Section 5 - Pulmonary Emergencies Flashcards

1
Q

cause of bronchitis?

A

influ a, b, parainfluenza, RSV, coronavirus

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2
Q

sx of bronchitis? Duration?

A

cough, can have sputum which doesn’t necessarily = bacterial etiology

3 weeks

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3
Q

tx of pertussis?

A

azithromycin

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4
Q

most common cause of PNA, CAP?

A

strep pneumo

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5
Q

common cause of PNA, HCAP?

A

staph aureus, klebsiella, pseudo, h influ

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6
Q

causes of atypical PNA?

A

legionella, m pneumo, chlamydia pneumo, respiratory visues

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7
Q

HCAP time frame? what constitutes HCAP?

A

over 48 hours hospitalization, within 90 days or dialysis, chemo, wound care, home IV abx, nursing home patients

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8
Q

tx of CAP in healthy patient?

A

azithromycin or doxy

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9
Q

tx of CAP in unhealthy patient?

A

levo, amox-clav plus azithro

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10
Q

tx of CAP inpatient non iCU?

A

levo or cefriaxone plus azithro

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11
Q

tx of CAP inpatient ICU?

A

ceftriaxone plus levo, if concerned about MRSA use vanc

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12
Q

tx of hCAP inpatient?

A

levo plus cefepime or zosyn, consider vanc or linezolid

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13
Q

tx of aspiration PNA?

A

levo plus clinda

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14
Q

tx of empyema?

A

zosyn, consider vanc

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15
Q

tx of lung abscess?

A

clinda plus ceftriaxone

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16
Q

sx of primary TB?

A

fever, cough, weight loss, malaise, CP

17
Q

sx of reactivation TB?

A

fever, malaise, weight loss, fatigue, night sweats, hemoptysis, pleuritic chest pain, dyspnea

18
Q

sx of extrapulmonary TB?

A

lymphadenitis with enlargement and draining sinuses, pericarditis, peritonitis, meningitis, bones, joints, adrenals, GI tract and GU tract

19
Q

best test for TB?

A

CXR, can use acid fast staining of sputum, culture of sputum is the gold standard, TB skin tests