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week one NR 566 midterm
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week one NR 566 midterm
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WEEK ONE NR 566 MIDTERMQUESTIONS WITH COMPLETE
SOLUTION
CAP kcausative kagents k- kstrep kpneumo, katypical kbacteria k(mycoplasma kpneumo) kand kviruses
k(influenza, kRSV)
when kto kprescribe kfluoroquinolone kfor kCAP k- kif ktx kwith kantimicrobial kw/in klast k90 kdays kr/f kdrug
kresistance
Most klikely kpathogen kcausing kCAP kin kgen. kpopulation k- kstrep kpneumo, katypical kbacteria kand/or
kviruses
most klikely kpathogen kcausing kCAP kin kCOPD/smokers k- kHaemophilus kinfluenzae
most klikely kpathogen kcausing kCAP kin kcystic kfibrosis k- kpsuedomonas kaeruginosa
Chlamydial kpneumo ktreatment k- kmacrolides k(azithromycin) kthen ktetracycline kand kfluoroquinolones
when kto kuse knarrow kspectrum k- kwhen kcausative kagent kis kknown
Narrow kspectrum kabx k- kpenicillin kG/V, koxacillin, knafcillin, kvancomycin, kerythromycin, kclindamycin,
kgentamicin, k1st kand k2nd kgen kcephalosporins
TB kmeds k- kisoniazid, krifamipin, kethambutol, kpyrazinamide
Broad kspectrum kabx k- kampicillin, k3rd kgen kcephalosporins, ktetracyclines, kcarbapenems, ktrimethoprim,
ksulfonamides, kfluoroquinolones
Extended kspectrum kabx k- kpiperacillin
MILD kpenicillin kallergy kwhat kdo kyou kprescribe k- koral kcephalosporin
SEVERE kpenicillin kallergy kwhat kdo kyou kprescribe k- kvancomycin, kerythromycin kand/or kclindamycin
allergic kto ksulfa kdrugs k- kPCN, kcephalosporin kor kmacrolide
CDIFF ktreatment k- koral kvanco kand kflagyl k(stop kabx kthat kmight kbe kcausing kit)
Abx kmost klikely kto kcause kcdiff k- kcephalosporins, kclindamycin kand kfluoroquinolones k(cipro kand klevo)
Renal kdose kadjustment kfor ksulfonamides kcr/cl k15-30 k- kdecrease kdoes kby k50%
Renal kdose kadjustment kfor ksulfonamides kcrcl k<15 k- kstop kdrug kimmediately
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