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Flashcards in Pneumonia Deck (21)
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1
Q

Pneumonia confirmed by

A

images

2
Q

Suspect pneumonia dx by

A

Chest X-Ray
• Blood cultures
• Respiratory cultures
• Urinary antigens

3
Q

What is CURB-65`

A
Confusion, (present =1point)
Uremia, (BUN >19mg/dL=1point)
Respiratory rate, (>30 =1point) 
Blood Pressure, (<90/60 =1point)
=/> 65 (=1point)
4
Q

CURB-65 score of 1

A

maybe outpatient

5
Q

CURB-65 of 5

A

ICU care

6
Q

Treatment of CAP outpatient

A

treat 5-7 days

Macrolide (azithromycin) or doxycycline

7
Q

Treatment of CAP outpatient with comorbities

A

Respiratory fluoroquinolone

• Beta-lactam + macrolide

8
Q

most common PNA pahtogens inpatient

A
staph aureus
gram negative bacilli
pseudomona
kleb
acinitibacter
9
Q

Risk factors of MDR

A

hospital in last 2 day treat with broad specturm

10
Q

Initial empiric therapy for HAP, VAP, HAP

A

cefepime

11
Q

procalcitonin release for localized infection

A

wont changes

12
Q

procalictonin above .5 and are symptomatics do you treat

A

yes

13
Q

75% of respiratory infections are caused

A

virus

14
Q

This shows multiple variables, stratifies patients into classes of mortality risk

A

pneumonia severity index

15
Q

This facilitates dx of pneumonia in ventilated patients (VAP), by assessing clinical condition, infiltrates and cultures

A

clinical pulmonary infection score

16
Q

What is the Pneumonia severity index

A

Looks at multiple comorbidity variables to separate patients into classes of mortality risk

17
Q

What is the Clinical pneumonia infections score, what is measured (CLT T PC)

A
Facilitates Dx of pneumonia in VAP
looks at condition,cultures, and infiltrate
Chest xray
Leukocyte
temperature

Thoracic secreation

PaO2
Cultures

18
Q

How many days would some one have to be out of a hospital or facility to have pneumonia classified as CAP

A

14 days

19
Q

Treatment of community acquired pneumonia without comorbidities? With comorbidities

A

w/o:
5 to 7 day with azithromycin or doxycycline

with:
Respiratory fluoroquinolone
Carbapenum and azithromycin

20
Q

inpatient treatment of community acquired pneumonia

A

fluoroquinolone

macrolide and carbapenem

21
Q

how long should patient be afebrile before stopping antibiotic

A

48 to 72 hours