Pt with pneumonia, normal vital signs, conscious and oriented, what is the treatment?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Outpatient oral antibiotic (e.g. amoxicillin)
Normal vital signs and an oriented patient give a low CURB-65 score (0-1), so the patient can be treated as an outpatient. For a previously healthy outpatient, monotherapy with oral amoxicillin (or doxycycline or a macrolide) is recommended. IV ward or ICU regimens and anti-pseudomonal/MRSA cover are for severe or hospital-acquired disease, and withholding antibiotics is wrong in bacterial pneumonia.
ليش كل خيار صح أو غلط
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A
ليش غلط
ICU is for severe CAP: one major criterion (shock, ventilation) or 3 or more minor criteria (confusion, RR 30 or more, hypotension...). This patient has none of these.
✓ Pneumonia (1).pdf · p. 5 -
B
ليش صح
For outpatient CAP in a previously healthy patient, the lecture recommends amoxicillin monotherapy (or doxycycline); with normal vital signs and orientation this patient fits outpatient care.
✓ Pneumonia (1).pdf · p. 5 -
C
ليش غلط
Ward admission is for CURB-65 of 2 or more; with normal vitals and a conscious, oriented patient the score is 0-1, so outpatient treatment applies.
✓ Pneumonia (1).pdf · p. 4 -
D
ليش غلط
Outpatient CAP is still treated with antibiotics, typically 3 to 5 days; symptomatic care alone is not the treatment.
✓ Pneumonia (1).pdf · p. 5 -
E
ليش غلط
Piperacillin-tazobactam is listed in the severe CAP/ICU regimen, and vancomycin (or linezolid) is an add-on tied to MRSA risk factors; neither fits a patient with normal vital signs.
✓ Pneumonia (1).pdf · p. 5
- المصدر
- Pneumonia (1).pdf · p. 4
Pneumonia (1).pdf · p. 5 - المحاضرة
- Pneumonia · Pulmonology · Module B
- ظهر في
- Respi bank