Exam (elaborations)
CMN 568 - Unit 2 Questions and Answers 2024 Solved
- Course
- Institution
Exam of 11 pages for the course CMN 568 at CMN 568 (CMN 568 - Unit 2)
[Show more]
Content preview
CMN 568 - Unit 2CAP caused by Viruses vs Bacteria? Which is more common in adults? Which is more
common in kids? - answer Adults - Bacterial
Peds - Viral
HERF BBB
Most common viral cause of CAP – answer Influenza
HERF BBB
Common symptoms of CAP - answer+ Cough, with our without sputum production
+ Fever, chills, rigor, sweats
+ Dyspnea
+ Chest/ pleuritic pain
+ Nausea, anorexia, diarrhea
+ Headache, myalgias
+ Fatigue
+ Patients appear acutely ill
HERF BBB
Common signs of CAP - answer+ Fever: present in 80%. May be low or absent,
especially in elderly
+ Tachycardia
+ Tachypnea (may be the most sensitive sign in elderly)
+ Rales, inspiratory crackles or bronchial breath sounds
+ Dullness to percussion over areas of consolidation
+ Oxygen desaturation
+ Mental status changes, esp. in elderly
NOTE: No clear constellation of signs or symptoms has been found to accurately
predict the diagnosis of pneumonia.
HERF BBB
Common causes of bacterial CAP - answer+ Strep pneumo -- #1
+Haemophilus influenzae
+ Mycoplasma pneumoniae
+ Chlamydia pneumoniae
+ Staph aureus
, + Neisseria meningitidis
+ Klebsiella pneumoniae
+ Moraxella catarrhalis
+ Legionella spp.
HERF BBB
Common viral causes of CAP - answer+ INFLUENZA (#1)
+ RSV
+ Adenoviruses
HERF BBB
Gold standard of CAP dx? - answerCXR which indicates a pulmonary opacity. (CT scan
will show it too.)
HERF BBB
After a positive CXR, what other tests should patients have to confirm dx of CAP? -
answer+ NONE for most pts. Start tx with empiric abx
+ Atypical causes (Exposure to TB or flu, recent travel, immunosuppressed) should prob
undergo additional testing.
--Sputum gram stain
--UA antigen tests for s.pneumo or legionelle
--Rapid flu
HERF BBB
ABX tx of CAP in previously healthy patients with no recent antibiotic use? -
answerMACROLIDES (-mycins) or Doxycycline
+ Azithromycin (z-pack) 500mg/d x1 day, then 250mg/d x 4d
OR
+ Clarithromycin 500mg BID x 5 days
OR
+ Doxycycline 100mg BID x 5 days
NOTE: Use of fluoroquinolones is discouraged in ambulatory patients without co-
morbidities or recent antibiotic use.
HERF BBB
ABX tx of CAP in previously healthy patients with comorbid conditions,
immunosuppression or recent antibiotic use? - answer+ Respiratory fluoroquinolones (-
floxacins)
Choose *ONE* of the following regimes:
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller julianah420. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now