Acquired pneumonia - Study guides, Class notes & Summaries
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![Exam 2: NSG 124/ NSG124 (NEW 2024/ 2025 Update) Pharmacology | Review with Questions and Verified Answers| 100% Correct| Graded A- Herzing](/docpics/4273733/65aa81df19cfe_4273733_121_171.jpeg)
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Exam 2: NSG 124/ NSG124 (NEW 2024/ 2025 Update) Pharmacology | Review with Questions and Verified Answers| 100% Correct| Graded A- Herzing
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Exam 2: NSG 124/ NSG124 (NEW 2024/ 2025 
Update) Pharmacology | Review with 
Questions and Verified Answers| 100% 
Correct| Graded A- Herzing 
 
Q: Penicillins - mechanism of action 
 
 
Answer: 
- weakens cell wall, causes water uptake and cell rupture 
- bactericidal (kills cells) 
 
 
 
Q: Ampicillin 
 
 
Answer: 
Penicillin preferred drug for gram-negative bacteria 
 
 
 
Q: patient education for Penicillins 
 
 
Answer: 
- take with full glass of water 
- take 1 hour before or 2 hours after...
![Community Acquired Pneumonia Exam Questions And Answers Graded A+](/docpics/5143537/662ff23d5c034_5143537_121_171.jpeg)
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Community Acquired Pneumonia Exam Questions And Answers Graded A+
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Community Acquired Pneumonia Exam Questions And Answers Graded A+ 
Epidemiology 
Community-Acquired Pneumonia 
• An estimated 5.6 million cases/year 
• Estimated total annual cost is $10 billion 
• 6th leading cause of death in U.S. 
- #1 cause of death from infectious diseases 
• Up to 80% of treatment is outpatient 
• Mortality rate varies 
- <1-5% outpatient 
- 12% inpatient 
- Up to 40% in critically ill/ICU admissions 
 
 
Pathogenesis 
Community-Acquired Pneumonia 
• Microor...
![Community Acquired Pneumonia (CAP) A Grade Exam 2024|Questions with Complete Solutions](/docpics/5160557/663215f48fbb1_5160557_121_171.jpeg)
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Community Acquired Pneumonia (CAP) A Grade Exam 2024|Questions with Complete Solutions
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Epidemiology 
Community-Acquired Pneumonia - Ans • An estimated 5.6 million cases/year 
• Estimated total annual cost is $10 billion 
• 6th leading cause of death in U.S. 
- #1 cause of death from infectious diseases 
• Up to 80% of treatment is outpatient 
• Mortality rate varies 
- <1-5% outpatient 
- 12% inpatient 
- Up to 40% in critically ill/ICU admissions 
Pathogenesis 
Community-Acquired Pneumonia - Ans • Microorganisms gain access to the lower 
respiratory tract via: 
- I...
![Community Acquired Pneumonia](/docpics/5239801/663c70f8ad2f4_5239801_121_171.jpeg)
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Community Acquired Pneumonia
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Community Acquired Pneumonia Exam Questions And Answers Graded A+ 
 
 
Community-dwelling outpatient, or inpatient if diagnosis within 48 hours of admission 
CAP 
(Community acquired pneumonia) 
Community-dwelling patient ADMITTED with risk factors for multi-drug resistant pathogens 
HCAP 
(Healthcare-associated pneumonia) 
>/=48 hours after hospital admission (not incubating before admission) 
HAP 
(Hospital-acquired pneumonia) 
48-72 hours after endotracheal intubation 
VAP 
(Ventilator-ass...
![Community Acquired Pneumonia Test |Questions with Complete Solutions](/docpics/5160588/663216edc0965_5160588_121_171.jpeg)
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Community Acquired Pneumonia Test |Questions with Complete Solutions
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Explain the difference between community acquired pneumonia, hospital acquired 
pneumonia, and ventilator associated pneumonia. - Ans 1. CAP- community-dwelling 
outpatient or inpatient if diagnosis is within 48 hours of admission 
2. HAP- patient has been in the hospital more than 48 hours before diagnosis 
3. VAP- 48-72 hours after endotracheal intubation patient is diagnosed 
What are the signs and symptoms of pneumonia? - Ans 1. fever / chills 
2. SOB / hypoxemia 
3. cough / sputum productio...
![Community Acquired Pneumonia Exam Questions And Answers Graded A+](/docpics/5143544/662ff23fb6131_5143544_121_171.jpeg)
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Community Acquired Pneumonia Exam Questions And Answers Graded A+
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Community Acquired Pneumonia Exam Questions And Answers Graded A+ 
What are the Most Common Risk Factors associated with Community Acquired Pneumonia? 
-Decrease in Mucocillary Transport 
-Decrease in Immune Responses 
-Increase in Gram (-) Colonization 
-Decrease in Cough Reflux/Increase in Risk of Aspiration 
 
 
How is Mucocillary Transport Decreased? 
Smoking 
COPD 
C F 
Viral Infection 
Elderly 
 
 
How are Immune Responses Decreased? 
Chronically: 
-Ethanol 
-Elderly 
-Diabetes 
-Malnutrit...
![Community Acquired Pneumonia](/docpics/5239764/663c70431197d_5239764_121_171.jpeg)
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Community Acquired Pneumonia
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Community Acquired Pneumonia Exam Questions And Answers Graded A+ 
 
 
What general categories can increase the likelihood of CAP? 
decreased mucociliary transport 
decreased host immune response 
decreased cough reflex (aspiration risk) 
List factors that decrease mucociliary transport. 
smoking 
COPD 
CF 
viral infection 
elderly 
List factors that decrease host immune response. 
ethanol abuse viral infection 
elderly hypoxemia 
DM, AIDS, cancer pulmonary edema 
malnutrition bacterial endotoxi...
![Community Acquired Pneumonia 2024|Questions with Complete Solutions](/docpics/5160574/663216755f804_5160574_121_171.jpeg)
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Community Acquired Pneumonia 2024|Questions with Complete Solutions
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What are the Most Common Risk Factors associated with Community Acquired Pneumonia? - 
Ans -Decrease in Mucocillary Transport 
-Decrease in Immune Responses 
-Increase in Gram (-) Colonization 
-Decrease in Cough Reflux/Increase in Risk of Aspiration 
How is Mucocillary Transport Decreased? - Ans Smoking 
COPD 
C F 
Viral Infection 
Elderly
![Community acquired pneumonia & Hospital Acquired Pneumonia](/docpics/5243869/663cceb171a0d_5243869_121_171.jpeg)
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Community acquired pneumonia & Hospital Acquired Pneumonia
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Community acquired pneumonia & Hospital Acquired Pneumonia 
 
 
What qualifies as CAP? 
-ambulatory/outpatients (outside of a healthcare setting) 
-patients who are NOT residents of nursing homes or other long term facilities 
-diagnosed if present within 48hrs of a hospital admission 
What percent of cases is an unidentifiable cause of CAP? 
40-60% 
What bacteria accounts for 2/3 of CAP isolates? 
S pneumoniae 
What is the most common viral infection that progresses into CAP PNA? 
Influenza 
So...
![Community Acquired Pneumonia (CAP) Questions and Answers Already Passed](/docpics/5583877/6664a54f3b762_5583877_121_171.jpeg)
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Community Acquired Pneumonia (CAP) Questions and Answers Already Passed
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CAP is the ___________ infectious ds in the US and the ______________ leading cause of 
death. - Most deadly 
- 8th 
What normally prevents the development of lower respiratory tract infections following 
aspiration of oropharyngeal secretions containing bacteria or inhalation of infected aerosols? 
Pulmonary defense mechanisms (cough reflex, mucociliary clearance system, immune 
responses) 
CAP occurs when _________________ . There is a defect in 1 or more of the normal 
defense mechanisms (cou...
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