Community Acquired Pneumonia Exam
Questions And Answers Graded A+
´Identify risk factors and signs/symptoms for community-acquired pneumonia (CAP)
cough (with sputum production), chest pain, fevers, fatigue, and shortness of breath for the past few
days. His lungs sounds are diminished and a quick chest xray shows opacities consistent with
community acquired pneumonia.
´Recommend appropriate and complete drug therapy plans for CAP using evidence based
medicine/guidelines, using patient-specific data.
Start with anoutpatient male who has CAP with no co-morbidity's
If the person has NO comoborbites or risk factors use
amoxicillin,
doxycycline
macrolide:azithromycin, clari
(marcrolide only if resistance is less than 25%)
If asked for route of administration
Amoxicillin PO , Doxy PO, anyone PO
She may ask - why did you choose this option
then just state - because they cover. Strep. Pneumo.
If the patient has CAP and does have Co-morbidities what is the treatment? (still and Out-Patient)
If the person has any comorbidity
Aug +azithromycin
Aug + doxycycline
OR
Respiratory Fluoroquinolone
(Levo and Moxi) NOT cipro
(it does not cover gram + orgranisms, in which strep pneumonaie is one)
´Sam Sombrero, a 64 year old male with ESRD, presents to the urgent care clinic after feeling sick for a
few days. The physician diagnoses him with community acquired pneumonia that can be treated on
an outpatient basis. The doctor asks about allergies and Sam reports that he cannot take penicillin
because the last time he did, his throat closed up and he was hospitalized because of it.
´
´What medication do you recommend starting in Sam Sombrero?
´What monitoring parameters would you watch for?
There may be awrong answer with this case
So this is an outpatient with co morbidieties but
Augmentin + azithromycin and
Augmentin + doxycycline
would not be appropriate b/c he has a penicillin allergy (augmentin contains (amoxicillin+ clav),
therefore the only option would be to
Go with a respiratory floruoquinolones
Levofloxacin or Moxifloxacin
Monitoring:
For QT prolongation.
Photosensitivity
Notes:
If allergy to one of the floxacins, go with aug + azithro or aug + doxy and monitor for penicillin allergy
causing a rash.
Questions And Answers Graded A+
´Identify risk factors and signs/symptoms for community-acquired pneumonia (CAP)
cough (with sputum production), chest pain, fevers, fatigue, and shortness of breath for the past few
days. His lungs sounds are diminished and a quick chest xray shows opacities consistent with
community acquired pneumonia.
´Recommend appropriate and complete drug therapy plans for CAP using evidence based
medicine/guidelines, using patient-specific data.
Start with anoutpatient male who has CAP with no co-morbidity's
If the person has NO comoborbites or risk factors use
amoxicillin,
doxycycline
macrolide:azithromycin, clari
(marcrolide only if resistance is less than 25%)
If asked for route of administration
Amoxicillin PO , Doxy PO, anyone PO
She may ask - why did you choose this option
then just state - because they cover. Strep. Pneumo.
If the patient has CAP and does have Co-morbidities what is the treatment? (still and Out-Patient)
If the person has any comorbidity
Aug +azithromycin
Aug + doxycycline
OR
Respiratory Fluoroquinolone
(Levo and Moxi) NOT cipro
(it does not cover gram + orgranisms, in which strep pneumonaie is one)
´Sam Sombrero, a 64 year old male with ESRD, presents to the urgent care clinic after feeling sick for a
few days. The physician diagnoses him with community acquired pneumonia that can be treated on
an outpatient basis. The doctor asks about allergies and Sam reports that he cannot take penicillin
because the last time he did, his throat closed up and he was hospitalized because of it.
´
´What medication do you recommend starting in Sam Sombrero?
´What monitoring parameters would you watch for?
There may be awrong answer with this case
So this is an outpatient with co morbidieties but
Augmentin + azithromycin and
Augmentin + doxycycline
would not be appropriate b/c he has a penicillin allergy (augmentin contains (amoxicillin+ clav),
therefore the only option would be to
Go with a respiratory floruoquinolones
Levofloxacin or Moxifloxacin
Monitoring:
For QT prolongation.
Photosensitivity
Notes:
If allergy to one of the floxacins, go with aug + azithro or aug + doxy and monitor for penicillin allergy
causing a rash.
