Pneumonia

Question 1

What does a chest xray show with someone who has pneumonia?

Answer 1

consolidation in left lower lobes (LLL)

Question 2

what are symptoms of pneumonia?

Answer 2

Cough, increased respiratory rate, chest pain, fever, chills fatigue, tactile fremitus, egophony. Crackles or Ronchi in lower lobes.

Question 3

What is the treatment for Mycoplasma peumonia?

Answer 3

“MAD”
Macrolide
Azithromycin
Doxycycline

OR

Comorbdities or ABX in last 90 days
Levaquin
or
Augmentin + macrolide or doxycycline (vibramycin)

*Cipro is a fluorquinlone like levaquin but it is NOT a respiratory fluoroquinolone so it wont help with pneumonia.

Question 4

What is the CURB-65 criteria used for? What does it stand for?

Answer 4

Hospital admission criteria.

Each criteria gets 1 point.
Confusion
Urea (BUN LEVEL GREATER THAN 19)
Respiratory rate greater than 20
Blood pressure less than 90/60
65 and older: they get a point as well.

If 2 points maybe admit
If 3 points u must admit to hospitalization.

Question 5

what is the treatment for CAP Community acquired pneumonia? what if patient has allergy to first line?

Answer 5

Amoxicillin

Allergy: doxycycline

Question 6

Administration Guidelines for PCV20 vaccination

Answer 6

All adults ≥ 65, regardless of underlying health conditions, who have not been previously vaccinated.

A single dose of PCV20 is needed for their vaccination to be complete.
A single dose of PCV 15 may be used, but they will need a PPSV23 one year later (non-immunocompromised) or eight weeks later (immunocompromised), and then vaccination is complete.