This shows you the differences between two versions of the page.
Both sides previous revisionPrevious revisionNext revision | Previous revisionNext revisionBoth sides next revision | ||
home:physicians:emergency [02.07.2017] – [Notice for emergency medical personnel] added risk of retinal damage sallieq | home:physicians:emergency [09.16.2017] – [Notice for emergency medical personnel] sallieq | ||
---|---|---|---|
Line 25: | Line 25: | ||
If B/P is extremely low (mean arterial pressure <55), continue Benicar as above and increase fluid volume with 0.9 NS or packed red cells. | If B/P is extremely low (mean arterial pressure <55), continue Benicar as above and increase fluid volume with 0.9 NS or packed red cells. | ||
+ | |||
+ | |||
+ | Ceftin (Cefuroxime, | ||
+ | |||
+ | Biaxin (Clarithromycin) has been reported with similar good results, but may not be suitable for a patient with a heart condition. | ||
+ | |||
+ | Cephalosporins **may** be tolerated, Claforin is usually OK. | ||
+ | |||
+ | Biaxin and Ceftin are actually preferred to Fluoroquinolones although they may be well tolerated, since instances of tendon damage have been reported, and more recently they have been linked to a higher risk of retinal detachment. **The patient should be advised of the FDA black-box warnings.** | ||
Line 32: | Line 41: | ||
* tetracyclines | * tetracyclines | ||
* sulfa drugs | * sulfa drugs | ||
- | |||
- | |||
- | |||
- | Cephalosporins **may** be tolerated, Claforin is usually OK. | ||
- | |||
- | The macrolide Biaxin is usually OK. | ||
- | |||
- | Fluoroquinolone antibiotics are generally well tolerated, although instances of tendon damage have been reported, and in 2015 these have been linked to a higher risk of retinal detachment. **The patient should be advised of the FDA black-box warnings.** | ||
Line 45: | Line 46: | ||
**Do not give** corticosteroids in any form or by any route (injected, inhaled, oral or IV) as they | **Do not give** corticosteroids in any form or by any route (injected, inhaled, oral or IV) as they | ||
will lead to metabolic instability. | will lead to metabolic instability. | ||
+ | |||
+ | **Do not give Telmisartan**, | ||
**Do not give nimesulide** (Aulin / Mesulid / Nimed). | **Do not give nimesulide** (Aulin / Mesulid / Nimed). |