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13 Cards in this Set
- Front
- Back
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COPD: Theophylline, Alubterol/metaprotrenol, Ipratropium, corticosteroids
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Theophylline - 3-4mg/kg q6h, Ipratropium 18mcg once daily, Beta-2 selectives (Albuterol, Metaprotrenol) - MDI, effect persist 3-4h, Corticosteroids - MDI or 30mg/d oral prednisone
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Lung abscesses
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Clindamycin - 600mg IV tid --> 300mg IV po qid, Penicillin G - IV 2-10 millionU/day--> Pen V po 500-750mg qid
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Two novel agents for Asthma treatment ?
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Cromolyn, Nedocromil. Used as MDIs (these are Cl- channel inhibitors probably and act by inhibiting cough, mast cell,s eosinophils...note they cannot reverse an asthmatic attack, only as prophylaxis).
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Montelukast dosage for Asthma
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10mg once daily, a Leukotriene receptor antagonist
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PE prophylaxis
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LMWH - 2500U Once daily
Warfarin - 2mg/day (INR 1.5-2) |
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PE initial treatment
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Isoprptrenol - 2-4mg/L in 5% D/W
(Dopamine, norepi |
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Massive PE treatment
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Thrombolysis: Streptokinase 250,000U IV for 30min --> 100,000U/h for 24h
Urokinas 4400U/kg IV for 10min --> 4400U/Kg/h for 12h TPA 50mg/h IV for 2h |
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Pulmonary HT
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Adenosine IV 50ug/kg/min increased every 2 min until side effects. Prostacyclin 2ng/kg/min increased till side effects. NO - inhalation 5-10 ppm increased to no further effectivness. CCB : Nifedipine 120-240mg/d po, Diltiazem- 540-900mg/d po
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Community acquired pneumonia (age <60)
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Erythromycin 500mg qid po OR
Augmentin 875mg bid po |
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Community acquired pneumonia (any age)
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Inpatients: Erythromycin 500mg-1g IV q6h AND Ceftriaxone 1g IV q12h
Outpatients: Same as age <60 |
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Nosocomial pneumonias
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1.Piperacillin 3-4mg IV q6h AND tobramycin
2. Ceftazidime 1-2mg IV q8h AND tobramycin 3. Imipenem 500mg IV q6h |
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Aspiration pneumonia
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1. Ceftriaxone 2g IV once daily AND Clindamycin 600mg IV q6h
2. Ampicillin+Sulbactam 1-5-3g IV q6h |
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Pneumonia broad spectrum (nosocomial+aspiration)
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Cefepime 2g IV q12h AND Clindamycin 600mg IV q6h
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