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home:physicians:emergency [02.08.2017] – [Notice for emergency medical personnel] sallieqhome:physicians:emergency [09.16.2017] – [Notice for emergency medical personnel] sallieq
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 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. 
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 +Ceftin (Cefuroxime, Zinacef, Supacef , Zamur ) may offer the best option for patients who need an antibiotic   for short term use in acute infection.
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 +Biaxin (Clarithromycin) has been reported with similar good results, but may not be suitable for a patient with a heart condition.
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 +Cephalosporins **may** be tolerated, Claforin is usually OK. 
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 +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.**
  
  
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   * tetracyclines   * tetracyclines
   * sulfa drugs   * sulfa drugs
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-Cephalosporins **may** be tolerated, Claforin is usually OK. 
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-The macrolide Biaxin is usually OK, as is Ceftin. 
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-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.** 
  
  
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 **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. 
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 +Do not give Telmisartan, it has an over strong action in suppressing the patient's ability to fight infection.\\ Using Valsartan for organ protection is acceptable and is a precautionary measure if for any reason Olmesartan was reduced or stopped.
  
 **Do not give nimesulide** (Aulin / Mesulid / Nimed).  It could cause bleeding. One death has been reported during its use. **Do not give nimesulide** (Aulin / Mesulid / Nimed).  It could cause bleeding. One death has been reported during its use.
home/physicians/emergency.txt · Last modified: 09.14.2022 by 127.0.0.1
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