Pneumonia

Question 1

what are red flags indicating severe pneumonia?

Answer 1

RR > 30, BP125, hypoxia < 60 or sat < 90%, leucs 20, multilobar involvement on CXR

Question 2

What is the management for pneumonia not requiring admission to hospital?

Answer 2

1. amoxicillin 1g TDS for 5/7 or
2. clarithromycin 250mg BD for 5/7/ doxycycline 200mg stat then 100mg daily for 5/7
   Review at 24-48 hours and if no improvement then combine 1 and 2

Question 3

which organisms may cause pneumonia in immunocompromised patients?

Answer 3

klebsiella pneumonia, haemophilus influenzae, morexella catarrhalis

Question 4

What are 2 common organisms causing community acquired pneumonia?

Answer 4

Streptococcus pneumoniae

Haemophilus influenzae

Question 5

What are 3 causes for atypical pneumonia?

Answer 5

1. Mycoplasma pneumoniae
2. Legionella pneumophila
3. Chlamydia pneumoniae