Test 2 Flashcards

1
Q

CASE STUDY ANSWERS

A
  • right lower lobe
  • bacterial infection
  • pneumonia
  • pneumonia
  • broad spectrum culture
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2
Q

Where does fungal get inhaled?

A

upper lobes

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3
Q

What do you see on fungal x-rays?

A
  • cavity formation
  • pleural effusion
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4
Q

where will TB NOT be?

A

lower lobes

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5
Q

how do you prevent VAP?

A

gentle suctioning, closed suction system

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6
Q

What is the treatment for Pneumocytis carinii?

A

Pentamidine

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7
Q

What is a common cause of a lung abscess?

A

aspiration pneumonia

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8
Q

What early stage lung abscess can you see?

A

pneumonia

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8
Q

When does VAP happen?

A

48-72 hours after intubation

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9
Q

is streptococcus gram negative or positive?

A

gram positive

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10
Q

What are nosocomial infections?

A

Infections from health care workers

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11
Q

what is important when determining pneumonia?

A

HISTORY

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12
Q

is staphylococcus gram negative or positive?

A

POSITIVE

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13
Q

what can streptococcus and staphylococcus be treated with?

A

Penicillin

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14
Q

What are the risks of aspiration pneumonia?

A
  • alcohol abuse
  • anesthesia
  • head trauma
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15
Q

What would you see on a lung abscess x-ray?

A

air filled cavity

16
Q

What is 1 way a lung abscess happens?

A

Penetrating chest wounds

17
Q

What are 2 ways a RT can help prevent VAP?

A

Gentle suctioning
HOB up 30-45 degrees

18
Q

How do you confirm pneumonia diagnosis?

19
Q

What is the diagnosis if the patient is unconscious, no cough, bad breath?

A

Aspiration pneumonia

20
Q

What is the most common CAP

21
Q

What does a lung abscess often present as?

22
Q

MOST common fungal infection

A

Histoplasmosis

23
Q

What is the most common antibiotic for fungal infections

A

Fungizone (Ami B)

24
What are the symptoms of tuberculosis (TB)?
- Violent coughing spasms - Greenish or bloody sputum - LOW grade fever - anorexia - night sweats
25
what is the general treatment for TB?
Isoniazid
26
What is the test of choice for the gram stain(acid-fast stain)?
Fluorescent acid-fast stain
27
How long is the skin observed for the TB skin test ?
48 - 72 hours
28
If a patient is infected but are NOT infectious, Can they spread TB?
NO
29
how does primary TB work?
- inhaled bacilli implant in alveoli - bacilli multiply - tubercle/granuloma form and trap TB bacilli
30
How does TB spread?
aerosol droplets