Respiratory Flashcards
Minimum diagnostic criteria to diagnose pneumonia includes:
CBC with WBC diff, BUN/Cr, CXray
What antibiotic to tx CAP without comorbidities?
Doxycycline is the best
AABCDE
azithromycin, amoxicillin, Biaxin/clarithromycin, doxy, erythromycin
How to treat CAP WITH comorbidities?
Respiratory fluoroquinolone (moxi or levo)
Or
Doxy plus Augmentin
Preferred controller choice for patient experiencing asthma symptoms <2x/month
Low dose ICS/formoterol (LABA) prn
Preferred controller choice for patients experiencing asthma >2x/month but not daily
Daily low dose ICS/formoterol
Or ^prn
Preferred controller choice for asthma sx most days or waking with asthma >1x/week
Low dose ICS/LABA
Preferred controller choice for Asthma sx most days or low lung fx
Medium-dose ICS/LABA
What is theophylline?
A bronchodilator
For COPD what is the first line therapy for stage one mild FEV1 greater than or equal to 80%?
SAMA or SABA PRN
For COPD what is the first line therapy for stage 2 moderate, FEV1 greater than or equal to 50% but <80%
LAMA or LABA on set schedule
For COPD what is the first line therapy for stage 3 severe, FEV1 greater than or equal to 30% but <50%?
LAMA on set schedule
For COPD what is the first line therapy for stage 4 very severe, FEV1 <30%?
LAMA or (LABA + LAMA) or (ICS + LABA) on set schedule