CAP Flashcards
(22 cards)
Which microorganism Casue it
H.influenza
S.pneumonia
Mycoplasma
Chalmaydophila
Signs (same in HAPh
Pluretic chest pain - less common in gap
Coughing
Rusted colour suptum
Confusion (delirium)
Fevere
Tachycardia
How is cap defined
Occurs in the community or with 48 hours of hospital admission
Tests used ?
Pulse oximeter
Sputum and bloods
Chest x ray
C reactive
ABG
What score is used to determine site of treatment
CURB-65
Score - 0
Outpatient treatment
2
Hospital
3 plus
ICU
This is not only linked to CAP (HAP too)
Lobular pneumonia?
Usually one lobe is affected - solid consolidation
Pluretic chest plain
This is not only linked to CAP (HAP too)
Bronchophmuonia?
Patchy consolidation in the bases of both lungs
This is not only linked to CAP (HAP too)
Atypicalpneumonia?
Symptoms + consolidation
Dry cough
Wide bread patchy consilidation
Which causative organism doesnt have a cell wall thus it would not be appropriate to give a b lactam
M.pnumonia
Management when curb score 0
1st - amoxicillin
If CI or atypical pathogen is suspected, then what
Doxycycline or
Clarythromycin or
Erythromycin
Curb score 1-2 ?
1st line : amoxicillin
What if atypical pathogen is suspected
Amoxycillin +
Clarythromycin OR erythromycin
What is ci due to penicillin
Doxycycline or clarythromycin
Curb score 3+
1st line: co-amoxiclav (iv or oral)
What is atypical pathogen suspected
Co-amoxiclav + erythromycin or clarythromycin
What is penicillin allergy
Levofloxacin
How long is the treatment for cap
5 days
Within how many of diagnosis should treatment be started
4
