Pneumonia Lecture Flashcards

1
Q

3 types of pneumonia

A

CAP
HCAP
Aspiration

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2
Q

CRB-65 Score:

1pt for confusion (delirium)
1 pt for RR>30
1 pt for BP< 90 systolic or 60 diastolic

A

Score 0-1: manage at home

Score >1: inpatient management

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3
Q

True or False…

A pneumonia pt with hypoxia is an automatic admission

A

TRUE

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4
Q

Empiric abx
O2 if sats <90%
Nebulized inhalation tx (albuterol Q2hrs, duoneb Q4-6 hrs)

A

Pneumonia tx

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5
Q
Frequent vitals (fever, BP, HR, RR)
Daily labs (CBC, BMP, blood cultures)
Repeat imaging is NOT necessary if clinical improvement is seen
A

Monitoring of pneumonia pt

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6
Q

If pneumonia pt is not improving, what image can you get to rule out empyema or lung abscess

A

chest CT

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7
Q

pneumonia…

within 48 hrs after admission
48-72 hrs after endotracheal intubation
IV, wound care, IV chemo in prior 30 days

A

Health care associated pneumonia (HCAP)

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8
Q

1 or more…

  • abx in last 90 days
  • current hospitalization >5 days
  • high freq abx resistance in community
  • immunosuppressive dz and or tx
  • severe septic shock
A

assume multi-drug resistant (MDR) pneumonia

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9
Q

Ceftriaxone
Levaquin or Avelox

..for MDR risk or non MDR risk pts?

A

Non MDR risk pts

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10
Q

“triple abx therapy” IV

  1. zosyn
  2. fluoroquinolone
  3. vanco

for MDR risk or non MDR risk pts?

A

MDR risk pts!

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11
Q

HCAP tx is for a minimum of…

A

7 days

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12
Q

If pt is imporving after IV therapy for 48-72 hours, what can you do?

A

switch to PO abx

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13
Q

What abx should you give for aspiration pneumonia?

A

Clindamycin IV

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14
Q

True or false…

For aspiration pneumonia, NPO until speech therapy consult

A

TRUE

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