Dypsnea

Question 1

outpatient PNA

Answer 1

azithromycin, moxifloxacin 400mg 10 days

Question 2

inpatient PNA

Answer 2

ceftriaxone 1g IV plus azithromycin 500mg

Moxifloxacin 400mg if pen allergic

Question 3

HCAP tx

Answer 3

pip tazo 4.5gm IV, cipro 500mg

+/- vanco+macrolide

Question 4

Pulm Edema with hypotension

Answer 4

Dopamine 10-20mcg/kg/min

loop

Question 5

pulm edema with borderline bp

Answer 5

IV doButamine 2-20mcg/kg/min

loop

Question 6

pulm edema withHTN

Answer 6

nitro 10-20mcg/min increased by 20 every 50min (up to 500)
lasix 20-40 or AM PO dose
bipap start at 10/5mmHg

Question 7

PERC

Answer 7

Age 50
HR >100
02

Question 8

PE rx

Answer 8

IV heparin B+ drip or Lovenox,

If shock, TPA 100mg over 2hr

Question 9

Asthma/COPD rx inpatient

Answer 9

venturi mask in COPD
Albuterol/iprat neb q 20minx3
PO prednisone 60mg, IV solumedrol 125 if severe (6-8hr)

Question 10

Asthma d/c home rx

Answer 10

Peak flow >300
prednisone 60mg qd x5
albuterol w3hr
PMD f/u in 5 days

Question 11

COPD d/c home rx

Answer 11

Combivent QID
rescue albuterol
PO prednisone 40mg x10-14