Pulm Emergencies

Question 1

Most common cause CAP?

Answer 1

S. pneumoniae: responsible for 20-50% of infections

Question 2

HCAP criteria?

Answer 2

1. Hospitalization for ≥2 days in the preceding 90 days
2. Residence in a nursing home/facility
   In the past 30 days:
3. Attendance at a hospital or hemodialysis clinic
4. Home or clinic IV therapy (antibiotics / chemo)
5. Home wound care

Question 3

Subtypes HCAP?

Answer 3

HAP: develops in patients ≥48 hours after hospitalization and is not incubating at time of admission
2. VAP “Ventilator-associated pneumonia” >48-72 hours after intubation.

Question 4

Pneumonia presentation?

Answer 4

Fever, chills, productive cough, pleuritic pain, chest pain, and shortness of breath or malaise

Question 5

Abx for aspiration pneumonia?

Answer 5

Cephalosporins, fluoroquinolones and piperacillin

Question 6

Sputum samples in ED?

Answer 6

Shouldn’t be routinely performed in ED, as it poses an infection risk to both providers and other patients and is unlikely to change ED management

Question 7

CAP rx?

Answer 7

Macrolides
Fluoroquinolones
Doxycycline

Question 8

What is curb65?

Answer 8

C - Confusion	
U - Blood urea nitrogen over 20 
R - Respiratory rate over 30
B - Systolic over 90 or diastolic over 60
65 - Age 65 or over

Question 9

Presentation asthma exacerbation?

Answer 9

1. SOB
2. Non-productive cough
3. Wheezing in all lung fields
4. Chest tightness due to a decrease in expiratory airflow

Question 10

Most common cause asthma exacerbation?

Answer 10

URI

Question 11

IM or SQ epi better for asthma?

Answer 11

IM