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Pharmacy > Pneumonia > Flashcards

Pneumonia Flashcards

1
Q

most common pathogen pneumonia

A

s pneumoniae

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2
Q

2nd most common pathogen pneumoniae

A

mycoplasma pneumonia

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3
Q

this bug colonizes in pts with COPD and CF

A

H. influenza

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4
Q

this bug is common in young children and elderly

A

moraxella catarrhalis

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5
Q

this bug is associated with necrotizing and more severe forms of CAP

A

CA-MRSA

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6
Q

common cause of pneumonia in children

A

viral

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7
Q

common bug viral pneumonia children

A

RSV, influenza A, parainfluenza

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8
Q

viral bugs pneumonia adults

A

much less common, influenza A&B, adenovirus

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9
Q

aspiration pneumonia- oral contents include what bugs

A

variety of anaerobesL bacteroides, fusobacterium, prevotella, anaerobic gram cocci

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10
Q

aspiration pneumonia- gastric contents include

A

gram negative bacilli and s aureus

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11
Q

etiology HAP/VAP

A

aerobic gram neg: pseudomonas, e coli, klebsialla, acinetobacter
gram positive: MRSA
anaerobes RARE

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12
Q

gold standard for diagnosing pneumonia

A

CXR reveals infiltrates

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13
Q

what is required for all patients hospitalized with pneumonia

A

BLOOD CULTURES

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14
Q

pt had a CURB-65 score of 3. what to do?

A

consider ICU

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15
Q

CURB stands for

A 
Confusion
BUN (over 7)
RR (over 30)
BP (sys less than 90, dia less than 60)
Age (over 65)
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16
Q

To dx HAP or VAP, the CXR needs to reveal infiltrates, plus two of the following:

A

temp over 38C
leukocytosis or leukopenia
purulent secretions
cultures with pathogens

17
Q

treatment of aspiration pneumonia (oral)

A

PCN G, ampi/sulb, clindamycin

18
Q

treatment of aspiration pneumonia (gastric)

A

ampi/sulbac, amox/clav, piper/tazo

19
Q

treatment for early onset HAP

A

3rd generation cephalosporin plus macrolide or a respiratory fluoroquin

20
Q

treatment of early onset VAP, no risk for MDR

A

cefotaxime
ceftriaxone
amp/sulb
antipneumo fluoro

21
Q

add these two ab if suspect MRSA

A

vanco

linezolid

22
Q

respiratory fluoro abx

A

levofloxacin
moxifloxican
gemifloxacin

23
Q

beta lactam abx (inpatient)

A

ceftriaxone
cefotaxime
amp/sulb

24
Q

antipneumo/antipseudo beta lactams

A

cefepime
imipnem
meropenem
piper/tazo

25
Q

antipneumo quino

A

ciproflox

levoflox

26
Q

macrolide

A

azithromycin
clarithromycin
erythromycin

27
Q

aminoglycoside abx

A

amikacin
gentamicin
tobramycin

28
Q

antipseudomonal carbapenem

A

imipenem

meropenem

Pharmacy (22 decks)

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