Pulmonary Flashcards
Poorly controlled DM has community acquired pneumonia. What pharm agent that is a mono therapy to treat pneumonia?
- amoxicillin
- levofloaxin
- amoxicillin/clavulanate
- doxycillin
- levofloaxin
- heart failure
- bronchiolitis
- community acquired pneumonia
- acute bronchitis
- acute bronchitis
bronchiolitis more common in
<2 y/o
has coughing and wheezing due to airway inflammation
Community acquired pneumonia presents with?
coughing, malaise, fever, tackypnea, chest & upper back discomfort
healthy adult has sx’s of fever, cough, increased RR, unilateral rales, chest x’ray shows infiltrates, what are the best meds to treat this pt.?
1. cephalaxin
2. amoxillin
3. levofloxacin
4. clindamycin
- amoxicillin
why?
CAP (community acquired pneumonia) 1 g TID this is a 1st generation cephalosporin
BUT levofloaxin is a fluroquinolone mono-therapy used to treat CAP but with comorbidities
Clinidamycin is a?
lincosamide that is used to treat gram-positive organisms& anaerobes especially with pts who have many drug allergies.
COPD is confirmed via?
spirometry
FEV1 (force expiratory volume) is the amount of air the pt. can expel in?
1 second
FVC (forced vital capacity) total amount of air
a patient can exhale in 1 breath
When a pt. cannot exhale more than 70% of the total volume of air from 1 breath this indicates?
COPD
In COPD the FEV1/FVC ratio does not improve after?
bronchodilator use
In asthma the FEV1/FVC ratio does improve after
bronchodilator use
Post-bronchodilator FEV1/FVC <0.7 is dx for?
COPD
A pt. with COPD has gold group A classification what does this mean?
minimal sx’s, low risk for future exacerbations
What are the different kinds of classifications for COPD?
classified on severity of sx’s and the amount of severity of COPD exacerbations experienced
What is the mainstay maintenance therapy for asthma?
inhaled corticosteroids
