Pneumococcal Pneumonia Flashcards
PNEUMOCOCCAL PNEUMONIA
Gram+ diplococci bacteria
A patient presents with productive cough, fever, dyspnea, and bronchial breath sounds x5 days What is the most likely diagnosis for this patient?
Answer: pneumococcal pneumonia (EARLY SIGN = BRONCHIAL BREATH SOUNDS!)
Pneumococcal pneumonia is what type of gram bacteria?
Answer: gram + diplococci
T or F: pneumococcal pneumonia is the most common cause of HAP
Answer: False; pneumococcal pneumonia is the most common cause of CAP
What risk factors are associated with pneumococcal pneumonia. SELECT ALL THAT APPLY! A: HIV+ B: ETOH abuse C: smoking D: CHF E: sickle cell
A: HIV+
B: ETOH abuse
C: smoking
E: sickle cell
Answer: A, B, C, E (Also, asthma, splenectomy, hematologic disorders)
What patient population(s) have the highest mortality rate with pneumococcal pneumonia? SELECT ALL THAT APPLY! A: elderly B: premature infants C: bilateral pneumonia D: COPD
A: elderly
C: bilateral pneumonia
D: COPD
Answer: A, C, D (Also, hypoxemia, bacteremia, extrapulmonary complications)
A patient presents with signs/symptoms of pneumococcal pneumonia (uncomplicated). What must be the FNPs first intervention regarding treatment?
Answer: start empiric abx treatment
What laboratory test could provide rapid results and early diagnosis for S. pneumoniae?
Answer; rapid urinary antigen test
What is the treatment for pneumococcal pneumonia?
Answer: empiric abx – Amoxicillin PO (uncomplicated cases) – if patient has allergy to PCN, “mycins”
T or F: the patient must be monitored following treatment as pneumococcal pneumonia is increasingly resistant to PCN
Answer: True
What 3 complications could result from pneumococcal pneumonia? A: pleuritis and pleural effusion B: pneumothorax and pericarditis C: pleural effusion and pericarditis D: empyema and lung abscess
C: pleural effusion and pericarditis
Answer: C (pleural effusion, empyema, pneumococcal pericarditis à tamponade)
What is the BEST prevention against pneumococcal pneumonia?
Answer: pneumococcal vaccines
Which of the following is cause(s) to admit a patient for pneumococcal pneumonia? SELECT ALL THAT APPLY! A: cannot maintain oral intake B: exacerbation of HF C: suspected endocarditis D: multilobular disease
A: cannot maintain oral intake
B: exacerbation of HF
C: suspected endocarditis
D: multilobular disease
Answer: ALL OF THE ABOVE (endocarditis/meningitis (suspected or documented); multilobe or significant hypoxemia; failure of outpatient therapy (cannot maintain oral intake/meds); exacerbations of underlying disease – heart failure)
