Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
16 Cards in this Set
- Front
- Back
|
Who is at increase risk for CAP?
|
person with co-morbid conditions and the elderly.
|
|
|
What are some risk factors for CAP?
|
COPD, cardiovascular disease, smoking, other neurological conditions. (stroke, seizures
|
|
|
Who should receive pneumococcal vaccination and when,
|
age >65, or age 50 with Risk factors( HF, CVD, COPD, cancer, CKD, sickle cell, liver disease. Revaccinate q 5 yrs for age >65. (do not worry about harm from repeat vaccination)
|
|
|
What type of pneumoccal vaccine is use in the adults?
|
23 valent polysacharide, the 7 valent is approved for the child, but not for the adult.
|
|
|
What is the role of influenza vaccination in the prevention of CAP and complications?
|
decreases pneumonia, mortality, and hospitalization.
|
|
|
What are the dx criteria for CAP?
|
radiographic finding of new infiltrate, + (2) of the following, fever, cough,chest pain and dyspnea
|
|
|
what organisms cause CAP?
|
(SHM) Streptococcus pneumonia, Hemophilus influenza, Mycoplasma pneumonia, others include chamydoplila pneumonia, and Legionella. Virus can cause CAP too.
|
|
|
What are some risk stratification criteria for tx CAP?
|
PSI, CURB-65.
|
|
|
what is CURB-65?
|
confusion, bUn>19.6, RR>30, BP<90, age >65. if >= 2 admit, consider ICU if >=3
|
|
|
What are some non drug in tx CAP?
|
chest physiotherapy, O2, antiputussive,
|
|
|
What is the tx for CAP?
|
Many, but consider monotx as outpt with macrolide or doxy, Respiratory fluroquinolone or beta lactam in healthy with antibx use in last 3 months.
|
|
|
What is the length of tx for CAP?
|
ranges from 5-14 days, but for mild to moderate 7 days is adequate.
|
|
|
When should you see a clinical response?
|
48-72 hrs
|
|
|
How should you follow CAP as an outpt?
|
ask pt to measure oral temp q 8h, if >101, need further eval. Encourage 1-2 L of fluid/day, Report other sx.
|
|
|
When to transition from IV to oral tx?
|
decrease in cough, sputum, dsypnea. Afebrile on 2 occasions at least 8 hrs apart. Pt able to tolerate POs
|
|
|
Does pt required a f/u CXR?
|
NO, clinical improved succeed radio- graphic findings. It can lag 6-8 wks.
|
