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35 Cards in this Set
- Front
- Back
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MC organisms responsible for CAP
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Mycoplasma Pneumonia
S. Pnuemonia H.Flu C. Pneumonia Legionella |
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what percent of organisms are unidentifiable in nosocomial pneumonia?
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50%
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what are the 4 leading organisms resp. for nosocomial pneumonia?
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Staph Aureus 10%
Pseudomonas 8% Enterobacter 5% Klebsiella 4% |
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How long is the Tx for CAP?
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5-14 days
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What is the Tx for CAP with non-hospitalized patients?
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Healthy with no H/O Abx: Macrolide(azithro)
H/O Abx: FQ (levoquin) Comorbidity: FQ (levoquin) For suspected aspiration: Augmentin or clinda(for anaerobes) |
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Tx for CAP in ER if pt is going to be hospitalized
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FQ 750mg PO x 3 days by itself or
Macrolide(azithro) with 3rd gen.ceph(rocephin) |
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Tx for CAP for hosp. Pt with severe pneumonia(pseudomonal) or if coming from a nursing home
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Piperacillin/Tazobactam
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Tx for Nosocomial pneumonia with no risk factors
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You can give Ticarcillin, PIPERACILLIN, 3rd gen. cephs, or FQ
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Tx for Nosocomial severe pneumonia (coming from nursing home)
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Piperacillin plus AG(Tobramycin)
If MRSA is suspect, give Vanco |
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Tx for Nosocomail pneumonia with aspiration or recent surgery
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piperacillin
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Name some Sx of the flu
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Sudden onset
High fever Dry cough Headache Myalgia Weakness |
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Name some Sx of the Cold
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Gradual onset
No fever Hacking cough No headache Stuffy nose Sore throat |
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What are 2 drugs you can give to prevent the flu
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Amantadine
Rimantadine Give within 2 days of symptoms |
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who should get the Pneumococcal vaccine?
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>65 y/o
2-64 y/o with risk factors Pregnant in 2nd or 3rd trimester Health care workers AIDS pts |
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what is lactulose for?
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excretes amonia out of the body, good for hepatic encephalopathy
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How do you treat UTI?
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Uncomplicated cystitis:
Bactrim DS QD x 3 days Recurrent cystitis: 2-6 week regimen |
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How do you treat uncomplicated Pyelonephritis?
No N/V and not immunocompromised |
Bactrim 7-14 days
Complicated: FQ or Augmentin |
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How do you treat prostatitis?
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Bactrim or FQ x 4 wks
For chronic: 1-4 months |
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how do you treat acute cellulitis?
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Nafcillin or
Cefazolin(Ancef) |
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Describe Erysipelas
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Affects superficial dermis
MC in legs and feet Edge of infection is sharply demarcated MCC is group A strep |
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Tx for Erysipelas
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Erythromycin 7-10 days
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Organism assoc. with necrotizing fascitis
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Strep pyogenes
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What is the empiric tx for necrotizing fascitis?
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Rocephin plus clinda
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What is the Tx for foot ulcers?
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If shallow: Tx as cellulitis-Nafcillin
If deep: use broad spectrum: Pip/Tazo 1-2 wks If Osteo: 6-12 wks |
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Tx for osteomyelitis
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Vancomycin
If prosthetic joint infection: Vanco plus rifampin 4-6 wks Chronic 6-8 wks |
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How do you treat meningitis in neonates?
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Rocephin
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Tx for meningitis in a 1 month to 50 y/o
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Rocephin plus vancomycin
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Tx for meningitis for over 50 y/o
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Rocephin plus Vanco plus amp
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Tx for penetrating head trauma, post neurosurgery or CSF shunt
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Vanco plus cefepime
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How do you Tx meningitis from:
Strep pneumonia Strep Agalactiae Listeria |
Ampicillin 2gm q4h
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how do you Tx meningitis from:
N.meningitidis |
Rocephin
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your pt has meningitis from H.Flu, how do you Tx?
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If beta-lactamase neg:
Ampicillin If positive: Rocephin or cefepime |
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What are the organisms assoc with endocarditis?
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Strep
S. Aureus |
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What are the major risk factors of endocarditis?
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Mitral valve prolapse
Prosthetic valves IV drug abuse |
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What are the possible complications of endocarditis?
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CHF
Emboli Aneurysm |
