NU 664 CAP- EX1 (Mid-Term) Questions and Answers 100% A+

NU 664 CAP- EX1 (Mid-Term) Questions and Answers 100% A+ CAP: - CORRECT ANSWER-- community acquired pna- 8th leading cause of death in US An acute infection of the lung parenchyma that is not acquired in a hospital, long-term care facility, or other recent contact with the health care system" • Acute infection of the lung - Lobar -(confined to a lobe) - Segmental -(a segment of the lobe) - Interstitial- (confined to interstitial tissue) - Bronchopneumonia- (confined to alveoli/bronchi) - can have mixed pna too→ lobar + segmental • Persons living in the community NOT hospitalized with the previous 2 weeks • Symptoms of an acute infection with or without infiltrate on CXR • CXR = gold standard for diagnosis • in practice people with negative CXR but +symptoms, still get treated - CORRECT ANSWER- immunizations for people 65+ or younger with comorbidities i.e. asthma, COPD, CHF - CORRECT ANSWER-pna and flu vaccines Who is at risk for CAP? - CORRECT ANSWER-Extremes of age (very young/very old) Smokers ETOH abuse GERD Chronic diseases( DM, COPD, CAD, CHF) Institutionalization TAKE A GOOD HISTORY: - CORRECT ANSWER-How/when did the symptoms develop? Any current medications?- PPIs and antipsychotics can increase risk for weakened immune system Tobacco? ETOH? Drugs? Intake and output Sick contacts? Children in daycare? Work environment HIV status/risk- screen high risk population, anyone between 13-64. should get tested for HIV ATLEAST ONCE IN THEIR LIFE! Do not need written consent anymore! PMH Any chance of aspiration? Abx use in the past 3 months!!!! * maybe one worked, one didnt Previous hx of pneumonia?