Respiratory Tract Infections Flashcards Preview

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Flashcards in Respiratory Tract Infections Deck (13):
1

What are symptoms of bronchitis?

Cough and thick green sputum

2

What can be used to treat bronchitis?

Amoxicillin
Tetracycline
Macrolide

3

What are the classifications pneumonia?

Bronchopenumonia
Lobar pneumonia
Community acquried
Hospital acquired

4

What are the signs and symptoms of pneumonia?

Purulent sputum
Deterioration in blood gases
Radiological changes
Shortness of breath
Increased WBC count
Pyrexia and fever
Decreased blood pressure
Myalgia / arthralgia

5

How is pneumonia diagnosed?

Sputum gram stain
x-ray
Sputum and blood culture

6

How is viral community acquired pneumonia treated?

Zanamir
Oseltamivir
Influenza A and B vaccines

7

How is bacterial community acquired pneumonia treated?

Mild - oral amoxicillin - 5 days
Moderate - oral amoxicillin and clarithromycin - 7-10 days
Severe - co-amoxiclav

8

What is CURB65?

Method of determining severity of pneumonia
Confusion
Urea >7mmol/L
Resp rate >30b/m
B SBP<90mmHg or DBP <60mmHg
65 age

9

What are the main causes of community acquired pneumonia in children?

Strep pneumoniae
Mycoplasma pneumoniae

10

What are the BTS guidelines for admission of infants?

O2 saturations <92%
Resp rate >70breaths/min
Difficulty breathing
Intermittent apnoea / grunting
Not feeding
Family can't support

11

When would macrocodes be added to treatment for a child?

They aren't first line - added if there is no response or atypical pneumonia is suspected

12

Which patients are at high risk of hospital acquired pneumonia?

Mechanical ventilated
Recent surgery
Immunosuppressed
Recent broad spectrum antibiotics

13

What causes aspiration pneumonia?

Inhalation of gastric contents