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PHYSICIAN'S ORDER SHEET - Hospital Forms

PHYSICIAN'S ORDER SHEET - Hospital Forms

www.hospital-forms.com

ANTIBIOTICS - start after cultures - within 4 hrs of admission x 3 days OPTION #1 Ceftriaxone (Rocephin) 1 gram IV daily AND Azithromycin (Zithromax) 500 mg IV daily. OPTION #2 Levofloxacin (Levaquin) 750 mg IV daily. OPTION #3 Piperacillin / Tazobactam (Zosyn) 3.375 gm IV every 6 hours (for confirmed aspiration) AND Azithromycin (Zithromax) 500 mg IV daily.

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