Cap

Front 1

• List common signs & symptoms of pneumonia

Back 1

oSymptoms
 Malaise
 Chest pain (pleuritic)
 Cough (productive or non productive)
 Dyspnea
o Signs
 Tachypnea
 Tachycardia
 Fever
 Inspiratory crackles/rales
 Bronchial breath sounds
 Dullness to precussion

Front 2

o Outpatient with no co-morbidities treatment

Back 2

 Macrolide (azithromycin or clarithormycin)
 Doxycycline

Front 3

o Outpatient with co-morbidities (lung, liver, DM, alcoholism, renal, no spleen, immunosuppressed, or using immunocompromised drugs) or DRSP

Back 3

 Respiratory quinolone (Moxi, levo, or gemi)
 Beta lactam plus macrolide
• Beta lactam: high dose amox
• Augmentin
• Ceftriaxone
• Cefpodoxime
• Cefuroxime (500mg bid)

Front 4

o Inpatient (non ICU) treatment

Back 4

 Respiratory quinolone
 Beta lactam plus macrolide
• Cefotaxime
• Ceftriaxone
• Amp
• Ertapenam
 Doxycycline alternative to macrolide

Front 5

o Inpatient ICU treatment

Back 5

 Beta lactam
• Cefotaxime
• Ceftriaxone
• Unasyn
• Plus
o Azithromycin or respiratory quinolone
 If PCN allergic use a respiratory quin and aztreonam

Front 6

 Outpatient bugs

Back 6

• Streptococcus pneumoniae
• Mycoplasma pneumoniae
• Haemophilus influenzae
• Chlamydophila pneumoniae
• Respiratory virusesa

Front 7

 Inpatient (non-ICU) bugs

Back 7

• S. pneumoniae
• M. pneumoniae
• C. pneumoniae
• H. influenzae
• Legionella species
• Aspiration
• Respiratory virusesa

Front 8

 Inpatient (ICU) bugs

Back 8

• S. pneumoniae
• Staphylococcus aureus
• Legionella species
• Gram-negative bacilli
• H. influenzae

Front 9

strep pneumoniae Pen non resistant MIC <2

Back 9

Pen G or amox
alternative: macrolide CEPHS clindamycin doxycycline respiratory quine

Front 10

strep pneumoniae pen resistant MIC >2

Back 10

cefotaxime ceftriaone fluorquinolone
alternatives: vanco, lineolid high dose amox

Front 11

H FLU Non-beta lactamase

Back 11

amox
alternatives: fluoroquinolone doxycycline azirthomycin clarithomycin

Front 12

H FLU: beta lactamase producing

Back 12

2nd or 3rd gen cephs or AUGMENTIN
alternatives: quines, doxycyline azithromycin clarithromycin

Front 13

M penunoiae/ Chalmydophlia penumoniae

Back 13

macrloide TCN
alternative quine

Front 14

Legionella species

Back 14

fluoroquine, azithromycin
alternative doxycycline

Front 15

chlamydophila pxittaci

Back 15

TCN,
alternative macrloide

Front 16

coxiella burnetii

Back 16

TCN
aternative macrolide

Front 17

francisella tularnsis

Back 17

doxycline
alternative gent streptomycin

Front 18

Yersinia pestis

Back 18

strepto gent
alternative doxycyline fluroquinolone

Front 19

bacillus anthraic

Back 19

cripor, levo doxyc
alternative other quines
betalactam rifampin clindamycin chloramphenicol

Front 20

enterobacteriaceae

Back 20

3rd gne ceph carbapena
alternative: beta lactam with lactaase inhibitor or fluorquine

Front 21

Pseudomonas

Back 21

antispeudomonal beta lactam (ticarcillin pip, ceftax, cefepime, axtreonam, imipenem, mero) plus ciprogloacin or levo or aminoglycoise
alternative
aminoglycoside plus ciproflox or levo

Front 22

burkholderia psuonmallei

Back 22

carbapenam, ceftax
alternative: fluorquine septra

Front 23

acinetobacter species

Back 23

carbapenem
alternative: cephs, aminoglycoside, amphi sulbactam, colistin

Front 24

staphylocuccs aurea MSSA

Back 24

Naf, oxacillin dicoxacillin
alternatives: cefazolin, clinda

Front 25

MRSA

Back 25

vanco, lineolid
alternatives: SEPTRA

Front 26

pertussis

Back 26

macrolide
alternative: SEPTRA

Front 27

anaerobe

Back 27

zosyn (gram -)
or other godizcillins
clinda
alternativeS: cearbepem

Front 28

influeza virus

Back 28

oseltamivir or xanamivir

Front 29

M tuberculosis

Back 29

isonizide plus rifampin plus ethambutol plus pyrazinamide

Front 30

Coccidoides

Back 30

itra, flucon,
alternative Ampho B

Front 31

histo

Back 31

itra,
alternative: ampho B

Front 32

blasto

Back 32

itra
alternative: ampho B

Front 33

pneococcal vaccine
route of admin

Back 33

IM

Front 34

pnuemoa vaccine type of vaccine

Back 34

bacterial compenet polysaccharide

Front 35

PPV recommended groups

Back 35

ppl greater than 65 yo
high risk 2-64 or current smoker

Front 36

PPV high risk indication

Back 36

CVD, pulmonary renal or liver disease, DM, cerbrospinal leask ETOHlic, asplenia, immunocompromised, Native americans, alska americans
ppl in SNIF

Front 37

revaccinatiion for PPV

Back 37

one-time revaccination after 5 years for
- if given before 65 yo
- ppl with no spleen
-immunocompromised

Front 38

flu vaccine
route
type

Back 38

IM
killed vaccine

Front 39

recommend groups flu vaccine

Back 39

all ppl greater than 50
high risk 6 months to 49 yo
ppl living with high risk ppl
health care providers
children 6-23 months

Front 40

high risk flu vaccine

Back 40

CVC, plumonary (asthma) DM, renal, hemoglobinpathies, immunocpmroided, aspiration risk, pregnancy, SNIF aspirin therapy in ppl less than 18 yo

Front 41

reavaccination for flu

Back 41

annual revaccination

Front 42

Live attenuated flu vaccine
route
type

Back 42

intra nasal spray
live virus

Front 43

recommened groups for flumyst

Back 43

Healthy ppl 5-49 yo including health care providers

Front 44

recvaccination schedule for flumyst

Back 44

annually

Front 45

high risk group for flu myst

Back 45

avoid in high risk groups