community acquired pneumonia

Question 1

initial outpt tx

Answer 1

macrolide or doxycycline

Question 2

inpatients not admitted to a ICU should be given what for tx

Answer 2

fluoroquinolone or

beta lactam plus macrolide

Question 3

pts w severe CAP or admitted to an ICU should get what tx

Answer 3

beta lactam plus azithromycin or resp fluoroquinolone

Question 4

risk factors for Pseudomonas–tx?

Answer 4

beta lactam plus aminoglycoside and azithryomycin or antipseudomonal fluoroquinolone

Question 5

those w risk factors for MRSA should get what tx?

Answer 5

vancomycin or linezolid

Question 6

prevention of CAP should focus on

Answer 6

influenza vaccine and pneumococcal vaccine for pts at high risk of dis

Question 7

acute respiratory illness-pts who benefit from radiography?

Answer 7

anyone with one of following vital signs:

• temp>100
• HR>1000
• RR>20

anyone with two of following:

• decreased breath sounds
• crackles
• absence of asthma

Question 8

blood cultures should be ordered in whom?

Answer 8

pts w/ severe CAP b/c more likely to be infected w organisms other than s pneumo

Question 9

CURB 65 prognostic variables

Answer 9

confusion
BUN>20
RR>30
BP systolic 65

0-1: outpt
2: inpt
3 or more: intensive inpatient