-
CAP
doxy, erythro, macrolide, fluoro
-
inpt CAP (strep pneum or legionella)
ceftriaxone/cefotxime +azith or fluoro
-
mycoplasma pneumoniae
erythromycin
-
chlamydia pneumonia
tetra
-
viral pneumonia
supportive, no(?) amantidine/rimatidine
-
HAP
cefepime, ticarcillin/clav, pip/tazo,
-
-
-
acute bronchitis
supportive
-
acute exacerbations of chronic bronchitis
- 2G ceph (ie cefuroxime)
- second line 2G macrolide or bactrim
-
acute bronchiolitis
neubulized albuterol, fliuds, antipyretics, chest PT, humidified O2
-
acute epiglottitis
secure airway, cefotaxime/ceftriaxone
-
croup
- mild: no tx
- steroids, humidified air, epinephrine
-
-
-
solitary pulm nodule
CT q3m x1y, then q6m x 24 mo
-
carcinoid tumor
surgical excision
-
bronchiectasis
- abx/bronchodilators/chest PT
- amox, augmentin, bactrim, tetra x 10-14d
-
COPD
- anticholinergic inhalers (ipatropium)
- oral abx, pneumoccocal and flu shot yearly
-
CF
multidisciplinary therapy
-
pleural effusion
thoracentesis
-
-
tension pneumo
large bore needle followed by decompression
-
PE
- heparin, followed by LMWH or warfarin x3mo min
- vena cava filter, mechanical measures
-
pulm HTn
- oral anticoag, CCB, prostacyclin
- usually required heart-lung transplant
-
sarcoidosis
modest maintenance dose steroids
-
ARDS
- tx cause
- intubation, low PEEP
-
latent TB
INH x 9 mo OR rif x 4mo + PZA x2mo
-
Active TB
INH/RIF/PZA/EMB x 2m, followed by INH/RIF x 4m
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