Pneumonia Flashcards Preview

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Flashcards in Pneumonia Deck (28):
1

most common pathogen pneumonia

s pneumoniae

2

2nd most common pathogen pneumoniae

mycoplasma pneumonia

3

this bug colonizes in pts with COPD and CF

H. influenza

4

this bug is common in young children and elderly

moraxella catarrhalis

5

this bug is associated with necrotizing and more severe forms of CAP

CA-MRSA

6

common cause of pneumonia in children

viral

7

common bug viral pneumonia children

RSV, influenza A, parainfluenza

8

viral bugs pneumonia adults

much less common, influenza A&B, adenovirus

9

aspiration pneumonia- oral contents include what bugs

variety of anaerobesL bacteroides, fusobacterium, prevotella, anaerobic gram cocci

10

aspiration pneumonia- gastric contents include

gram negative bacilli and s aureus

11

etiology HAP/VAP

aerobic gram neg: pseudomonas, e coli, klebsialla, acinetobacter
gram positive: MRSA
anaerobes RARE

12

gold standard for diagnosing pneumonia

CXR reveals infiltrates

13

what is required for all patients hospitalized with pneumonia

BLOOD CULTURES

14

pt had a CURB-65 score of 3. what to do?

consider ICU

15

CURB stands for

Confusion
BUN (over 7)
RR (over 30)
BP (sys less than 90, dia less than 60)
Age (over 65)

16

To dx HAP or VAP, the CXR needs to reveal infiltrates, plus two of the following:

temp over 38C
leukocytosis or leukopenia
purulent secretions
cultures with pathogens

17

treatment of aspiration pneumonia (oral)

PCN G, ampi/sulb, clindamycin

18

treatment of aspiration pneumonia (gastric)

ampi/sulbac, amox/clav, piper/tazo

19

treatment for early onset HAP

3rd generation cephalosporin plus macrolide or a respiratory fluoroquin

20

treatment of early onset VAP, no risk for MDR

cefotaxime
ceftriaxone
amp/sulb
antipneumo fluoro

21

add these two ab if suspect MRSA

vanco
linezolid

22

respiratory fluoro abx

levofloxacin
moxifloxican
gemifloxacin

23

beta lactam abx (inpatient)

ceftriaxone
cefotaxime
amp/sulb

24

antipneumo/antipseudo beta lactams

cefepime
imipnem
meropenem
piper/tazo

25

antipneumo quino

ciproflox
levoflox

26

macrolide

azithromycin
clarithromycin
erythromycin

27

aminoglycoside abx

amikacin
gentamicin
tobramycin

28

antipseudomonal carbapenem

imipenem
meropenem