CAP flowchart Flashcards by Niko McCauley | Brainscape

Q

outpatient CAP with modifiable risk factors/pulmonarydisease / comorbitities

A

Oral beta lactam PLUS Macrolide or Doxy
OR
Anti-pnuemococcal FQ

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Q

empiric therapy typical organisms
Strep p

haemophilus influenzae

moraxella catarrhalis

A

Beta lactams

if allergy - FQ (levo or Moxi)

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Q

In patient ICU with no pseudo risk

A

IV beta lactam (cefotaxime, ceftriacone) PLUS IV macrolide

OR

Antipneumococcal FQ

PCN aallergy - Antipneuococcal FQ PLUS aztreonam

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Q

beta lactams with anti-pseudo activity (5)

A

pipercillin/tazobact

meroopenem imipenem

ceftazadime

cefepime

PCN allergy: Aztreoname
(Piper/Tazed Me/In Cell C, Astoundingly)

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Q

Inpatient (ICU or not) with psuedo risk factors

A

IV beta lactam with antipseudo+antipneumo AND antipseudo FQ
(piper/tazo)
(meropenem.imipenem)
(ceftazadamin)
(cefepimime)
PCN allergy: Aztreonam

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Q

outpatient CAP without other risk factors

A

Macrolide or doxycyline

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Q

outpatient CAP without other risk factors

A

Macrolide or doxycyline

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Q

empiric therapy atypical organisms

mycoplasma pneumoniae

chalydia pneumoiae

legionella pneuophilia

A

macrolide or doxycyline

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Q

In patient ICU with no pseudo risk

A

IV beta lactam (cefotaxime, ceftriacone) PLUS IV macrolide

OR

Antipneumococcal FQ

PCN aallergy - Antipneuococcal FQ PLUS aztreonam

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Q

in patient non ICU with no risk factors

A

IV macrolide

OR
betalactam plus macrolide

PCN allergy: antipneumococcal FQ

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Q

in patient non ICU with no risk factors

A

IV macrolide

OR
betalactam plus macrolide

PCN allergy: antipneumococcal FQ

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Q

non ICU with risk factors/CP disease

A

IV beta lactam plus Macrolide or doxycyline

Antineumoccoccal FQ

(if PCN allergy)

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Q

Inpatient (ICU or not) with psuedo risk factors

A

IV beta lactam with antipseudo+antipneumo AND antipseudo FQ
(piper/tazo)
(meropenem.imipenem)
(ceftazadamin)
(cefepimime)
PCN allergy: Aztreonam

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Q

outpatient CAP with modifiable risk factors/pulmonarydisease / comorbitities

A

Oral beta lactam PLUS Macrolide or Doxy
OR
Anti-pnuemococcal FQ

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Q

beta lactams with anti-pseudo activity (5)

A

pipercillin/tazobact

meroopenem imipenem

ceftazadime

cefepime

PCN allergy: Aztreoname
(Piper/Tazed Me/In Cell C, Astoundingly)

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Q

empiric therapy typical organisms
Strep p

haemophilus influenzae

moraxella catarrhalis

A

Beta lactams

if allergy - FQ (levo or Moxi)

Q

non ICU with risk factors/CP disease

A

IV beta lactam plus Macrolide or doxycyline

Antineumoccoccal FQ

(if PCN allergy)

Q

empiric therapy atypical organisms

mycoplasma pneumoniae

chalydia pneumoiae

legionella pneuophilia

A

macrolide or doxycyline