Chapter 24-Pulmonary Infections Flashcards

1
Q

What is hap?

A

Pneumonia that occurs in a patient hospitalized for 2 or more days in the past 90 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How long after admission must pneumonia develop to be considered hap

A

48 hours or more

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Vap develops more than ___ hours after intubation.

A

48

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What can cause pneumonia

A

Inhalation of infectious particles
Aspiration of organisms
Spread of infection from adjacent structures
Spread of infection from blood
Reactivation of latent infection, caused by immunosuppressive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Patients with hiv typically develop pneumonia from

A

P.jirovecii or p.Carinii

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Cytomegalovirus pneumonia typically develops in patients receiving

A

Bone marrow or organ transplants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What organism typically causes cap

A

Streptococcus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the most common organism causing necrotizing pneumonia

A

Mrsa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is nosocomial pneumonia

A

Hospital acquired pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Most common organism for vap

A

Pseudomonas aeruginosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Symptoms of pneumonia

A

Fever
Cough
Excess sputum
Pleuritic chest pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What pneumonia causing organisms are considered high risk

A

Acinebacter
Steno
P.aeruginosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the drug of choice for p jirovecii

A

Sulfamethoxazole-trimethoprim

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What drug is used for severe p.jirovecii

A

Pentamidine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What organism causes tb

A

M. Tuberculosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Risk factors for tb

A

Head and neck cancer
Celiac disease
Receiving corticosteroids

17
Q

What are the phases of pulmonary tb

A

Primary
Reactivation
Endobronchial tb
Tuberculoma

18
Q

What are symptoms of primary tb

A

Fever

Chest pain

19
Q

Symptoms of reactivation tb

A

Fever
Cough
Night sweats
Weight loss

20
Q

Complications of tb include

A

Emyema
Bronchiectasis
Pulmonary parenchyma distruction
Hemoptysis

21
Q

What is extrapulmonary tb

A

Tb that spreads beyond the lung

22
Q

What can be effected by extrapulmonary tb

A

Cns system
Musculoskeletal system
Lymph nodes

23
Q

What is the gold standard for tb diagnosis

A

Culture isolation- but it could take 4-6 weeks to grow

24
Q

What is the isolation requirement for tb

A

Airborne

25
Q

What are treatments for tb

A

Isoniazid
Rifampin
Pyrazinamide
Ethambutol