Term
|
Definition
| infection of the distal airway/ aveolis |
|
|
Term
| what is the most common cause of infectious death in the US |
|
Definition
|
|
Term
most common pathogen?
others? |
|
Definition
s. pneumonia
h. influenza, atypical: chlamydia, legionella, mycoplasma |
|
|
Term
|
Definition
inhalation
aspiration
hematogenous |
|
|
Term
| prediposing factor for CAP |
|
Definition
| sensory/ neuromuscular disability that causes less clearence in mucocilliary |
|
|
Term
| clinical signs and symptoms of CAP |
|
Definition
| fever, rust colored sputum, productive cough |
|
|
Term
| physical exam findiings of CAP |
|
Definition
| tachypnea, tachycardia, dullness to percussion, crackles |
|
|
Term
|
Definition
leukocytosis- more PMNS
low oxygen saturation |
|
|
Term
|
Definition
| dense lobar or segmented infiltrate |
|
|
Term
| for bacterial diagnosis use what |
|
Definition
sputum culutre and gram stain
blood
urine antigen |
|
|
Term
what is an acceptable specimen for sputum
squamous epithelial:
WBC: |
|
Definition
|
|
Term
|
Definition
20 variables
takes history of disease into account
not practical
has studies to prove its mortality |
|
|
Term
|
Definition
5 variables
no underlying disease taken into account
practical
no studies |
|
|
Term
| treatment of Pneumonia depedns on |
|
Definition
likely pathogens
risk facotrs with ABX resistance
comorbidites |
|
|
Term
| when do you use empiric MRSA ABXs |
|
Definition
ICU admission
necrotizing or cavitary infiltrate
empyema |
|
|
Term
| what med is nt used for MRSA in pnuemonia |
|
Definition
|
|
Term
| risk factors for Pseudomonas |
|
Definition
| chronic steroids, alcoholism, frequent ABX, severe lung structural disease |
|
|
Term
what is the 4th generation ceph?
what bugs is it good against?
not good against? |
|
Definition
cefetaroline fosimil
MRSA, PRSP
Pseudomonas, ESBL enterobac |
|
|
Term
| what do you tell if patient is clincally stable to take PO meds? |
|
Definition
HR<100
RR<24
Temp< 37.8 or 100 |
|
|
Term
| duration of treatment is a minimum of _ days |
|
Definition
|
|
Term
| 4 prevention methods for CAP |
|
Definition
smoking cessation
resp hygiene
pneumococcal vaccine
influenza vaccine |
|
|
