Pulmo- pneumonia

Question 0

cause lung abscss

Answer 0

p aeruhinoss
a pneumoniae
CA mrsa

Question 1

percent of sx (+) blood culture

Answer 1

5-14%

Question 2

drainage of fluid criteria

Answer 2

ph 1000

+ bacteria

Question 3

time before CXR pneumonia cleara

Answer 3

4-12 wks

Question 4

ff up xray pneumonia treated

Answer 4

4-6 wks

Question 5

Prevention strategy for

oropharyngeal colonization with pathogenic bacteria

elimination of normal flora

Answer 5

avoid prolonged antibiotic

Question 6

Prevention strategy for

oropharyngeal colonization with pathogenic bacteria

large vol oropharyngeal aspiration at time of i thbation

Answer 6

short course of antibiotics for comatose patients

Question 7

Prevention strategy for

oropharyngeal colonization with pathogenic bacteria

GERD

Answer 7

post pyloric enteral feeding
avoidance of high gastric residuals
projinetic agents

Question 8

Prevention strategy for

oropharyngeal colonization with pathogenic bacteria

bacterial overgrowth of stonach

Answer 8

prophylactic agents that raise gastric pH

selective decontamination of digestive tract with nonabsorbable antibiotics

Question 9

Prevention strategy for

large vol aspiration

Answer 9

endotracheal kntubation avoid sedation

Question 10

Prevention strategy for
microaspiration atound ET tube
Prolonged duration of ventilation

Answer 10

daily awakening from sedation

weaning protocols

Question 11

Prevention strategy for

abnormal swallowing function

Answer 11

early percutaneous tracheostomy

Question 12

Prevention strategy for

secretions pooled above ET tube

Answer 12

head of bead elevated
cintinuous aspiration of subglottic secretions
avoid reintubation

Question 13

Prevention strategy for

altered lower host respiratory defenses

Answer 13

tight glycemic control
lowering of hb transfusion threshold
specialized enteral feeding formula

Question 14

vap

non mdr

Answer 14

cause vap
non MDR
strep
hemophilua
Mssa
enteribacteriaceae
e coli
kleb
enterobacter
riteu
serratia

Question 15

vap

mdr pathogens

Answer 15

pseudomonas
mrsa
acinetibacter
antibiotic resistant 
enterobacter
esbl positive
kleb
legionella
burkholderia cepacia
aspergillus

Question 16

only pathogens more commin in non VAP pooulation

Answer 16

anaerobes
cis of greater risk of macroaspiration
and lower oxygen tensions in the lower respiratory tract pf yhese pt