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Flashcards in PULMONARY Deck (68)
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1

Abx tx of peritonsillar abscess

Augmentin or Clindamycin

2

Abx tx of acute bacterial sinusitis

Amox or Augmentin
Cephalosporins > FQ or Bactrim > Macrolides

3

MCC of PNA in newborn

GBS > E. coli

4

Tx of PNA in newborn

Amp + gent +/- vanco

5

Tx of chlamydia PNA

Erythromycin

6

MCC of PNA in 1-4 month old

RSV, Chlamydia

7

Tx of PNA in 1-4 month old

Macrolide +/- cefotaxime

8

MCC of PNA in 4m-4yr old

RSV or other virus, S. pneumo

9

Tx of PNA in 4m-4yr old

Amox or amp

10

MCC of PNA in 5-15 yr old

S. pneumo > Mycoplasma

11

Tx of PNA in 5-15 yr old

Amox + clarithro/erythro
Azithro
Amox + doxy

12

Populations more likely to get PNA

Alaskan Native or from certain native american populations

13

Tx for pseudomonas PNA

Antipseudomonal beta lactam for at least 2 weeks along with:
Antipseudomonal quinolone (cipro or levo)
Aminoglycoside + azithro
Aminoglycoside + cipro/levo

14

Antipseudomonal beta lactams

pip-tazo, cefepime, imipenem, meropenem, aztreonam

15

Random lab level that should point you to possible PCP PNA

LDH level usually >220, and a rising LDH despite appropriate tx portends a poor prognosis

16

PCP PNA tx

21 days of:
TMP SMX
Pentamidine
Trimetrexate + leucovorin
Primaquine + Clinda

17

DDX for ground glass opacities (diffuse hazy infiltrate)

Interstitial PNA
PCP
Pulm edema
Pulm hemorrhage
Hypersensitivity pneumonitis

18

Common cause of PNA in immunocompromised pts

PCP

19

Often cause of PNA in a pt with hx of exposure to bats and bat droppings

Histoplasma

20

Often cause of PNA in pt who has recently visited SC, New Mexico, or West Texas

Coccidioides

21

MCC of PNA in children

RSV

22

Common cause of PNA in pts with other health problems

Klebsiella

23

MCC of viral PNA

RSV, H influ is #2

24

Common bacterial cause of COPD exac

H. influenzae

25

Common PNA in ventilator pts and those with CF

Pseudomonas

26

Pontiac fever

Legionella

27

Cause of PNA in 80 y/o with gram - rods

E. coli

28

Cause of PNA in neonate with gram + cocci

GBS

29

Goal CVP in patient with ARDS

4-6 H2O

30

Hb level that you'd transfuse blood in ARDS patient

Only if drops below 7 as transfusion may increase risk of death in ARDs patient