Exam 3: Infection

Question 1

Manifestations of pnuemonia

Answer 1

shortness of breath
fever
cough
shaking chills
crackles/wheezing
hypotension with orthostatic changes

Question 2

Signs of infection in older adults

Answer 2

vague abdominal pain
hypothermia/low fevers
confusion!
fatigue
acute inability to perform ADLs

Question 3

community acquired pneumonia

Answer 3

contracted from community
develops within 48 of hospital stay
common in midwinter

Question 4

hospital acquired pneumonia

Answer 4

develops in hospital after 48 hrs of satay

Question 5

ventilator acquired pneumonia

Answer 5

occurring 48 hrs after endotracheal intubation

Question 6

health-care associated pneumonia

Answer 6

attended hospital or hemodialysis clinic
lives in long term care facility
recent IV antibiotic therapy, chemotherapy, wound care in 30 days
hospitalized 2 days or longer within 90 days of infection

Question 7

aspiration pneumonia

Answer 7

abnormal secretions into lower airway

Question 8

post-op pneumonia

Answer 8

abdominal/thoracic surgeries
from aspiration/atelectasis
fever >100F after 48 hrs post-op = infection

Question 9

prevention of post op pneumonia

Answer 9

early ambulation
coughing/deep breathing techniques
IS

Question 10

immunizations for pneumonia

Answer 10

annual influenza
pneumococcal vaccine
>65 years old
chronic health problems

Question 11

PCV13 pneumococcal vaccine

Answer 11

1x dose >65

1 dose

Question 12

PPSV23 pneumococcal vaccine

Answer 12

1 dose >65

1-2 doses

Question 13

prevention measures for respiratory infections

Answer 13

hand washing
influenza vaaccine
pneumonia vaccine

Question 14

aspiration pneumonia prevention

Answer 14

asses for gag reflex before giving meals or fluids
assist with eating,,drinking,and medications
elevated hob 30-45 degrees with feeding tube

Question 15

cystitis

Answer 15

inflammation of the bladder

Question 16

prostatitis

Answer 16

inflammation of the prostate

Question 17

osteomyelitis

Answer 17

infection of bones or bone marrow

Question 18

conservative treatment for osteomyelitis

Answer 18

vigorous and prolonged IV therapy
4-6wks to 3-6 months IV therapy (mostly Gentimycin)
followed by oral ciprofloxacin

Question 19

surgical treatment osteomyelitis

Answer 19

debridement of poorly vascularized tissue and necrotic bone
suction irrigation with antibiotic solutions
muscle flaps, skin, or bone grafting
amputations

Question 20

Pneumonia diagnosis is based on what?

Answer 20

H&P

chest xray