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7. A 5-year-old girl with ventricular septal defect is scheduled for tonsillectomy in 2 weeks. She has no known drug allergies. Her temperature is 37 C (98.6 F). Examination shows no abnormalities. Which of the following is the most appropriate prophylaxis prior to tonsillectomy?
A ) Amoxicillin
B ) Ciprofloxacin
C ) Rifampin
D ) Tetracycline
E ) Trimethoprim-sulfamethoxazole
F ) No prophylaxis indicated
SOME answerthis Q F but i think it is A
coz unrepaired VSD and tonsilectomy needs prophylaxis
explain plz
huyniid Forum Elite
Topics: 9 Posts: 195
03/08/07 - 05:03 AM
#2
A. an unrepaired VSD is a moderate risk ---> need prophylaxis. For dental, oral, respiratory and esophageal procedures, Amoxicillin is indicated in all circumstances
Dr_kholioo Forum Junior
Topics: 9 Posts: 74
03/08/07 - 05:14 AM
#3
amox
tip is : for all dental ,oral,respiratory ,esophegeal procedures amoxicellin is indicated if he can't swallow give ampicellin penicellin allergic : clindamycin penicellin allergic and can't take oral : iv clinda ___________________ “We all have great inner power. The power is self-faith. There's really an attitude to winning. You have to see yourself winning before you win. And you have to be hungry. You have to want to conquer.” Arnold Schwarzenegger
abarusmle Forum Junior
Topics: 18 Posts: 62
03/08/07 - 05:28 AM
#4
I guess the prophylaxis is indicated only when there is valvular damage. VSD has nothing to do with heart valves. And also the idea of prophylaxis is to prevent bacterial sub endocarditis; which starts predominantly at the valve.
Aashi Forum Moderator
Topics: 114 Posts: 1,062
03/08/07 - 06:19 AM
#5
Its A---->Amox/clinda 1 hr before the procedure, the only time u dont give a prophylaxis is ASD, Repaired valve >6months, MVP without murmur on P/Ex
GL ___________________ "Obstacles are those frightful things you see when you take your EYES off your goal."
dr_jojo
03/08/07 - 06:34 AM
#6
thanx alot , as u answer my Qs ,i really need ur help ,this is my last week , i need ur support , thanks again
robin082006 Forum Hero
Topics: 471 Posts: 5,123
03/08/07 - 09:14 AM
#7
A fore sure, mentioned by Conrad Fisher ___________________ The Key to Succeed is Patience.
eaguin Forum Senior
Topics: 9 Posts: 162
03/13/07 - 06:50 PM
#8
A is the answer but if the VSD is repair is stay with F
Ivonne Find a way or make one
Topics: 58 Posts: 1,654
02/04/08 - 05:19 PM
#9
A
The procedure will disrupt the oral mucosa and tha patient has unrepaired congenital heart disease.
___________________ "Believe you can and you're half way there."
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