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week one NR 566 midterm Correct 100%

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CAP causative agents - ANSWER strep pneumo, atypical bacteria (mycoplasma pneumo) and viruses (influenza, RSV) most likely pathogen causing CAP in cystic fibrosis - ANSWER psuedomonas aeruginosa Chlamydial pneumo treatment - ANSWER macrolides (azithromycin) then tetracycline and fluoroquinolones when to use narrow spectrum - ANSWER when causative agent is known Renal dose adjustment for sulfonamides crcl 15 - ANSWER stop drug immediately SEVERE penicillin allergy what do you prescribe - ANSWER vancomycin, erythromycin and/or clindamycin Broad spectrum abx - ANSWER ampicillin, 3rd gen cephalosporins, tetracyclines, carbapenems, trimethoprim, sulfonamides, fluoroquinolones when to prescribe fluoroquinolone for CAP - ANSWER if tx with antimicrobial w/in last 90 days r/f drug resistance Most likely pathogen causing CAP in gen. population - ANSWER strep pneumo, atypical bacteria and/or viruses allergic to sulfa drugs - ANSWER PCN, cephalosporin or macrolide CDIFF treatment - ANSWER oral vanco and flagyl (stop abx that might be causing it)

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week one NR 566 midterm
Correct 100%
CAP causative agents - ANSWER strep pneumo, atypical bacteria (mycoplasma pneumo) and viruses
(influenza, RSV)

most likely pathogen causing CAP in cystic fibrosis - ANSWER psuedomonas aeruginosa



Chlamydial pneumo treatment - ANSWER macrolides (azithromycin) then tetracycline and
fluoroquinolones



when to use narrow spectrum - ANSWER when causative agent is known

Renal dose adjustment for sulfonamides crcl <15 - ANSWER stop drug immediately



SEVERE penicillin allergy what do you prescribe - ANSWER vancomycin, erythromycin and/or
clindamycin

Broad spectrum abx - ANSWER ampicillin, 3rd gen cephalosporins, tetracyclines, carbapenems,
trimethoprim, sulfonamides, fluoroquinolones



when to prescribe fluoroquinolone for CAP - ANSWER if tx with antimicrobial w/in last 90 days r/f
drug resistance



Most likely pathogen causing CAP in gen. population - ANSWER strep pneumo, atypical bacteria
and/or viruses




allergic to sulfa drugs - ANSWER PCN, cephalosporin or macrolide



CDIFF treatment - ANSWER oral vanco and flagyl (stop abx that might be causing it)

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  • chlamydial pneumo treatment answer macrolides

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