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14 Cards in this Set
- Front
- Back
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nosocomial pneumonia happens at least ___ h after admission
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48
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T/F: nosocomial pneumonia is most common nosocomial infection
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false: 2nd after UTI
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nosocomial pneumonia is highest among ___
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ventilated ICU patients
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4 ways intubation causes pneumonia
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cough suppression
increased aspiration accumulation of secretions epithelial damage |
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4 gram neg bacilli which cause nosocomial pneumonia
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Klebsiella
Enterobacter Acinetobacter Pseudomonas |
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___ is an enzyme which confers resistance to carbapenems
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Kpc
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bacteria with ___ but not ___ are sensitive to carbapenems
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extended spectrum beta lactamase (ESBL)
Kpc |
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patients who develop pneumonia <5 days after hospitalization get it from ___ (4)
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S. pneumonia
S. aureus H. influenzae enteric G- |
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patients who develop pnemonia 5 days after hospitalization get it from ___ (4)
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MRSA
ESBL G- Acinetobacter Pseudomonas |
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T/F: VAP is underdiagnosed
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false: overdiagnosed
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endotracheal aspiration has ___ sensitivity and ___ specificity than fiberoptic bronchoscopy or bronchoalveolar lavage
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lower
lower |
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4 ways to prevent pneumonia
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hand washing
early extubation periodic drainage elevate head of bed by 30 degrees |
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6 conditions which are risk factors for VAP in ICU pts
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shock
coma ARDS respiratory failure rapidly fatal underlying disease SIRS |
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2 diagnostic findings which are risk factors for VAP in ICU pts
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high APACHE score
bilateral infiltrates |
