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8 Community acquired pneumonia
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15
Accounting
Pre-School
11/14/2012

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Cards

Term
Productive cough
Pleuritic chest pain
Fever
Crackles
Definition
Community Acquired Pneumonia Symptoms:
Term
Infiltration with/without supporting microbiology
Definition
CXR findings
Term
Confusion
Uremia
Respiratory Rate >30
Blood Pressure < 90/60
Age >65
Definition
What is CURB-65 Score?
Term
0-1 = 1.2% mortality
2 = more intense tx hospitaliztion/home health
3 = ICU care, mortality >30%
Definition
Mortality rates with CURB-65 score?
Term
1. Blood Culture
2. Sputum Cultures
3. Pleural Effusions
4. Antigen Tests
Definition
Tests to order for CAP (4)
Term
S. pneumoniae
Also: S. aureaus, Pseudomonas, other gram (-)
Definition
Most common CAPs
Term
Sputum Cultures
Definition
Test of choice before use of antibiotics?
Term
Pneumococcal: 3 months
Legionella: Weeks
Definition
How long do Pneumococcal and Legionella antigens stay in the body?
Term
Levofloxacin.
Definition
What antibiotic will cover the atypical pneumonias?
Term
Tetracycline, macrolide
alternate: fluroquinolone
Definition
Antibiotics for Mycoplasma/Chladymophilia
Term
Flouroquinolone, Azithroymycin
Alternate: Doxycycline
Definition
Antibiotic for Legionalla
Term
INCREASE
1. give beta lactam (cefotaxime, Ceftriaxone, ampicillin)
2. Azithromycin or respiratory fluroquinoline

IF allergic to penicillin, use respiratory fluroquinolone plus aztreonam
Definition
IN the ICU you _______antibiotics. What antibiotics would you use?
Term
Psuedomonas and S. Aureus
Definition
What are some hospital acquired pneumonia?
Term
Lower respiratory tract samples: BEFORE WE ESCALATE OR CHANGE THE ANTIBIOTIC THERAPY, GET THE CULTURES 1st
Definition
When hospitalAP/VentilatorAP is suspected you must obtain what?
Term
Vital sings, CBC, and sputum culture
Definition
When a patient comes in with a productive cough with yellow sputum. And you suspect pneumonia. What labs would you obtain
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