Pneumonia

Question 1

what are the criteria for CURB 65?

Answer 1

Confusion 
Urea > 7 
Respiratory Rate > 30
Systolic BP <90 OR Diastolic BP <60
Aged 65 or over

Question 2

How do you treat mild/moderate (CURB65 score 0-2) community acquired pneumonia?

Answer 2

IV/PO Amoxicillin

PO Doxycycline if pen. allergic

Question 3

How do you treat severe (CURB65 score 3-5) community acquired pneumonia?

Answer 3

IV Co-Amoxiclav + PO Doxycycline

IV Levofloxacin if pen. allergic

Question 4

How do you treat severe community acquired pneumonia requiring admission to ICU?

Answer 4

IV Co-Amoxiclav + IV Clarythromycin

IV Levofloxacin if pen. allergic

Question 5

How do you treat non-severe hospital acquired pneumonia?

Answer 5

PO Amoxicillin for 5 days

PO Doxycycline if pen. allergic

Question 6

How do you treat severe hospital acquired pneumonia?

Answer 6

IV Amoxicillin + IV Gentamicin

Co-Trimoxazole + Gentamicin IV if pen. allergic

Question 7

How do you treat non-severe aspiration pneumonia?

Answer 7

PO Amoxicillin + Metronidazole

PO Doxycycline if pen. allergic

Question 8

How do you treat severe aspiration pneumonia?

Answer 8

IV Amoxicillin + Metronidazole + Gentamicin

swap amoxicillin for PO doxycycline OR IV clarythromycin if pen. allergic