Lumos Maxima

Amatullah Zahidah. INFP. A student of Clinical and Community Pharmacy ITB. Football lover, novels reader, movies watcher and i love happy ending.

[amatullahzdn-blog]

This lipstick really made my day. Gomawo Ghina-ya for this lovely birthday gift. 💄💋😘

[penceritabisu]

Ketika kita sakit, Allah tarik tiga perkara: Allah tarik keceriaan wajah kita, Allah tarik selera makan kita, Allah tarik dosa kita. Apabila sudah sembuh, Allah hantar dua perkara: Allah hantar balik keceriaan wajah kita, Allah hantar balik selera makan kita. Tapi Allah tak hantar balik dosa-dosa kita. Lihat, bertapa sayangnya Allah kepada kita. Lantas, tidakkah kita mahu bersyukur?

(via penceritabisu)

[amatullahzdn-blog]

Terlalu bad mood untuk foto-foto waktu Pasar Seni yang ramenya minta ampun. Untung aja Dino-nya belum dibongkar sampai H+3 🙌🙌🙌 #pasarseni2014 #pasarseniitb (di Institut Teknologi Bandung)

[mynotes4usmle]

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

[amatullahzdn-blog]

MD: Can I call in a prescription?

Me: sure, who is it for and what is the med?

MD: Its for pt blah and the medication is metamorphine

Me: I'm sorry but morphine is a controlled substance I will need a hard copy to fill it

MD: What? No this is the diabetes medication, you know metamorphine

Me: No I'm sorry doc thats not for diabetes...what medication are you thinking of?

MD: You know the one that come in 500mg tablets

Me: ...

Me: Did you mean metformin????

MD: Yea metamoformin

Me: ... okay doc. Can I also suggest you prescribe some Namenda for yourself?

[vierpolyt]

Maybe for other ppl this pict is just ordinary pict, but for me this is an extraordinary pict, it keeps a stories more than just ‘someone’s silhouette standing solo’, but its about wish and friendship IF : @amatullahzdn

[soul-submission]

You can be married to the worst man ever, like Asiyah married Fir’awn - but it did not change her loyalty and love for Allah. You can be married to the best of men, like a Prophet of Allah, and still not enter Paradise - as the wife of Prophet Lut ‘alayi salaam. You also can not be married, with no man, like Maryam and Allah can make your rank higher than any woman on Earth. Know your priorities! Love and trust is with Allah first.

(via soul-submission)

[kuntawiaji-deactivated20220209]

Manusia mengatakan tiga hal tetapi mereka tidak konsisten terhadapnya: (1) Mereka berkata bahwa mereka adalah hamba-hamba Allah, tapi mereka melakukan perbuatan seakan mereka adalah orang-orang merdeka, (2) Mereka mengatakan bahwa Allah mencukupi dan menanggung rezeki mereka, tetapi hati mereka tidak tenang memikirkan dunia. (3) Mereka mengatakan bahwa mereka akan mati, tetapi mereka berbuat seakan-akan mereka tidak akan mati.

Syaqiq al-Balkhi (via kuntawiaji)

[amatullahzdn-blog]

K : Zahidut!

Z : Hey!

K : Kenapa sendirian?

Z : Gapapa atuh, emang harusnya sama siapa?

K : Sedih ih, gak ada nyetirin? HAHAHAHA

Z : -____________-"

[sakuraflts]

Disclaimer : Tulisan ini adalah sebuah proses berpikir. Saya menuliskan pikiran karena itu memudahkan saya untuk merumuskan jawaban. Jadi sangat mungkin ada khilaf di dalamnya, namun jika ada yang baik-baik, silahkan dipikirkan juga dan semoga bermanfaat :)

-

"Aku mencintaimu karena Allah"

[kurniawangunadi]

Jika Anda tidak membangun mimpi Anda, seseorang akan mempekerjakan Anda untuk membangun mimpi mereka.

Tony Gaskin

[amatullahzdn-blog]

(via kurniawangunadi)

[amatullahzdn-blog]

Maksud hati ingin naik Bandros, apa daya Bandros hari Jumat libur. Cuma selfie yang bisa jadi pelipur lara. (di Taman Pustaka Bunga)

[amatullahzdn-blog]

Walaupun mukanya minyakan yang penting bahagia #latepost #friend

[qaulanahsana]

Yes, whatever you through; pray.

[siswandari]

Allah knows the best for me. Allah knows my abilities, my fear, my worries, and my good points. Yaa Rabb please guide me in the right path.

(via siswandari)

[thethoughtcupboard-blog]

Kadang-kadang Allah tutup semua jalan supaya yang tinggal di depan kita cuma jalan menuju Allah. Allah mahu kita bergantung padaNya. Allah mahu kita minta dariNya. Cuma dari Dia.

(via thethoughtcupboard)

[bookmania]

When we are collecting books, we are collecting happiness.

Vincent Starrett (via bookmania)