Pneumonia Flashcards

1
Q

CURB 65?

A
Confusion
Urea >7mmol/l
RR =>30
BP <90 systolic or <=60 diastolic
65 or older
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2
Q

CURB score and treatment for SEVERE CAP

A

3-5
Co-amoxiclav IV + doxycycline 100mg PO BD
ICU or NBM swap doxy for Clarithromycin 500mg
Pen allergic sub co-amoxiclav to levofloxacin

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3
Q

CURB score and treatment for MILD CAP

A

0-2
Amox PO/IV (5days)
Pen allergic - doxy (200mg day one then 100mg)

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4
Q

Legionella pneumonia treatment?

A

Levoflaxin

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5
Q

Treatment for SEVERE HAP?

A

IV Amox (co-trimoxazole) + metronidazole + Gent

Step down - co-trimoxazole + met PO

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6
Q

H.Pylori eradication?

A

PPI (20-40) + amox (metronidazole) + clarithromycin

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7
Q

Coxiella burnetti

A

Doxycycline

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8
Q

Haemophilus influenza

A

Benzopenicillin

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9
Q

Klebsiella confirmed

Klebsiella unconfirmed

A

Cephalosporin

IV Amox + Gent + Metronidazole

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10
Q

Jirrovexi

A

Co-trimoxazole

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11
Q

Pseudomonas

A

Ciprofloxacin (+gent)

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12
Q

MRSA

A

Rifampicin + Gent + Vanc

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13
Q

MSSA

A

Flucloxacillin

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14
Q

Psittacosis

A

Doxycycline/Gent

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15
Q

Post op pneumonia

A

<5 days in hospital - 7 days Amox

> 5 days in hospital - HAP

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16
Q

Mycoplasma

A

Clarithromycin and doxycycline

17
Q

Sepsis and enterococci?

A

Amox or Vanc if pen allergic

18
Q

Sepsis and coliforms?

A

Gent

19
Q

Sepsis and anaerobes?

A

Metronidazole

20
Q

Sepsis management?

A
BUFALO
Blood cultures, sepsis screen and Us&amp;Es
Urine output 
Fluid resuscitation 
Abx IV
Lactate measurements
Oxygen
21
Q

Gut coliforms…
Lactose fermenting?
Non-lactose fermenting?

A

Klebsiella and E.coli

Shigella and Salmonella