Exam 2 Treatment Flashcards
How is a CURB-65 score calculated?
1 point for: Confusion Uremia (BUN over 20) RR 30 or greater BP under 90/60 Age 65 or older Score 2 general ward, score 3 ICU
What are the key etiologic organisms in CAP in the outpatient setting?
Strep pneumoniae, Mycoplasma pneumoniae, H. influenzae, C. pneumoniae, viruses
What are the key etiologic organisms in CAP in the inpatient, non-ICU setting?
Strep pneumoniae, M. pneumoniae, C. pneumoniae, H. influenzae, Legionella, aspiration, viruses
What are the key etiologic organisms in CAP in the ICU setting?
S. pneumoniae, Legionella, S. aureus, Gram-negatives, H. influenzae
What are the key etiologic organisms in HAP/VAP?
Staph aureus, Pseudomonas, other gram-negatives
What are the risk factors for MRSA in HAP/VAP?
IV antibiotics within 90 days
What is the appropriate duration of therapy for HAP/VAP?
7 days
* if procalcitonin comes down earlier, may d/c earlier
What is the appropriate duration of therapy for CAP?
minimum 5 days, should be afebrile for 48-72 hours, no more than 1 CAP-associated sign of clinical instability
What are the CAP-associated signs of clinical stability?
temperature ≤ 37.8C, HR ≤100, RR ≤24, SBP ≥90, O2 sat ≥90% or pO2 ≥60 on room air, ability to take oral medications, normal mental status
What is appropriate therapy for acute bronchitis?
NONE aside from supportive therapy
What are the common causative pathogens in ABECB?
H. influenzae, M. catarrhalis, S. pneumoniae
What are the risk factors for drug resistance in ABECB?
Age, severity of illness, over 4 exacerbations/year, cardiac disease, home O2 use, abx use in previous 3 months, recent corticosteroid use
What are the most common causative pathogens in pharyngitis?
Viruses most common
Strep progenies 10-30%, may be associated with rare but severe sequelae
What are the common causative pathogens in pharyngitis?
H. influenzae, M. catarrhalis, S. pneumoniae
