Special Medications Regimen

-Gentamicin or tobramycin 100-120 mg IV (1.5-2 mg/kg), then 80 mg IV q8h (5 mg/kg/d) or 7 mg/kg in 50 mL of D5W over 60 min IV q24h AND EITHER Cefoxitin (Mefoxin) 2 gm IV q6-8h OR Clindamycin (Cleocin) 600-900 mg IV q8h. Regimen 2:

-Metronidazole (Flagyl) 500 mg q8h AND Ciprofloxacin (Cipro) 250-500 mg PO bid or 200-300 mg IV q12h. Outpatient Regimen:

-Metronidazole (Flagyl) 500 mg PO q6h AND EITHER Ciprofloxacin (Cipro) 500 mg PO bid OR Trimethoprim/SMX (Bactrim) 1 DS tab PO bid.

10. Symptomatic Medications:

-Meperidine (Demerol) 50-100 mg IM or IV q3-4h prn pain. -Zolpidem (Ambien) 5-10 mg qhs prn insomnia.

11. Extras: Acute abdomen series, CXR PA and LAT, ECG, CT scan of abdomen, ultrasound, surgery and GI consults.

12. Labs: CBC with differential, SMA 7&12, amylase, lipase, blood cultures x 2, drug levels peak and trough 3rd dose. UA, C&S.

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