pneumonia Flashcards
1
Q
community acquired pneumonia
A
More common amongst older adults
COPD patients
Smokers
organisms:
typical:
strep pneumoniae
haemophilus influenzae
Atypical:
mycoplasma pneumoniae
Legionella
Chlamydophila pneumoniae
therapy:
Benzyl penicillin
azithromycin
stat dose of gentamicin
2
Q
Hospital acquired pneumonia
A
most significant risk factor is intubation
findings consistent with pneumonia after patient has come to hospital or recently left hospital
nursing homes are treated as clinical settings
mild disease:
amoxycillin and clavulonic acid
moderate disease:
ceftriaxone
severe disease:
tazobactam and pipracillin
consider adding metronidazole for anaerobic cover
3
Q
aspiration pneumonia
A
benzyl- penicillin or ceftriaxone based on severity
addition of metronidazole to cover anaerobes
