Pneumonias Flashcards
Prevention of viral pneumonias
vaccines: influenza A/B, adenovirus, chickenpox, herpes zoster, measles, rubella
Treatment of influenza A pneumonia
Amantadine Hydrochloride
Most common cause of CAP
Strep pneumoniae (Pneumococcal)
Patient populations you’re likely to see klebsiella pneumonia
alcoholics, COPD, DM
Clinical presentation of CAP
fever, tachypnea, cough, sweats, chest discomfort, rigors
What bacteria causes rust colored sputum?
pneumococcal
What bacteria causes green sputum?
pseudomonas
What bacteria cause foul smelling sputum?
anaerobic
What bacteria cause bloody, currant jelly tinged sputum?
klebsiella
What is considered the gold standard for diagnosing pneumonia when clinical and microbiologic features are supportive?
presence of an infiltrate on plain chest radiograph
What bacteria has a tendency to cause pneumonia in the upper lobes?
klebsiella
What bacteria has a tendency to cause pneumonia in the lower lobes?
legionella
T/F hyponatremia is often associated with Legionella pneumonia
True
What is an ominous clinical sign of impending death?
leukopenia
How long do patients need to have been in the hospital or on the ventilator before there pneumonia is considered nosocomial?
48-72hrs