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3 Cards in this Set
- Front
- Back
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COUGH
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Acute < 3 weeks duration Chronic > 8 weeks
ETIOLOGIES- acute respiratory infection, exacerbation of COPD, asthma, PNA, PE, others
•Asthma is the 2nd most common cause •GERD - 1st, 2nd or 3rd most common cause - •Infection - pertussis, ATYPICAL PNEUMONIA •ACE inhibitors - starts 1-3 weeks after starting drug •Chronic Bronchitis - almost always smokers •Bronchiectasis - need CT - bronchial wall thickening •Ling Cancer <2% of casesCommunity |
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Community-Acquired Pneumonia - CAP |
CAUSES - S. Pneumonia (rust-colored sputum) and atypical organisms (M. Pneumoniae & Chlamydophila)
Consider viral cause as well •SYMPTOMS - cough, sputum production, fever, chills, SOB, pleuritic chest pain, increased RR & HR, leukocytosis
TREATMENT - Macrolide x 5 days (azithromycin or clarithromycin) - unless Macrolide resistant •Doxycycline BID •*• DISCOURAGE QUINOLONE USE INITIALLY •*• |
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Drug-resistant S.Pneumonia - DRSP |
Cause- recent use of/exposure to antibiotic
SUSPECT DRSP - • >65 •beta-lactam, macrolide, or resp quinolone therapy in the last 3 months •alcoholism •medical co-morbids •immunosuppressive illness/therapy •exposure to child in daycare
TREATMENT: Respiratory Quinolone x 5 days - gemifloxacin (Factive), levofloxacin (Levaquin), moxifloxacin (Avelox) •beta-lactam (any PCN or cephalosporin) •beta-lactam plus doxycycline |
