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Flashcards in LUNG Deck (8)
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1

explain the CURB 65 scoring?

Confusion (new onset)
Urea >7mmol/l
Respiratory Rate 30+/min
BP below 90mmHg (systolic) or 60mmHg (diastolic)
65+ (age)

2

if CURB65 score is 0 or 1 what should you do?
(patient doesn't need IV)

amoxicillin 1g TDS PO
for 5 days
(penicillin allergic:
doxycycline 200mg PO day 1
100mg PO days 2-4)

3

if CURB65 score is 0 or 1 what should you do?
(patient needs IV)

amoxicillin 1g TDS IV
for 5 days
(penicillin allergic:
clarithromycin 500mg BD IV
for 5 days)

4

if CURB65 score is 2 what should you do?
(patient doesn't need IV)

amoxicillin 1g TDS PO
for 5 days
(penicillin allergic:
doxycycline 200mg PO day 1
100mg PO days 2-4)

5

if CURB65 score is 2 what should you do?
(patient needs IV)

amoxicillin 1g TDS IV
for 5 days
(penicillin allergic:
clarthromycin 500mg BD IV
for 5 days)

6

if CURB65 score is 3+ what should you do?

co-amoxiclav 1.2g TDS IV
PLUS
clarithromycin 500mg BD IV
or
doxycycline 100mg BD PO
for 7 days
(penicillin allergic:
levofloxacin 500mg BD IV
monotherapy for 7 days)

7

what is the antibiotic treatment for an acute exacerbation of COPD?
(no sputum purulence or signs of pneumonia clinically/on CXR)

none

8

what is the antibiotic treatment for an acute exacerbation of COPD?
(sputum purulence or signs of pneumonia clinically/on CXR)

first line:
amoxicillin 500mg TDS
for 5 days
second line:
doxycycline 200mg on day 1, 100mg days 2-5