Pna

Question 1

Increase or decrease tactile fermenintis in PNA?

Answer 1

increase tactil fermentitis

Question 2

How do we treat PNA in health? or if abx last 90 days or comorbidities?

Answer 2

MAD
Macrolid: azithro 500mg first day then 250mg daily or clarithromycin 500mg BID or clarithromycin ER 1,000mg daily (only in areas of macrolide resistance)
Amoxicillin: 1 gram TID
Tetracycline-Docxy 100mg BID

used abs last 90 days or Comorbidity -

Beta lactam and macrolide

augmentin or amoxicillin
macrolide: “mycin” azithro or clarithro
or give
furloquinolnes: moxifloxacin , gemifloxacin , levofloxacin

Question 3

When do you admit your patient? Use the CURB criteria

Answer 3

CURB (1 point for each- 2 my need ED 3 or more go to ED
confusion
urea greater 19
respiratory rate more 20-30
blood pressure less than 90/60

Question 4

what terms are PNA on x-ray?

Answer 4

consolidation, opacity, infiltrate

Question 5

Which abx is most likely to produce GI upset?
-amoxicillin, doxy, azithro?

Answer 5

doxy

Question 6

What should be avoided in a pt taking doxycycline? (select all)?
-milk products
-thiazaide
-alcohol
-pregnancy
-age more 65yr
-prolonged exposure to sunlight

Answer 6

milk products, preg, prolonged exposure to sunlight

Question 7

Most likely causes of PNA?

Answer 7

Strep pneumonia

Question 8

When would you prescribe ciprofloxacin?

Answer 8

for below-the-belt issues: gut, Urinary tract,
do not use to for infections in the lungs

Question 9

If you pt over 65, has major comorbidities or had abx in the last 90 days what should we prescribe?

Answer 9

LUNG
Fluoroquinolones: Levofloxiquin

Macrolide (azithro) and augmentin combo

Question 10

If your pt has PNA great 65, no abx, no comorbitities what can we give?

Answer 10

MAD

macrolide
amoxicillin
doxy