Respiratory Flashcards
(14 cards)
Mild-moderate CAP
Amoxicillin 1g TDS
doxycycline if pen allergic: 200mg day one then 100mg OD for 5 days
Severe CAP
Co-amoxiclav IV 1.2g TDS + clarithromycin IV 500mg BD
if pen allergic give levofloxacin monotherapy
Non-severe HAP
Amoxicillin PO 5 days (doxycycline if pen allergic)
Severe HAP
IV amoxicillin + IV gentamicin
IV-co-trimoxazole + IV gentamicin if pen allergic
Non-severe aspiration pneumonia
PO Amoxicillin + metronidazole
doxy if pen allergic
Severe aspiration pneumonia
IV Amoxicillin + metronidazole + gentamicin
doxy or clarithromycin if pen allergic
Acute exacerbation of COPD with increased sputum purulence
Amoxicillin PO 500mg TDS 5 days
doxy if pen allergic
Acute exacerbation of COPD with no sputum purluence
No antibiotics
Acute exacerbation of COPD with no sputum purulence but signs of consolidation on CXR or signs of pneumonia
Amoxicillin PO 500mg TDS 5 days
doxy if pen allergic
Acute cough/acute bronchitis
No significant benefit but can give in the frail elderly
Amoxicillin PO 500mg TDS or doxy
CAP in ICU/HDU
Co-amoxiclav IV 1.2g TDS + clarithromycin IV 500mg BD
if pen allergic give levofloxacin monotherapy
Severe CAP step-down
Doxycycline 100mg BD Total IV/PO = 7 days
Severe HAP step-down
Co-trimoxazole
Severe aspiration pneumonia step down
PO amoxicillin + metronidazole
