pneumonia

Question 1

severity scoring for pneumonia

Answer 1

CURB 65

Question 2

CRUB 65

Answer 2

urea >7mmol/L
respiratory rate >30
BP <90/60
age >65

Question 3

low risk curb score

Answer 3

0-1

Question 4

intermediate risk curb score

Answer 4

2

Question 5

high risk curb score

Answer 5

> 3

Question 6

bloods taken in ? pneumonia

Answer 6

FBC, U+E, Glucose,CRP, blood cultures

Question 7

immediate management of pneumonia

Answer 7

broad spec antibiotics until culture results and direct ABx therapy

Question 8

referrals for pneumonai

Answer 8

Discuss with senior member of the team

Contact critical care outreach team

Consider referral to respiratory team

Consider referral to Intensive Care Unit (ICU)

Question 9

when to refer pneumonia to ICU

Answer 9

Failure to respond to medical management

Patient requires ventilatory support to encompass NIV and invasive ventilation

Patient requires blood pressure support

Deterioration of blood gas following medical management

Question 10

future management of ? pneumonia

Answer 10

In cases of bacterial pneumonia consider HIV test

Atypical screen

Consider review in respiratory outpatient clinic and chest X-ray in follow up clinic approximately 6 weeks after discharge to ensure full radiological resolution