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NR 566 Midterm Study Guide 2025

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NR 566 Midterm Study Guide
2025
What are the common pathogens for community acquired pneumonia (CAP)? - ANSWER
S. Pneumoniae




What is the first line treatment for community acquired pneumonia (CAP)? - ANSWER
Amoxicillin (beta-lactam), Doxycycline (tetracycline) or azithromycin (macrolides)




What drugs do you give for community acquired pneumonia is the first drugs did not work? - ANSWER
Respiratory Fluoroquinolones (Levofloxacin, Moxifloxacin)




What is the treatment for M. Pneumoniae in pediatric patients? (specific example of antibiotic from drug
class) - ANSWER Macrolides: Azithromycin, Tetracyclines if older than 8:
Doxycycline, Respiratory Fluoroquinolones: Levofloxacin

,What is the treatment of community acquired pneumonia in pregnancy? - ANSWER
Amoxicillin, Cephalosporins, Erythromycin




If someone has been treated with an antibiotic in the previous 90 days of contracting CAP, a quinolone
would be a prudent choice to prescribe.

List drug examples with the antibiotic classes. - ANSWER Respiratory
Fluoroquinolones: Levofloxacin




What is the treatment of chlamydial pneumonia in infants? Name drug and dose. - ANSWER
Erythromycin 30-50 mg/kg




When to use a broad spectrum agent? - ANSWER Use before cultures are resulted

, When to use a narrow spectrum agent? - ANSWER Used when pathogen is known
from a resulted culture.




What are empiric antibiotics? - ANSWER Antibiotics started without cultures or prior
to receiving results of the cultures. Broad spectrum agents are used.




When do you prescribe empiric antibiotics? - ANSWER If patient has a severe
infection, prescribe initiate before test results are available. They can also be prescribed by clinical
presentation alone.




How do you treat Clostridium Difficile associated diarrhea? - ANSWER Immediately
stop the antibiotic that facilitated CDI. PO vancomycin is used. Metronidazole and Rifaximin can be used
where PO vancomycin is not available.

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