RT drugs Flashcards
decongestants PO
Pseudoephedrine (Sudafed
Phenylephrine HCL
Decongestants nasal spray
Oxymetazoline hydrochloride (Afrin, Mucinex Sinus, Neo-Synephrine, Vicks Sinex)
Phenylephrine hydrochloride (Neo-Synephrine, Sudafed PE, Afrin
Decongestants nasal spray
Oxymetazoline hydrochloride (Afrin, Mucinex Sinus, Neo-Synephrine, Vicks Sinex)
Phenylephrine hydrochloride (Neo-Synephrine, Sudafed PE, Afrin
Antitussives
Dextromethorphan DM (delsym)(serotonergic syndrome with antidepressants), Benzonatate (tessalon perles), Codéine
Anticholinergic for Rhinorrhea
Ipratropium Bromide Atrovent
require script , don’t use glaucoma, BPH, bladder neck obstruction, pregnant, lactation
not safe beyond 4 days
antihistamine
Chlorpheniramine Chlor trimeton
Sinusitis
Amoxicillin and Amoxicillin Clavulanate
Augmentin
Sinusitis for penicillin allergic
doxy, fluoroquinolone levofloxacin
cefdinir, cefuroxime, cefpodoxime
H. influenzae: Bronchitis
aminopenicillin (amoxicillin)
M. catarrhalis, H. influenzae Bronchitis
beta lactamase producing): amoxicillin + clavulanate (Augmentin)
M. pneumoniae, Chlamydophila pneumoniae:Bronchitis
macrolide or doxycycline
Influenza A or Influenza B:
oseltamivir or zanamivir
Previously healthy; no recent antibiotic use; no risk factors for drug-resistant S. pneumoniae (DRSP) infection:
macrolide (azithromycin or clarithromycin)
doxycycline
what causes walking PNA
Mycoplasma PNA
is PNA usually bacterial or viral?
viral
Presence of comorbidities; use of antimicrobials within the previous 3 months or other risk factors for DRSP:
b-lactam [high-dose amoxicillin or amoxicillin–clavulanate] is preferred alternatives include cefpodoxime, cefdinir, and cefuroxime + a macrolide;
fluoroquinolone (moxifloxacin, gemifloxacin, or levofloxacin) alone
causes of chronic bronchitis
smoke, colonization of bacteria, viral infections, environment
non antibiotic ways to treat Acute Exacerbations of Chronic Bronchitis
stop smoking, avoid polluted air, increase flyids, humidity air, use a SABA, Treat any associated asthma,COPD, and other co-morbidities
Presence of comorbidities use of antimictobials within the previous 3 months or other risk factors
B LaFram high dose amoxicillin or amoxicillin clavulanate
Cefpodoxime cefpodoxime cefdinir cefuroxime and a macrolide
Fluoroquinolones moxifloxacin gemifloxacin levofloxacin alone
COPD exacerbation symptoms
Increased dyspnea
Increased sputum volume
Increased sputum purulence
Decreased FEV1
Non antibiotic therapy for COPD exacerbations
Stop smoking
Avoid air pollutants
Increase fluids
Humidify air
SABA
treat asthma copd and other co morbids
Walking PNA
Atypical pna mycoplasma pneumonia
Walking pna feels like a bad cold
Patient with lung disease
Usually present with atypical pna
Gradual dry cough scanty sputum prominent myalgia fatigue nv diarrhea
