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Respiratory Summary Sheets > Pneumonia > Flashcards

Pneumonia Flashcards

1
Q

What is pneumonia?

A

A lower respiratory tract infection

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2
Q

How does Pneumonia present?

A

Focal chest symptoms and new shadowing on CXR

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3
Q

Symptoms of Pneumonia?

A 
Fever
Malaise
Productive Cough
Anorexia
Sweating
Dyspnoea
Rigors
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4
Q

Describe expansion in Pneumonia?

A

Diminished

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5
Q

Describe percussion in pneumonia?

A

Dull

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6
Q

Describe resonance in pneumonia?

A

Increased

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7
Q

Describe the CXR

A

New shadowing

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8
Q

Describe the breathing?

A

Bronchial Breathing (Due to consolidation)

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9
Q

Investigations of Pneumonia?

A 
FBC
CXR
ABGs
Urea
Sputum/Blood Cultures/Bronchial Lavage
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10
Q

Results of Investigations?

A 
CXR = New Shadowing
FBC = High WCC
ABGs = Type1/Type2 Respiratory Failure
Urea = Look for legionella
Blood Culture/Sputum/Bronchial Lavage = Identify causative agents
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11
Q

Complications of pneumonia?

A

Respiratory Failure
Empyema
Pleural Effusion
Death

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12
Q

How is Community Acquired Pneumonia assesed?

A

CURB 65

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13
Q

What does CURB 65 stand for?

A 
C = Confusion (New Onset)
U = Urea > 7
R = Respiratory Rate > 30
B = Blood Pressure
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14
Q

Most common organism in Community Acquired Pneumonia?

A

Streptococcus Pneumonia

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15
Q

Most common pneumonia causing agent in the young?

A

Mycoplasma Pneumonia

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16
Q

Most common pneumonia causing agent in the old?

A

Streptococcus Pneumonia

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17
Q

Most common pneumonia causing agent in bird owners?

A

Chlamydia Psittaci

18
Q

Most common pneumonia causing agent in Sheep Workers?

A

Coxiella Burnetti

19
Q

Most common pneumonia causing agent that causes red jelly sputum?

A

Klebsiella Pneumoniae

20
Q

Most common pneumonia causing agent that causes rusty sputum?

A

Pneumococcal Pneumonia?

21
Q

Most common pneumonia causing agents that causes COPD exacerbation?

A

Streptococcus Pneumonia

Haemophilus Influenzae

22
Q

Most common pneumonia causing agents in travellers?

A

Legionella Pneumophila

23
Q

Treatment in Mild Community Acquired Pneumonia? (0-2)

A

Amoxicillin IV

24
Q

Treatment in Mild Community Acquired Pneumonia (0-2) if pencillin allergy?

A

Doxycycline OR Clarithromycin

25
Q

Treatment in Severe Community Acquired Pneumonia (2+)

A

Co-amoxiclav + Clarithromycin OR Doxycycline

26
Q

Treatment in Severe Community Acquired Pneumonia if Pencillin allergic?

A

Levofloxacin

27
Q

Describe the risk factors for hospital acquired Pneumonia?

A 
Malnutrition
Age
Chronic Disease
Immunosuppression
Mechanical Ventilation
28
Q

Early onset organisms of hospital acquired pneumonia? (less than 4 days)

A

Streptococcus Pneumoniae
Haemophilus Influenza
Staph Aureus

29
Q

Late onset organisms of hospital acquired pneumonia? (more than 4 days)

A

Streptoccous Pneumoniae
Haemophilus Influenza
Staph Aureus
Klebsiella Pneumoniae

30
Q

Treatment for non severe Hospital Acquired Pneumonia?

A

Amoxicillin + Metronidazole

31
Q

Treatment for severe Hospital Acquired Pneumonia?

A

Amoxiciilin + Metronidazole + Gentamicin

32
Q

Treatment for Severe Hospital Acquired Pneumonia if penicillin allergic?

A

Co-trimoxazole + Metronidazole + Gentamicin

33
Q

Different between non severe and severe hospital acquired pneumonia treatment?

A

Gentamicin is given in severe

34
Q

Difference between severe and severe + penicillin allergy hospital acquired pneumonia?

A

Amoxiciilin in normal

Co-trimoxazole in penicillin allergy

35
Q

Patient comes in with mild community acquired pneumonia… Treatment?

A

Amoxicilin

36
Q

Patient comes in with mild community acquired pneumonia and they are penicllin allergic.. Treatment?

A

Doxycycline

37
Q

Patient comes in with severe community acquired pneumonia… Treatment?

A

Co-Amoxiclav + Clarithromycin or Doxycycline

38
Q

Patient comes in with severe community acquired pneumonia and pencillin allergy.. Treatment?

A

Levofloxacin

39
Q

Patient with mild hospital acquired pneumonia… Treatment?

A

Amoxicillin and Mentronidazole

40
Q

Patient with severe hospital acquired pneumonia… Treatment?

A

Amoxicillin + Metronidazole + Gentamicin

41
Q

Patient with hospital acquired pneumonia and pencillin allergy… Treatment?

A

Same as normal except replace Amoxicillin with Co-trimoxazole

Respiratory Summary Sheets (27 decks)

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