A 75-years-old woman has 3 days history of fever and 2 days history of productive cough. Her temperature is 38C, blood pressure is 88/60mmHg, and heart rate is 110 beats per minute. Respiratory rate is 35 breaths per minute. She is conscious but disoriented. Chest examination reveals bronchial breathing in the right base. chest Xray shows right basal air space disease. Which of the following is the most appropriate management?
سؤال مجاني 5 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: E. Admit patient to the intensive care unit with the use of broad-spectrum antibiotics
CURB-65 is at least 4 (confusion, RR 35, BP 88/60, age 75; urea not given), and she has several severe-CAP minor criteria (confusion, RR 30 or more, hypotension). A score of 3 or more means ICU-level care with broad-spectrum IV antibiotics. Outpatient options are unsafe, and ward carbapenem or antifungal cover does not match the severity or the likely organisms.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Outpatient care is only for CURB-65 0-1; she scores at least 4 (confusion, RR 35, BP 88/60, age 75), so discharge is unsafe.
✓ 10830170 - Respiratory Pathology - 017 ] Pneumonia [Notes].pdf · p. 17 -
B
ليش غلط
Outpatient follow-up is only for CURB-65 0-1; with a score of at least 4 she needs ICU-level care, not an antiviral and a clinic visit.
✓ 10830170 - Respiratory Pathology - 017 ] Pneumonia [Notes].pdf · p. 17 -
C
ليش غلط
A medical-ward (non-ICU) admission fits CURB-65 2; a score of 3 or more should not go to a non-ICU ward.
✓ 10830170 - Respiratory Pathology - 017 ] Pneumonia [Notes].pdf · p. 17 -
D
ليش غلط
A medical-ward (non-ICU) admission fits CURB-65 2; she scores at least 4, so she needs ICU-level care.
✓ 10830170 - Respiratory Pathology - 017 ] Pneumonia [Notes].pdf · p. 17 -
E
ليش صح
She has confusion, RR 35, BP 88/60 and age 75 (CURB-65 of at least 4); a score of 3 or more means ICU-level care with aggressive treatment.
✓ 10830170 - Respiratory Pathology - 017 ] Pneumonia [Notes].pdf · p. 17
- المصدر
- Pneumonia (1).pdf · p. 4
Pneumonia (1).pdf · p. 5
10830170 - Respiratory Pathology - 017 ] Pneumonia [Notes].pdf · p. 17 - المحاضرة
- Pneumonia · Pulmonology · Module B
- ظهر في
- Respi bank