TX Flashcards
CAP
NoN ICU
*** Fluroqulnolone **
Moxifloxacin 400 PO or IV
**OR **
Levofloxacin 15 mg PO or IV QD
CAP /Non-ICU
**Allergic to Fluroqunolone **
**Beta Lactam **
* Rocephin 1gm IV **OR **
* Ampicillin
*
* **PLUS **
*
*** Macrolide **: Azithromycin 1gm x IV x 1 dose THEN 500 PO QD
CAP
ICU
- **Beta Latam **
* Rocephin 2gm **OR **
* Ampicillin 2gm 8 HRS
**PLUS **
Azithromycin Or Fluroquinolon (Levofloxacin )
CAP
Pseudomona
**Antipseudomonal Beta Lactam **
* Zosyn OR **
* Cefepime OR **
* Merreme
*
**PLUS **
- Azithromycin OR
- Fluroquinolon (Lev OR maxi )
——————————————————** - Antipseudomonal Beta Lactam** PLUS **
- Aminoglycoside (Toracycin 1.7 mcg/kg/day or pharmacy dose)
- **PLUS **
- ## **Macrolid (Azithromycin ) **Antipseudomonal Beta Lactam **PLUS **
Aminoglycoside **PLUS *
Antipneumococcal Fluroqunolone (maxi or Levo )
CA -MRSA
Zyvox OR
Vancomycin **PLUS **
Clyndamycin
CA
Duration Treatment
Uncoplicated x 5 days
Complicated : Consider extendign (bacteria, longer hospital stay or pseudomonas )
Aspiration PNA :
Cefriaxone (Rocephin )1mg IV QD
Aspiration PNA
Allergic to Betalactam
- Levofloxacin 750 IV QD +/-
- Flagyl 500 PO/IV Q 8 hrs (cover Anerobes )
Aspitration PNA
Related to Abcess
-Ampicillin/Sulbactam (Unasyn ) 3g IV Q 6 hrs
**OR **
-Clindamycin 600 mg IV Q 8 hrs
Aspiration PNA/
Nonsocomial PNA
Zosyn Pharmacy to dose W
Anti Pseudomona activity Covererage
VAP
NO MDR
**TX W Single agent **
Zosyn 4.5 Q 6 hrs OR Cefepime 2mg Q 8hrs/OR
Levofloxacin
**OR **
Zosyn and Cefepime (more common TX b/c of negative coverage )
VAP
+ MRSA
3 Different ABT: 2 for Pseudomonas & 1 MRSA
**Pseudomonas Ariginosis:
Zosyn, Cefepime OR Merrem
If severly Ill consider Double covereage:
-Aminoglycoside Or Fluroquinolone
**MRSA ** +/- Zyvox OR Vancomycin for MRSA
