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ACNP- Pneumonia: Questions & Solutions (Rated A+)
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ACNP- Pneumonia: Questions & Solutions (Rated A+)
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ACNP- Pneumonia: Questions & Solutions (Rated A+)Most common organism in CAP? Right Ans - Strep pneumoniae
Fremitus in PNA? Right Ans - increased
Abx for CAP in healthy person < 60? Right Ans - macrolide (azithro,
carithro, EES OR
doxy
Abx for CAP w/ comorbidities/or >60 Right Ans - fluroquinolone
Definition of HAP Right Ans - occurs 48 hours after admission
Most common organisms of HAP Right Ans - staph aureus, Strep
pneumoniae, H. influenzae
Most common organism in VAP Right Ans - Pseudomonas (48-72 hr after
intubation)
Abx for Right Ans - beta lactam (cefotaxime, ceftriaxone, or ampicillin-
sulbactam PLUS:
either azithromycin or a fluoroquinolone
Pen allergic substitute Right Ans - a resp fluoro and aztreonam
Abx for pseudomonas Right Ans - antipneumococcal, anti-pseudomonal
beta lactam (pipercillin-tazobactam (Zosyn), Cefepime, imipenem,
meropenem PLUS: either cipro or levaquin OR above beta lactam pluse
aminoglycoside and azithromycin OR above BL pluse aminoglycoside and an
antipneumooccal fluoroquinolone
Abx for CA-MRSA PNA Right Ans - vanco or linezolid
Pneumothorax ressonance Right Ans - hyperressonance on affected side
Fremitus Right Ans - diminished on affected side
mediastinal shift Right Ans - away from affected (toward unaffected side)
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