trial- pneumonia

Question 1

which organisms cause cap?

Answer 1

strep pneumoniae-most common
staph aureus
moraxella
h.influenxae

Question 2

which organisms cause hap?

Answer 2

staph aureus
gram negative enterobacteriae

Question 3

what is the definition of hap

Answer 3

48-72 post admission

Question 4

what are the causes of atypical pneumonia

Answer 4

mycoplasma pneumonia
chlamydia
legionalla -connected to fresh water

Question 5

how do you score severity of pneumonia?

Answer 5

confusion amts less or equal 8
urea >7
RR greater or equal 30
BP less than 90 or less than equal to 60
greater than or equal to 65
3 or more -consider itu
1-2-admission
0-1-fine

Question 6

extra investigations to do in pneumonia

Answer 6

hiv test
antibody testing to vaccines -some people cant convert igm to igg -look for igg
CF test

Question 7

management of cap

Answer 7

5 days amox
2nd line -clarithro for paeds, adults clarithro or doxy or erythro in pregnancy
if influenza isolated add co-amox

Question 8

management of hap

Answer 8

mild/moderate: co-amox PO, 2nd line oral =clarithro for kids, doxy, cefalexin, or ceftriaxone for adults
severe: IV piperacillin with tazobactam, ceftazidin, or ceftriaxone
if confirmed mrsa add teicoplanin and vancomycin