Community Acquired Pneumonia

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 endotoxin immunosuppressants List factors that increase G- colonization. malnutrition chronic ilness elderly/nursing home resident surgery or prolonged hospitalization smoking antacids, H2 blockers, PPIs List factors that decrease cough reflex and thereby increase aspiration risk. ethanol intoxication stroke general anesthesia drugs that impair mental status Explain the classic presentation of pneumococcal pneumonia. follows respiratory viral illness abrupt onset of severe chill high fever chest pain productive cough T/F: the classic presentation of CAP is seen in all age groups. False young or middle aged [elderly have mental status changes instead] List lab test findings for CAP. increased WBC w/ left shift (15-40,000) CXR inflitrates decreased PO2 on ABG blood cultures of pneumonia causing bacteria +- sputum culture and gram stain Why is a sputum culture not always helpful in diagnosis of CAP?