Special Medications

-Trimethoprim-sulfamethoxazole (Septra) 160/800 mg (10 mL in 100 mL D5W

IV over 2 hours) q12h or 1 double strength tab PO bid. -Ciprofloxacin (Cipro) 500 mg PO bid or 400 mg IV q12h. -Norfloxacin (Noroxin) 400 mg PO bid -Ofloxacin (Floxin) 400 mg PO or IV bid. -Levofloxacin (Levaquin) 500 mg PO/IV q24h.

-In more severely ill patients, treatment with an IV third-generation cephalosporin, or ticarcillin/clavulanic acid, or piperacillin/tazobactam or imipenem is recommended with an aminoglycoside. -Ceftizoxime (Cefizox) 1 gm IV q8h. -Ceftazidime (Fortaz) 1 gm IV q8h. -Ticarcillin/clavulanate (Timentin) 3.1 gm IV q6h. -Piperacillin/tazobactam (Zosyn) 3.375 gm IV/PB q6h. -Imipenem/cilastatin (Primaxin) 0.5-1.0 gm IV q6-8h. -Gentamicin or tobramycin, 2 mg/kg IV, then 1.5 mg/kg q8h or 7 mg/kg in 50 mL of D5W over 60 min IV q24h.

10. Symptomatic Medications: -Phenazopyridine (Pyridium) 100 mg PO tid. -Meperidine (Demerol) 50-100 mg IM q4-6h prn pain.

11. Extras: Renal ultrasound, intravenous pyelogram, KUB.

12. Labs: CBC with differential, SMA 7. UA with micro, urine Gram stain, C&S; blood C&S x 2. Drug levels peak and trough third dose third dose.

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