bechu-fallory-blog

[bechu-fallory-blog]

ANTIBIOTICS CHEAT SHEET :)

Also, REMEMBER!!!!

* Sulfonamides compete for albumin with:

Bilirrubin: given in 2°,3°T, high risk or indirect hyperBb and kernicterus in premies

Warfarin: increases toxicity: bleeding

* Beta-lactamase (penicinillase) Suceptible:

Natural Penicillins (G, V, F, K)

Aminopenicillins (Amoxicillin, Ampicillin)

Antipseudomonal Penicillins (Ticarcillin, Piperacillin)

* Beta-lactamase (penicinillase) Resistant:

Oxacillin, Nafcillin, Dicloxacillin

3°G, 4°G Cephalosporins

Carbapenems 

Monobactams

Beta-lactamase inhibitors

* Penicillins enhanced with:

Clavulanic acid & Sulbactam (both are suicide inhibitors, they inhibit beta-lactamase)

Aminoglycosides (against enterococcus and psedomonas)

* Aminoglycosides enhanced with Aztreonam

* Penicillins: renal clearance EXCEPT Oxacillin & Nafcillin (bile)

* Cephalosporines: renal clearance EXCEPT Cefoperazone & Cefrtriaxone (bile)

* Both inhibited by Probenecid during tubular secretion.

* 2°G Cephalosporines: none cross BBB except Cefuroxime

* 3°G Cephalosporines: all cross BBB except Cefoperazone bc is highly highly lipid soluble, so is protein bound in plasma, therefore it doesn’t cross BBB.

* Cephalosporines are "LAME“ bc they  do not cover this organisms 

L  isteria monocytogenes

A  typicals (Mycoplasma, Chlamydia)

M RSA (except Ceftaroline, 5°G)

E  nterococci

* Disulfiram-like effect: Cefotetan & Cefoperazone (mnemonic)

* Cefoperanzone: all the exceptions!!!

All 3°G cephalosporins cross the BBB except Cefoperazone.

All cephalosporins are renal cleared, except Cefoperazone.

Disulfiram-like effect

* Against Pseudomonas:

3°G Cef taz idime (taz taz taz taz)

4°G Cefepime, Cefpirome (not available in the USA)

Antipseudomonal penicillins

Aminoglycosides (synergy with beta-lactams)

Aztreonam (pseudomonal sepsis)

* Covers MRSA: Ceftaroline (rhymes w/ Caroline, Caroline the 5°G Ceph), Vancomycin, Daptomycin, Linezolid, Tigecycline.

* Covers VRSA: Linezolid, Dalfopristin/Quinupristin

* Aminoglycosides: decrease release of ACh in synapse and act as a Neuromuscular blocker, this is why it enhances effects of muscle relaxants.

* DEMECLOCYCLINE: tetracycline that’s not used as an AB, it is used as tx of SIADH to cause Nephrogenic Diabetes Insipidus (inhibits the V2 receptor in collecting ducts)

* Phototoxicity: Q ue S T  ion?

Q uinolones

Sulfonamides

T etracyclines

* p450 inhibitors: Cloramphenicol, Macrolides (except Azithromycin), Sulfonamides

* Macrolides SE: Motilin stimulation, QT prolongation, reversible deafness, eosinophilia, cholestatic hepatitis

* Bactericidal: beta-lactams (penicillins, cephalosporins, monobactams, carbapenems), aminoglycosides, fluorquinolones, metronidazole.

* Baceriostatic: tetracyclins, streptogramins, chloramphenicol, lincosamides, oxazolidonones, macrolides, sulfonamides, DHFR inhibitors.

* Pseudomembranous colitis: Ampicillin, Amoxicillin, Clindamycin, Lincomycin.

* QT prolongation: macrolides, sometimes fluoroquinolones

[bechu-fallory-blog]

I wonder how many times I unknowingly avoided death

[bechu-fallory-blog]

It's important to remeber this also happens. Life as a vet isn't always happiness and flowers, but is worth all the way through

Veterinarian suicide

I know sadly there are a lot of veterinarians that sadly have committed or tried suicide. Finding out that this is such a major problem breaks my heart. I saw a post about sadly losing a vet to suicide I lost it though. So I wanted to write about what I have seen behind closed doors.

After the veterinary and staff helped save my dog I decided to help by volunteering. I already decided that I wanted to do some career with helping out animals anyways.

During my first week I cleaned out the cages, feed the animals, and did normal volunteer stuff. After awhile I noticed things, the stuff people don’t see behind closed doors.

The people who would stay late, when a person was late to pick up their dog.

The person who would cramp them self in a dog kennel to soothe a dog getting surgery.

The vet who did paperwork while kittens ran all over their desk because their mother had just died.

The staff members who brought a nightlight for the dog that was afraid of the dark.

The staff member who made a playlist for a cat because it calmed them during their rehabilitation.

The vet tech who got peed on by a great dane and didn’t get angry or yell but laughed, while we all took pics.

There was those silent pauses also.

When an animal didn’t make it.

The vet that tried to keep from crying when they couldn’t save an animal but the owner not shredding a tear asked for a refund.

Putting down a dog that couldn’t eat because the owner let maggots eat away at her mouth.

Saving kittens that were put in a bag and tossed from a car into traffic.

The heartbreak and distraught on the face of a vet who had to put down a happy healthy animal because there was no room and resourses.

And so much more.

Each of these things motivated me to wake up earlier and volunteer more. I wanted to help lighten their work load. I sent the medical team and staff funny animal pics to brighten their day. Watched amazing animal rescue videos with the staff and together would cheer and clap. I sent them thank you cards, food and gifts. Trust me all the staff had their desk or area full of thank you cards, gifts and pics from different people. They loved the updates on how someone pet was getting better because of them.

The medical team, staff, interns, and volunteers go above and beyond their job requirements.

So volunteer at your local animal hospital or shelter, even if it’s once every few months. Donate to help them. Send them thank you letters and gifts or just tell them thank you. They don’t have to cost a lot. Store bought or homemade they will appreciate it. Even thank them for when they tried their best but sadly could not save the animal. I guarantee you they fought and did what they could.

These are the things I’ve seen behind closed doors and I wanted to say to all of these wonderful Veterinarians, vet techs, vet assistants,staff, volunteers, and others Thank you, you are appreciated, there are people who are thankful, and you are loved.

[bechu-fallory-blog]

Every dog can be a guide dog if you don’t care where you’re going. / cr

[bechu-fallory-blog]

I love you, guys ^^

http://www.vetcvas.com/

FREE VETERINARY E-BOOKS

[bechu-fallory-blog]

Autonomic system drugs mnemonic

Please give some tips on remembering cholinergic and adrenergic drugs.

Drugs ending in

-sin are alpha agonists (Prazosin, terazosin)

- ine are beta agonists (Terbutaline, ritrodine)

- olol are beta blockers (Propanolol, metoprolol)

- alol are alpha + beta blockers (Labetalol)

- stigmine are cholinergic drugs (Neostigmine, physiostigmine)

[bechu-fallory-blog]

You know, for spanish speaking people, this is easier. Due to the similarity in languages. My respects.

[bechu-fallory-blog]

Omfg Althought, I am not good At all remembering mnemonics

Blarg does anyone have any mnemonics for (human) skeletal muscles and cranial nerves???

[bechu-fallory-blog]

Nouns

das Orchester – orchestra das Instrument – instrument die Streicher – strings die Holzbläser – woodwinds die Blächbläser – brass das Schlagwerk – percussion die Geige – violin die Bratsche – viola das Cello – cello der (Kontra)Bass – (double) bass die Querflöte – flute die Klarinette – clarinet die Oboe – oboe das Fagott – bassoon die Trompete – trumpet die Posaune – trombone das Englischhorn – English horn das Horn – French horn die Tuba – tuba die Pauke – timpani das Klavier – piano die Klaviatur – keyboard (of the piano) die Harfe – harp der/die Sänger/in – singer die/die Solist/in – soloist der/die Komponist/in – composer der/die Dirigent/in – conductor

die Musik – music der/die Musiker/in – musician das Konzert – concert, concerto der Klang – sound die Harmonie – harmony die Melodie – melody der Violinschlüssel – treble clef der Bassschlüssel – bass clef der Takt – measure, bar die Note – note die Pause – rest das Repertoire – repertoire das Duett – duet die Bühne – stage das Werk/Stück – work/piece die Sinfonie – symphony die Ballade – ballad das Lied – song die Komposition – composition

Verbs

spielen – play klingen – sound singen – sing komponieren – compose dirigieren – conduct aufnehmen – record interpretieren – interpret sich verbeugen – bow (for the audience) proben – rehearse verbinden – tie

Adjectives

rhythmisch – rhythmic dur/moll – major/minor hoch – high tief – low laut – loud sanft – soft schnell – fast langsam – slow talentiert – talented leidenschaftlich – passionate kreativ – creative

[bechu-fallory-blog]

Nouns

das Orchester – orchestra das Instrument – instrument die Streicher – strings die Holzbläser – woodwinds die Blächbläser – brass das Schlagwerk – percussion die Geige – violin die Bratsche – viola das Cello – cello der (Kontra)Bass – (double) bass die Querflöte – flute die Klarinette – clarinet die Oboe – oboe das Fagott – bassoon die Trompete – trumpet die Posaune – trombone das Englischhorn – English horn das Horn – French horn die Tuba – tuba die Pauke – timpani das Klavier – piano die Klaviatur – keyboard (of the piano) die Harfe – harp der/die Sänger/in – singer die/die Solist/in – soloist der/die Komponist/in – composer der/die Dirigent/in – conductor

die Musik – music der/die Musiker/in – musician das Konzert – concert, concerto der Klang – sound die Harmonie – harmony die Melodie – melody der Violinschlüssel – treble clef der Bassschlüssel – bass clef der Takt – measure, bar die Note – note die Pause – rest das Repertoire – repertoire das Duett – duet die Bühne – stage das Werk/Stück – work/piece die Sinfonie – symphony die Ballade – ballad das Lied – song die Komposition – composition

Verbs

spielen – play klingen – sound singen – sing komponieren – compose dirigieren – conduct aufnehmen – record interpretieren – interpret sich verbeugen – bow (for the audience) proben – rehearse verbinden – tie

Adjectives

rhythmisch – rhythmic dur/moll – major/minor hoch – high tief – low laut – loud sanft – soft schnell – fast langsam – slow talentiert – talented leidenschaftlich – passionate kreativ – creative

[bechu-fallory-blog]

Cara de rendir final en 12 hs #finals #12hours #there'snowayIcanrememberallthis

[bechu-fallory-blog]

I read boobs and was like: who The hell does not like boobs? Then read "books" and sale reaction.

Hi,may we be friends?do you like books?and favorite song?

Yes we can be friends!! My favorite song is sweating bullets by megadeath. Books? Yes!

[bechu-fallory-blog]

As I am the party queen, I spent my 21 day holidays sick at home. Because fuck you, thats why.

[bechu-fallory-blog]

Tests, TESTS EVERYFUCKINGWHERE.

[bechu-fallory-blog]

That's for kidnapping , isn't it? If he/she refuses to kiss me.

when I see lovers names carved into a tree, i cant help but wonder why so many people are carrying knives on dates.

[bechu-fallory-blog]

Ok, this little girl was found in the trash by my boyfriend. She was at that time, 45 days old, maybe less. The thing is that we took her out from there, took her to the vet, she weighted 840 grams. We took her home, fed her, and watch over her. She stayed for a week with us, after that, she moved out with a girl that adopted her. We named her Chachi. Now her name is Roma. She is 1 year old now. That white thing on the right is Billie Dog. They slept like this all day long.

[bechu-fallory-blog]

I slept a six hour nap, how am I suposed to sleep tonight?