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NUR 566 891539-nr-566-nr566-advanced-pharmacology-care-of-the-family-midterm-exam-rated-a-latest-2020.

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1. Pneumonia goals of treatment - Return to baseline respiratory status - Fever resolves in 2 to 4 days - Leukocytosis resolves by day 4 of treatment - Chest x-ray may take 4 weeks or more to retu... rn 2. Common bacterial pathogens of Adult pneumonia - S. pneumoniae - Patients with underlying lung disease - Nontypeable Haemophilus influenza and Moraxella catarrhalis - Staph aureus: co-pathogen with influenza - Mycoplasma pneumoniae - Viral pneumonia 3. Common bacterial pathogens of Adult Community-Acquired Pneumonia - Consult current treatment guidelines for the most recent treatment guidelines for community acquired pneumonia (CAP) 4. Common bacterial pathogens of CAP in pregnant women - Main pathogens are S. pneumoniae - H. influenzae, M. pneumoniae, and viruses - Macrolides - Pregnancy category B: erythromycin, azithromycin - Pregnancy category category C: clarithromycin - Comorbid conditions or recent antibiotics: - Beta-lactam plus a macrolide 5. Common pediatric pneumonia pathogens - S. pneumoniae is the most common cause of bacterial pneumonia in patients of all ages - Increase in viral pneumonia with PCV7 vaccine - Infants 4 to 16 weeks - Consider chlamydia - Over 5 years through adolescence - Consider mycoplasma - Community-acquired methicillin-resistant staphylococcus aureus- Virus 6. Clinical practice guidelines for treatment of CAP - Children under age 5 years - Bacterial pneumonia (S. pneumoniae) - Amoxicillin: 80 to 90 mg/kg/day - Ceftriaxone: 50 mg/kg/day until able to take oral antibiotics - Penicillin allergy: clindamycin or a macrolide - Infant with suspected chlamydial pneumonia - Azithromycin 20 mg/kg/day for 3 days OR erythromycin (EryPed) 50 mg/kg for 14 days - Children 5 Years or Older - Mycoplasma or other atypical most likely - Azithromycin: 10 mg/kg on day 1 and 5 mg/kg on days 2 through 5 - Clarithromycin: 15 mg/kg per day in two divided doses (maximum 1 g/day) - Erythromycin: 40 to 50 mg/kg/day 7. CAP treatment in pregnancy - abx treatment: - 1st choice: Erythromycin or azithromycin cat B. or Clarythromycin cat C. 8. Radiologic findings during CAP treatment - assist in confirming the dx of pneumonia vs other resp disorders such as lung abscess or tuberculosis 9. Treatment of chlamydial pneumonia - he standard treatment for infants is erythomycin [Show More]

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