Reference no: EM133281142
Exam reveals decreased rales and rhonchi, more pronounced in the left lower lung fields, with increased fremitus and dullness to percussion. Chest x-ray reveals a consolidation in the left lower lobe. This appears to confirm that he has pneumonia?
Which bacteria is the leading cause of pneumonia and the one that he most likely has?
What is unusual about this pts history as compared to most pts that are at risk for s.pneumoniae?
In this type of pneumonia, the sputum analysis indicates gram _________ (negative/positive) diplococci. There are also a large number of _______________.
What other bacteria must be considered?
What is the best way to identify the pathologic agent?
The best sputum sample comes from the saliva in the mouth. TRUE OR FALSE
When is the best time to get a sputum sample? Why is that the best time?
When sending the sputum to the lab, how does the lab determine it is an adequate sample?)
Name four other diagnostics that can be done on this patient to further understand his condition.
If obtaining blood cultures, how many sets are typically obtained?
When choosing an antibiotic to treat this pt, it is important to try to cover for all pathogens, especially gram-negative organisms.
When treating on an outpatient basis, what class of drug should be used for this previously healthy man with no use of antimicrobial therapy within the previous 3 months?
Although there have been cases of resistance against this class, it is still recommended for pts without risk. Please write out the rx directions the way with the med and the sig how you would write it for the pt.
The choice of antibiotic therapy depends on three Important factors. What are they?
In most cases, improvement is seen within __________ to _________ hours of initiation of antibiotics
Should cough medicine be recommended? _______ Why or why not?
Name two teaching points to tell the patient.