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Exam (elaborations)

Community Acquired Pneumonia Exam Questions And Answers Graded A+

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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:


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