NR 566 MIDTERM STUDY GUIDE
NEWLY FORMATTED DOCUMENT
S. Pneumoniae (most common)
Common CAP H. Influenzae (smokers/COPD)
pathogens P. Aeruginosa (CF)
CAP first line treatment Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP Respiratory Fluoroquinolone if not received
treatment doesn't abx in the past 3 months
work?
Mycoplasma atypical pneumonia; commonly seen in children
pneumoniae
pediatric atypical Macrolides (Erythromycin), if failed then
pneumonia treatment Respiratory fluoroquinolone
CAP treatment during Amoxicillin, cephalosporins, or Erythromycin
pregnancy
Treatment of chlamydial Macrolide (Azithromycin): 500mg orally on
pneumonia in infant day 1 followed by 250 mg once daily on days
2-5
When to use Before cultures are resulted/ critically ill
broad/empiric patient after first culture obtained, based on
spectrum antibiotics? NP knowledge of patient history, local
susceptibility/geographic location
When to use narrow Used when the culture and sensitivity is
spectrum antibiotics? resulted, and pathogen is known.
1
, Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x
how to treat C.diff
10 days. 2nd: Metronidazole
500mg PO TID x 10 days
address hydration
Drug class known for 2nd and 3rd generation Cephalosporins
ALL drugs in class to
promote
development of C.
Diff
Penicillin: Cross- Cephalosporins &
sensitivity Carbapenems (Allergy
reactions with may be mild or severe)
which drug
classes
2
NEWLY FORMATTED DOCUMENT
S. Pneumoniae (most common)
Common CAP H. Influenzae (smokers/COPD)
pathogens P. Aeruginosa (CF)
CAP first line treatment Macrolides, Doxycyline, Amoxicillin
what to give if 1st CAP Respiratory Fluoroquinolone if not received
treatment doesn't abx in the past 3 months
work?
Mycoplasma atypical pneumonia; commonly seen in children
pneumoniae
pediatric atypical Macrolides (Erythromycin), if failed then
pneumonia treatment Respiratory fluoroquinolone
CAP treatment during Amoxicillin, cephalosporins, or Erythromycin
pregnancy
Treatment of chlamydial Macrolide (Azithromycin): 500mg orally on
pneumonia in infant day 1 followed by 250 mg once daily on days
2-5
When to use Before cultures are resulted/ critically ill
broad/empiric patient after first culture obtained, based on
spectrum antibiotics? NP knowledge of patient history, local
susceptibility/geographic location
When to use narrow Used when the culture and sensitivity is
spectrum antibiotics? resulted, and pathogen is known.
1
, Stop the antibiotic that may have caused it
1st: Vancomycin 125 mg PO QID x
how to treat C.diff
10 days. 2nd: Metronidazole
500mg PO TID x 10 days
address hydration
Drug class known for 2nd and 3rd generation Cephalosporins
ALL drugs in class to
promote
development of C.
Diff
Penicillin: Cross- Cephalosporins &
sensitivity Carbapenems (Allergy
reactions with may be mild or severe)
which drug
classes
2
