PNA Case Flashcards

1
Q

how to differentiate compensated vs uncompensated respiratory/metabolic abnormalities

A

pH normal = compensated

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2
Q

normal range for pH

A

7.35 - 7.45

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3
Q

PaCO2 nl range

A

45-35

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4
Q

HCO3 nl range

A

22-26

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5
Q

what 2 organisms account for the majority of CAP

A

strep pneumo
mycoplasma

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6
Q

besides strep pneumo and mycoplasma, 3 other pathogens that cause CAP

A

h.flu
chlamydia pna
legionella

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7
Q

DOC for strep pneumo CAP

A

doxycycline

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8
Q

3 alternative DOC’s for strep pneumo CAP

A

3rd gen cephalosporins
macrolides
fluoroquinolones

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9
Q

what are three third gen cephalosporins

A

ceftriaxone
ceftazidime
cefdinir

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10
Q

what are the 2 respiratory fluoroquinolones

A

levofloxacin
moxifloxacin

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11
Q

3 DOC for mycoplasma CAP

A

doxycycline
erythromycin
levofloxacin

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12
Q

2 DOC for h.flu CAP

A

macrolides
levo/moxi

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13
Q

2 DOC for chlamydia pna

A

macrolides
levo

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14
Q

3 DOC for legionella

A

macrolides
levo
doxycycline

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15
Q

how do you decide if a pt should be on PO vs IV abx for CAP

A

bio availability of DOC

ex no difference btw PO vs IV fluoroquinolones

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16
Q

2 indications to switch CAP pt from IV to PO

A

stable w. nl vs x 24 hr
no resp distress

17
Q

what is considered nl vs for switching to PO abx

A

afebrile
rr 24 or less
HR 100 or less
SBP 90 or higher
SpO2 > 90

18
Q

t/f: all pt’s hospitalized for CAP should be on IV abx

A

f!

19
Q

CURB 65

A
20
Q

2 common oral abx to d/c CAP pt with

A

3rd gen cephalosporins
fluoroquinolones

21
Q

PCP f/u for hospitalized CAP pt

A

after completion of abx course -> 5-7 days

22
Q

what should be done shortly prior to hospital d/c for CAP pt

A

repeat CXR

23
Q

best rec for fever/body aches related to CAP

A

alternate APAP 1 gm w. IBU 600 mg q 4 hr

24
Q

5 indications for emergent care w. CAP

A

cp
dyspnea
fever >102
leg swelling
calf pain