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--- home:physicians:emergency [02.08.2017] – [Notice for emergency medical personnel] sallieq
+++ home:physicians:emergency [02.08.2017] – [Notice for emergency medical personnel] short term ABx re-written 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.
+Ceftin (Cefuroxime, Zinacef, Supacef , Zamur ) may offer the best option for patients who need an antibiotic   for short term use in acute infection.
+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
   * sulfa drugs
-Cephalosporins **may** be tolerated, Claforin is usually OK.
-The macrolide Biaxin is usually OK, as is Ceftin.
-Fluoroquinolone antibiotics may be well tolerated, although instances of tendon damage have been reported, and more recently these have been linked to a higher risk of retinal detachment. **The patient should be advised of the FDA black-box warnings.**

home/physicians/emergency.txt · Last modified: 09.14.2022 by 127.0.0.1