Chi 65-67, Pna, Uri, Pleura Flashcards
Where do the maxillary, ant ethmoid and frontal sinuses drain to?
Area is called what?
Medial meatus
Ostiomeatal complex
Where does the posterior ethmoid sinus drain to?
Superior meatus
Treatment for diphtheria?
Antitoxin
Pt has GAS and is treated w/10 day course of amoxicillin. Comes back 1 week later with same symptoms, treat how?
1.2 million units of IM benzathine PCN
Most likely d/t noncompliance
Thoracentesis pH < what level indicates need for chest tube?
pH < 7.2
Pt w/CAP and has been treated with FQ in the past few months, what Abx do you treat with?
Drug, dose, route
Levofloxacin 750mg x 5 days
Doxycycline 100mg bid x 7 days
How to treat CAP in pt w/comorbidity?
Levo 750mg PO x 5 days
Cefpodoxime 200mg bid + Azithro 500mg daily
Or Moxifloxacin 400mg daily for 7-14 days
Inpatient treatment for CAP nonimmunocompromised?
Ceftriaxone 1g + azithromycin 500mg daily
Or
Levo 750mg
Or
Moxifloxacin 400mg
When do give prednisone 40mg bid in PCP PNA?
PaO2 < 70
AA gradient > 35
SaO2 = 92%
Pt requiring icu admission for PNA d/t comorbid conditions gets treated with what Abx?
Ceftriaxone 1g
Levofloxacin 750mg
Vancomycin 1g q 12hr
What does a deep sulcus sign mean?
Seen in whom?
PTX
Critically ill pts w/Supine chest radiograph
What defines hemothorax?
Hct of pleural fluid > than Hct of peripheral blood by 50%
What are indications for tube thoracostomy?
pH < 7.0
Glucose < 50
Should you usually suction after tube thoracostomy?
No
If you do then need pressure of at least 20 cm H2O
Larger than 20% spontaneous PTX treated how in healthy person?
1 time aspiration and repeat CXR in 6 hours
