Pneumonia Flashcards
what antibiotic is first line for chest infection
amoxicillin
what is pneumonia
infection of the paranchyma
what is the most common causative organism of pneumonia
strep pneumoniae
then haemophilus influenza
then staph aureus
what chest signs are present with pneumonia
dull to percussion coarse crepitations vocal fremitus sweats fever myalgia
what O2 sats should you consider admiting someone with
less than 94
what is CURB 65
confusion blood urea nitrogen >19 RR > 30 blood pressure <90/60 65 years or older
if someone has a curb score of 3 what do you do
urgent admission to hospital
if someone has a curb score of 2 what do you do
hospital refferal and assessment
curb score of 0 or 1
consider treatment at home
depending on other factors
how do you diagnose chest infection
clinical judgement
- cough is predominant symptom
- examine chest
- measure temperature
- beware of confusion
- arrange CXR if cause is uncertain
what blood test can you use to decide whether to prescribe antibiotics
crp
what are the symptoms of pneumonia
cough (productive or dry) chest pain fever dyspnoea shaking chills pleuritc pain haemoptysis fatigue muscle weakness
what type of pneumonia might you get a rusty coloured sputum
strep pneumoniae
