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Pulmonary > Treatment > Flashcards

Treatment Flashcards

1
Q

Legionella

A

quinolone

macrolide

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2
Q

Mycoplasma

A

macrolide

tetracycline

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3
Q

Chlamydia

A

macrolide
tetracycline
quinolone

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4
Q

Outpatient CAP

A

Macrolide or doxycycline

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5
Q

Outpatient CAP with comorbidities

A

Quinolone or beta-lactam + macrolide

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6
Q

Inpatient CAP

A

Quinolone or beta-lactam + macrolide

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7
Q

ICU (no pseudomonas)

A

B-lactam + azithromycin or quinolone

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8
Q

ICU w/ pseudomonas

A

B-lactam + cipro or levo
or B-lactam + aminoglycoside & azith
or B-lactam + aminoglycoside & quinolone

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9
Q

Lung abscess

A

Clindamycin (or other agents with good gram positive anaerobic activity)

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10
Q

Pseudomonas

A

Anti-pseudomonal beta-lactam AND aminoglycoside (also can add quinolones)

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11
Q

Antipseudomonal beta lactams

A

piperacillin, aztreonam, carbapenem, defepime, ceftazidime

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12
Q

Stenotrophomonas maltophilia

A

only sensitive to TMP sulfa

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13
Q

Pneumocystis jirovecci

A

TMP sulfa
add corticosteroids if PaO2 70 or A-a gradient 35 within 72 hrs
TMP sufla for prophylaxis when necessary

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14
Q

Nocardia

A

sulfonamides

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15
Q

TB - first line

A

Isoniazid
rifampin
pyrazinamide
ethambutol

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16
Q

TB - second line

A

aminoglycosides

Quinolones

17
Q

ABPA

A

steroids + itraconazole (antifungal)

18
Q

Zygomycosis

A

emergency surgical debridement

amphotericin B

19
Q

Coccidiodes immitis

A

fluconazole, itraconazole, or ampothericin B

20
Q

Histoplasmosis

A

Itraconazole or amphotericin B

21
Q

Early HAP

A

ceftriaxone

22
Q

Late HAP

A

antipseudomonal cephalosporin or carbepenem or beta-lactam/beta-lactamase inhibitor PLUS quinolone or aminoglycoside
PLUS linezolid or vanco

23
Q

Cefuroxime

A

2nd gen cephalosporin

haemophilus, moraxella, other GNRs

24
Q

Ceftriaxone

A

3rd gen cephalosporin

gram negs EXCEPT pseudomonas

25
Q

Ceftazidime

A

3rd gen cephalosporin
gram negs + pseudomonas
(not as good pneumococcal)

26
Q

Cefepime

A

4th gen cephalosporin

pneumococcal + pseudomonas

27
Q

Ceftoraline

A

5th gen cephalosporin

GNR & MRSA

Pulmonary (6 decks)

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