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Flashcards in Respiratory Deck (23)
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1
Q

What bacteria cause infective exacarbations of COPD?

A

Haemophilus influenzae
Moraxells cattarrhalis
Strep pneumonia

2
Q

What kind of bacteria is haemophilus influenzae?

A

Gram negative coocobacillary anaerobic pathogen

3
Q

What infections are caused by haemophilus influenzae?

A

Pneumonia
Epiglottitis
Meningitis

4
Q

What kind of bacteria is bordatella pertussis?

A

Gram negative coccobacillus

5
Q

How do you treat bordatella pertussis?

A

Clarithromycin

6
Q

What kind of infections do people with cystic fibrosis get?

A

Pseudomonas aureginosa
Burholderia cepacia
Staph aureus
Haemophilus influenzae

7
Q

What kind of bacteria is strep pneumoniae?

A

Gram positive streptococcus usually found in pairs (diplococci)

Alpha haemolytic in aerobic conditions and beta haemolytic under anaerobic conditions

8
Q

What are the causes of community acquired pneumonia?

A

Strep pneumonia
Atypicals (mycoplasma, chlamydophila, chlamydia pistaacci)
Haemophilus
Staph aureus

9
Q

How do you diagnose leigonella?

A

Urinary antigen

10
Q

How do you treat legionella?

A

Clarithromycin

Levofloxacin

11
Q

What kind of bacteria is legionella?

A

Gram negative bacteria. Resides with water amoeba

12
Q

How does legionella spread?

A

Inhalation of contaminated water droplets - no person to person spread

13
Q

How is mycoplasma pneumonia treated? Why?

A

Macrolides - it needs to be treated by something that doesn’t act on the cell wall (mycoplasma does not have a cell wall)

14
Q

What is the treatment for mild/moderate community acquired pneumonia?

A

Amoxicillin (5 days)

Doxyclcyline is allergic

15
Q

What is the treatment for severe community acquired pneumonia?

A

Co Amoxiclav IV + Doxycycline oral

16
Q

What is the treatment for very severe (ICU)community acquired pneumonia?

A

Co amoxiclav IV + Clarithromycin IV

17
Q

What is the treatment for severe hospital acquired pneumona or aspiration pneumona?

A

IV Amox + Met + Gent
Step down to co trimoxacole and metronidazole

IV Co trimoxazole + Metronidazole + Gent if penicillin allergic

18
Q

What is the treatment for non severe hospital acquired pneumona or aspiration pneumonia?

A

Oral amoxicllin + Metronidazole

19
Q

What is the treatment for an infective exacrebation of COPD?

A

Amoxicillin

2nd line doxycycline

20
Q

What kind of bacteria is staph aureus?

A

Gram positive coccus in a “cluster of grapes’ formation

21
Q

Name 2 diplococcia?

A

Strep pneumonia

Gonoohoea

22
Q

Which organims commonly causes pneumonia after the flu?

A

Staph aureus

23
Q

What kind of pneumonia is more common in alcoholics?

A

Klebsiella