LRTI & URTI Flashcards

1
Q

What medications can a healthy patient with outpatient CAP take?

A

doxycycline, amoxicillin

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2
Q

what medications can an outpatient patient with comorbidities and CAP take?

A

levofloxacin/moxifloxacin OR augmentin, cefpodoxime, cefuroxime + macrolide/doxycycline

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3
Q

What medications can an inpatient non-severe CAP patient have?

A

ampicillin/sulbactam, ceftriaxone + macrolide or levofloxacin/moxifloxacin

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4
Q

What medications can an inpatient severe CAP patient have?

A

ampicillin/sulbactam, ceftriaxone + macrolide
or
levofloxacin/metronidazole + ampicillin/sulbactam, ceftriaxone

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5
Q

What medications are recommended to cover MRSA if risk factors are present for CAP?

A

vancomycin, linezolid

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6
Q

What medications are recommended to cover pseudomonas aeruginosa if risk factors are present for CAP?

A

meropenem, piperacillin/tazobactam, cefepime

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7
Q

What medications are recommended for HAP and patients are not at high risk for mortality?

A

piperacillin/tazobactam, cefepime, imipenem, meropenem, levofloxacin

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8
Q

What medications are recommended for HAP and not at high risk for mortality but MRSA risk?

A

piperacillin/tazobactam, cefepime, imipenem, meropenem, levofloxacin + vancomycin/linezolid

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9
Q

What medications are recommended for HAP and high risk of mortality?

A

piperacillin/tazobactam, cefepime, imipenem, meropenem, levofloxacin, tobramycin, amikacin (pick 2) + vancomycin/linezolid

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10
Q

What medications are recommended for VAP?

A

piperacillin/tazobactam, cefepime, imipenem, meropenem, levofloxacin, tobramycin, amikacin (pick 2 if pseudomonas risk factors present) + vancomycin/linezolid

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11
Q

What medications are indicated for acute bronchitis?

A

none!
most pathogens are viral

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12
Q

What medications are indicated for acute exacerbation of chronic bronchitis?

A

augmentin, cefuroxine, cefpodoxime
alternatives: doxycycline, tmp/smx, azithromycin

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13
Q

What medications are indicated for acute exacerbation of chronic bronchitis + pseudomonas risk?

A

levofloxacin

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14
Q

What treatment options are there for acute pharyngitis?

A

Penicillin VK, Amoxicillin
alternative: give cephalosporin or azithromycin/clindamycin

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15
Q

What treatment options are there for ABRS?

A

amoxicillin/clavulanate 500/125 mg or 2000/125 mg if concern for penicillin resistance
or can watchful wait and initiate antibiotics later if need be

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