Community Acquired Pneumonia

benryan95's version from 2015-11-24 20:10


Question Answer
What is meant by CAP?pneumonia in a pt who has not been hospitalised or resided in a care facility within the past 15 days
What are the 5 most common aetiologies of CAP in outpatient settings?Strep. pneumoniae, Mycoplasma ", Haemophillus influenza, Chlamydophila pneumoniae and respiratory viruses
What are 5 viruses that can cause CAP?Influenza, respiratory synctial virus, parainfluenza virus, adenovirus and hantavirus
What is the most common cause of lower respiratory tract infections in infants and young children?respiratory syncytial virus
What are 4 typical signs and symptoms in CAP (excluding fever)Cough, dyspnoea, tachycardia/pnoea, crackles/rales on auscultation
What tests should be ordered in CAP?CXR, FBC, basic metabolic profile, oximetry/ABG, blood culture, sputum culture, sputum gram stain
What drugs are typically used in an acute adult CAP, previously healthy?Macrolide or tetracycline (deoxycycline)
What drugs are typically used for acute adult outpatient CAP with co-morbitidies?Fluoroquinolone (levofloxacin) or combination therapy (amoxicilin/clavulanate)
Name 2 drugs that can be given for MRSA?Vancomycin or linezolid
Name 2 drugs that can be given for psuedomonal pneumonia?Piperacillin/tazobactam
Name 4 complications of CAP?Acute Respiratory distress syndrome, empyema, arthritis, pleural effusion
What is the C of Curb-65?Confusion
What is the U of Curb-65?Blood urea nitrogen > 7 mmol/l
What is the R of Curb-65?Respiratory rate >30
What is the B of Curb-65?Systolic BP <90, or Diastolic BP <60
What is the 65 of Curb-65?Age >65
If score 0-1 on curb-65, what should management be (without clinical judgement)outpatient care
If score 2 on curb-65, what should management be (without clinical judgement)inpatient vs observation admission
If score 3 on curb-65, what should management be?Inpatient admission
If score 4-5 on curb-65, should management be?Consideration for ICU admission

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