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jouranngreen108 jouranngreen108
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Posts: 517
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6 years ago
What time line has been established to initiate antibiotic treatment in patients with pneumonia who are admitted to the hospital that will result in improved survival?
 
  a. 2 hr or less
  b. 4 hr or less
  c. 6 hr or less
  d. 8 hr or less



Q. 2  ATS guidelines suggest using which of the following antibiotics if methicillin-resistant S. aureus is a concern?
 
  a. Cefazolin
  b. Doxycycline
  c. Penicillin
  d. Vancomycin



Q. 3  For a patient with pneumonia with coexisting cardiopulmonary disease, according to the ATS guidelines, what single antibiotic could be given as empiric treatment?
 
  a. Intravenous beta-lactam
  b. Intravenous doxycycline
  c. Intravenous fluoroquinolone
  d. Intravenous macrolide



Q. 4  Which of the following organisms that cause pneumonia is most likely to result in a positive blood culture?
 
  a. Chlamydia pneumoniae
  b. Haemophilus influenzae
  c. Mycoplasma pneumoniae
  d. Pneumocystis jiroveci
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wrote...
6 years ago
(Answer to Q. 1)  ANS: B
Therapy initiated within 4 hr of hospital admission has been associated with improved survival.

(Answer to Q. 2)  ANS: D
Vancomycin is another alternative, although the ATS guidelines suggest avoiding vancomycin unless methicillin-resistant S. aureus is a concern.

(Answer to Q. 3)  ANS: C
For higher risk patients with these comorbidities, acceptable alternatives include an IV be-ta-lactam plus an IV or oral macrolide or doxycycline; alternatively, a parenteral fluoroquinolone may be used alone.

(Answer to Q. 4)  ANS: B
Blood cultures should be obtained in hospitalized patients with community-acquired pneumonia and may be helpful in establishing the diagnosis in patients with typical bacterial pathogens. Blood cultures are positive in approximately 30 of patients with pneumococcal pneumonia and in up to 70 of those with H. influenzae pneumonia.
wrote...
6 years ago
Thank you for answering correctly!
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