CAP Flashcards
1
Q
CRB-65
A
Confusion
Raised respiratory rate (30 BPM+)
BP low (<90/60)
65+
2
Q
CRB-65 scores
A
3+ = hospital
1 or 2 = consider hospital assessment, esp. with 2
0 = treatment at home
3
Q
Low severity
A
CRB-65 = 0
Amoxicillin 500 mg TDS for 5 days
Alternatives:
- Clarithromycin 500 mg BD for 5 days
- Doxycycline 200 mg (day 1), then 100 mg for 4 days
4
Q
Moderate severity
A
CRB-65 = 1 or 2
Amoxicillin 500 mg TDS + Clarithromycin 500 mg BD for 5 days
OR (if penicillin allergy)
Doxycycline 200 mg (day 1), then 100 mg for 4 days
5
Q
High severity
A
CRB-65 = 3+
Hospital admission
Co-amoxiclav + Clarithromycin/doxycyline
6
Q
Other info
A
Add flucloxacillin if staphylococci suspected
Add vancomycin if MRSA suspected
7
Q
Pregnancy
A
Erythromycin 500 mg QDS for 5 days
