-Ampicillin/sulbactam (Unasyn) 1.5 gm IV q6h OR -Ampicillin 0.5-1 gm IV q6h or 250-500 mg PO qid OR -Cefuroxime (Zinacef) 750 mg IV q8h OR -Cefuroxime axetil (Ceftin) 250-500 mg PO bid OR -Trimethoprim/Sulfamethoxazole (Bactrim DS), 1 tab PO bid OR -Levofloxacin (Levaquin) 500 mg PO/IV PO qd [250, 500 mg].
10. Symptomatic Medications: -Docusate sodium (Colace) 100 mg PO qhs. -Ranitidine (Zantac) 50 mg IV q8h or 150 mg PO bid.
11. Extras: Portable CXR, ECG, pulmonary function tests before and after bronchodilators; pulmonary rehabilitation.
12. Labs: ABG, CBC with eosinophil count, SMA7. Theophylline level stat and after 24h of infusion. Sputum Gram stain, C&S.
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If you suffer with asthma, you will no doubt be familiar with the uncomfortable sensations as your bronchial tubes begin to narrow and your muscles around them start to tighten. A sticky mucus known as phlegm begins to produce and increase within your bronchial tubes and you begin to wheeze, cough and struggle to breathe.