German PP Flashcards
What to do in the first 60min in severe septic patient?
- Measure lactate. If initial more than 2mmol/l, measure again
- do bloodculture (before abtx)
- give broadspectrum atbx
- give fast Crystalloid 30ml/kg in case of hypotension or more than 4mmol/l lactate
- give vasopressor if hypotension persists still after crystalloid admin, MAP should be more than 65mmHg.
When should we start with an empiric treatment in neutropenia? Choose the wrong
Only if patient has hypotension and procalcitonin under 2
Whats wrong…..(pharma obviously)???
CMV is a primary infection
Which medication without focus? (what does this question even mean?)
Ceftriaxon
Patient was severely ill and had erythema migrans?
Lyme borreliosis
Patient had contact with rodents/mice?
Hanta Virus
Patient had encephalitis in Hungary 2 weeks ago?
West Nile (??)
Patient was bitten by “horse fly” 2 days ago
Tularemia
What is clinical manifestation in severe C. Difficile?
◦ Severe: Diarrhea, abdom. Pain, abdom. Muscle defense
◦ Lactic acidosis: hypoalbuminemia, leukocytosis (more than 15G/l), kreat > 1,5mg/dl
◦ fulminant: severe CDI with shock/ileus/megacolon
In MSSA, which atbx should be given?
Always beta lactams (not vancomycine)
Empiric initial therapy in acute severely ill patients with native valve endocarditis?
Flucoxacillin, apicillin, gentamicin
What can cause native valve endocarditis?
Staph aureus, enteroococci, strept viridans
Bloodstream infections in newborn?
E. coli, B. Streptococci
Streptococcus toxic shock syndrome mortality?
???
Which bacteria should be taken into account when blood culture was possibly contaminated?
◦ Staphylococcus aureus • Streptococcus pneumoniae • GAS (Group A Streptococci) • Enterobacteriaceae, • Haemophilus influenzae, • Pseudomonas aeruginosa, • Bacteroidaceae, • Candida spp. • Klebsiella • Coag neg Staphylococci • S. aureus • Enterococci • Serratia • Candida spp. • Pseudomonas • Citrobacter • Enterobacter
