Community Acquired Pneumonia Flashcards

1
Q

CAP Definition

A

Pneumonia that develops in outpt setting or w/in 48 h of hospital admission

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2
Q

CAP Clinical Presentation

A

Cough, fever, chills, sputum, tachypnea, crackles, infiltrate/consolidation on imaging

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3
Q

CURB-65 Score

A

Confusion, Uremia ( BUN 20+ mg/dL), RR (30+), BP (less than 90/60), Age (65+)

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4
Q

CURB-65 Classification

A

0-1: outpatient
2-3: inpatient
3-5: inpatient (possibly ICU)

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5
Q

CAP Common Pathogens

A

S. pneumo, H. flu, Moraxella, atypicals

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6
Q

DRSP Risk Factors

A

Age 0-2 or 65+ yo, abx in prec 3 mos, multiple comorbidities, immunosuppressed, alcoholism, day care

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7
Q

CAP Outpatient No DRSP RFs

A

Macrolide or doxycycline

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8
Q

CAP Outpatient DRSP RFs

A

Levofloxacin OR (Beta-lactam (high dose amoxicillin or amoxillin/clavulanate) and macrolide (alt-doxycyline)

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9
Q

CAP Non-ICU

A

Beta-lactam (ceftriaxone, cefotaxime, ampicillin) plus macrolide (alt: doxycycline)

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10
Q

CAP Non-ICU PCN Allergic

A

Levofloxacin

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11
Q

CAP ICU

A

Beta-lactam (ceftriaxone, cefotaxime, ampiciilin/sulbactam) plus azithromycin or levofloxacin

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12
Q

CAP ICU PCN Allergic

A

Levofloxacin plus aztreonam

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13
Q

Pseudomonas Risk CAP

A

Culture w/ preliminary GNR, structural lung dz, bronchiectasis, COPD w. frequent steroid or abx use

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14
Q

MRSA Risk CAP

A

Necrotizing or cavitary pneumonia, post-flu, H/O MRSA

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15
Q

Pseudomonas CAP

A

Beta-lactam (Zosyn, cefpime, imipenem or meropenem) plas AG plus azithromycin or levofloxacin

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16
Q

Pseudomonas CAP PCN Allergic

A

Astreonam plus AG plus levofloxacin

17
Q

MRSA CAP

A

ICU CAP plus vancomycin or linezolid

18
Q

CAP IV to PO

A

Hemodynamically stable, improving clinically, able to take PO, functioning GI

19
Q

CAP Duration of Tx

A

Minimum of 5 days, shoudl be afebrile for 48-72 h and have no more than 1 CAP-assoc sign of clinical instability

20
Q

CAP-assoc. Clinical Stability Criteria

A

Temp: less than 37.8 (48-72 h), HR less than 100, SBP 90+, RR less than 24