Pneumonia Flashcards
(17 cards)
Risk factors for pneumonia?
Extremes of age Smoking Preceding viral infection Pre-existing respiratory disease Immunosuppression
Risk factors for aspiration pneumonia? (4)
Impaired consciousness
CVA
Parkinson’s disease
Oesophageal obstruction
Which lung is usually affected by aspiration pneumonia?
The right lung
Commonest organisms in community-acquired pneumonia? (4)
Strep pneumoniae
S. aureus
Mycoplasma pneumoniae
Haemophilus influenzae
Symptoms of pneumonia (5)
Cough +/- purulent/bloody sputum
SOB
Fever
Pleuritic chest pain
Signs of pneumonia (5)
Tachypnoea Bronchial breathing Crepitations Pleural rub Dullness to percussion
Components of C(U)RB65?
New onset confusion (Urea- only hospital acquired) Respiratory rate >= 30 BP sys <90, dia <60 65 years or older
Treatment of mild CAP
CURB 0- amoxicillin 1g tds 5 days
CURB 1- consider hospital referral if major co-morbidity
Management of CAP with CRP65 2-4?
Hospital referral
Antibiotics for CAP treated in hospital?
Co-amoxiclav IV 1.2g tds + doxycycline 100mg bd, step down to doxycycline 100mg bd. Total IV/PO 7 days
Treatment for hopital acquired/aspiration pneumonia?
Amox + met +gent , 7 days
Definition of hospital acquired pneumonia?
New infection of lung parenchyma appearing more than 48 hours after admission
DDx pneumonia?
Pleural effusion Pulmonary oedema Pneumothorax COPD Neoplasm
Investigations of hospital patient with suspected pneumonia? (6)
FBC (with differential white cell count) Blood/sputum/urine cultures Renal function and electrolytes LFT CXR Lactate
Complications of pneumonia?
Pleural effusion Empyema Lung abscess Pneumothorax/pyopneumothorax Disseminated infection e.g. endocarditis AKI
Persistence of fever and leucocytosis 4-5 days after antibiotic therapy?
Empyema
Atypical pneumonia organisms? (3)
Mycoplasma pneumonia
Chlamydophila pneumonia
Legionella pneumonia
