Pulm tx

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Author:
bigfootedbertha
ID:
103665
Filename:
Pulm tx
Updated:
2011-09-22 18:11:28
Tags:
pulm
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Description:
pulm
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  1. CAP
    doxy, erythro, macrolide, fluoro
  2. inpt CAP (strep pneum or legionella)
    ceftriaxone/cefotxime +azith or fluoro
  3. mycoplasma pneumoniae
    erythromycin
  4. chlamydia pneumonia
    tetra
  5. viral pneumonia
    supportive, no(?) amantidine/rimatidine
  6. HAP
    cefepime, ticarcillin/clav, pip/tazo,
  7. PCP
    bactrim
  8. PCP prophylaxis
    bactrim
  9. acute bronchitis
    supportive
  10. acute exacerbations of chronic bronchitis
    • 2G ceph (ie cefuroxime)
    • second line 2G macrolide or bactrim
  11. acute bronchiolitis
    neubulized albuterol, fliuds, antipyretics, chest PT, humidified O2
  12. acute epiglottitis
    secure airway, cefotaxime/ceftriaxone
  13. croup
    • mild: no tx
    • steroids, humidified air, epinephrine
  14. NSCLC
    surgery
  15. SCLC
    combo chemo
  16. solitary pulm nodule
    CT q3m x1y, then q6m x 24 mo
  17. carcinoid tumor
    surgical excision
  18. bronchiectasis
    • abx/bronchodilators/chest PT
    • amox, augmentin, bactrim, tetra x 10-14d
  19. COPD
    • anticholinergic inhalers (ipatropium)
    • oral abx, pneumoccocal and flu shot yearly
  20. CF
    multidisciplinary therapy
  21. pleural effusion
    thoracentesis
  22. pneumo
    large=CT
  23. tension pneumo
    large bore needle followed by decompression
  24. PE
    • heparin, followed by LMWH or warfarin x3mo min
    • vena cava filter, mechanical measures
  25. pulm HTn
    • oral anticoag, CCB, prostacyclin
    • usually required heart-lung transplant
  26. sarcoidosis
    modest maintenance dose steroids
  27. ARDS
    • tx cause
    • intubation, low PEEP
  28. latent TB
    INH x 9 mo OR rif x 4mo + PZA x2mo
  29. Active TB
    INH/RIF/PZA/EMB x 2m, followed by INH/RIF x 4m

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