Resp CCP

Question 1

how do you determine whether to hospitalize someone for penumonia

Answer 1

pneumonia severity index

PORT score

Question 2

what comorbid conditions increase hospitalization for pneumonia

Answer 2

neoplastic disease
CHF
cerebrovascular disease
renal disease
liver disease

Question 3

What inpatient testing would you do for a patient with penumonia

Answer 3

CBC, sputum gram stain

sputum cultures

Question 4

what Tx would you give an elderly with severe pneumonia before you find out the culture specifics

Answer 4

advanced macrolide like azithromycin

and a betalactam like ampicillin

Question 5

what is the most common organism that causes pneumonia

Answer 5

Strep pneumoniae, gram + diplococcus

Question 6

A cardiac condition is an indication for what vaccines

Answer 6

inactivate influenza vaccine and pneumococcal polysaccharide vaccine

Question 7

What institutional protocols can be used to increase immunization rates

Answer 7

pre-printed admission orders in long term care facilities
nursing-based protocols
pharmacy based protocols
computer-enabled protocols