|
|
Term
| what electrolytes do you watch fro with ampho B |
|
Definition
|
|
Term
with the unique ADEs with ampho B:
premedicate for fever/chills with?
for rigors? |
|
Definition
NSAID + diphenhydramine or APAP + diphen or hydrocortisone;
meperidine |
|
|
Term
| for flucytosine if have renal impair what do you do to dosing interval? |
|
Definition
|
|
Term
|
Definition
| keukopenia, thrombocyt, increased LFT |
|
|
Term
| which med is preggo category C |
|
Definition
|
|
Term
| what do you monitor fro in flucytosine |
|
Definition
GI distress
hepatic/renal funct
bone marrow tox- CBC
drug levels |
|
|
Term
| what drug do you want to avoid monotherapy bc of resistance |
|
Definition
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