Pneumonia

Question 1

What are the CF of Pneumonia? (7 things)

Answer 1

1. Delirium
2. Lethargy
3. Fever (38.5+)
4. Cough (wet + prod)
5. Tachypnoea
6. Increased work of breathing
7. Tachycardia

Question 2

What are the CF of Sepsis secondary to Pneumonia? (6 things)

Answer 2

1. Confusion
2. Fever
3. Tachypnoea
4. Tachycardia
5. Hypoxia
6. Hypotension

Question 3

What CF will you see @ examination of Pneumonia? (3 things)

Answer 3

1. Bronchial breath sounds (harsh sounds)
2. Focal coarse crackles
3. Dullness to percussion

Question 4

What does Dullness to percussion indicate? (2 things)

Answer 4

1. Lung tissue collapse
2. Consolidation

Question 5

What is the most common BAC cause of Pneumonia?

Answer 5

Strep pneumonia

Question 6

What is the most common VIRAL cause of Pneumonia?

Answer 6

RSV

Question 7

What is the investigation of choice for confirming a Pneumonia Dx?

Answer 7

CXR

(not routinely required tho)

Question 8

What investigation should you do to establish the causative organism + guide Tx? (3 things)

Answer 8

1. Sputum culture (if bac)
2. Throat swab (if bac)
3. Viral PCR (if viral)

Question 9

What investigations should you for patients with Sepsis? (2 things)

Answer 9

1. Blood culture
2. ABG (to monitor resp / met acidosis + lactate)

Question 10

What are the Mx options for Pneumonia? (2 things)

Answer 10

1. Abx (according to local guidelines)
2. Oxygen (PRN, to keep sats 92+)

Question 11

What Abx is usually FIRST line for Pneumonia?

Answer 11

Amoxicillin

Question 12

What should you add to Amoxicillin to cover ATYPICAL pneumonias?

Answer 12

Macrolides

Question 13

What Macrolides are used in the Tx of Pneumonia? (3 things)

Answer 13

1. Erythromycin
2. Clarithromycin
3. Azithromycin