Pneumonia Jeopardy Template

Treatment	Diagnosis, S/Sx, RF	Etiologies	Monitoring	Cases!
100 Vancomycin or Linezolid What are the medications that may be added on to treat if pneumonia is MRSA (+)	100 IDSA What it the entity that publishes guidelines for the treatment of pneumonia?	100 Steptococcus pneumoniae What is the most common gram positive pathogen in pneumonia?	100 Fluoroquinones Monitor for tendonitis and tendon rupture with this antibiotic.	100 Pseudomonas aeruginosa A 63 yo F with COPD has developed pneumonia. Which pathogen should you cover for that would be unlikely in someone with healthy lungs?
200 Respiratory FQ alone or Macrolide + B-Lactam What are the options for treating CAP in a hospitalized non-ICU patient?	200 Chest radiography What is the preferred method of diagnosing CAP?	200 Respiratory viruses and aspiration What are the most common non-bacterial causes of pneumonia?	200 Hearing tests before, during, and after treatment What is one monitoring parameter that aminoglycosides and vancomycin have in common?	200 Azithromycin 500 mg PO on day 1 then 250 mg PO daily x4d A 23 yo F was diagnosed with CAP and is admitted to the med surg floor. She was started on ceftriaxone 1 g IV once daily. What other abx is necessary for the pt?
300 Macrolide or Doxycycline What is the firstline treatment for outpatient CAP in a healthy patient without abx in past 3 months?	300 Abx therapy in last 3 months, smoking, alcoholism What are risk factors associated with CAP?	300 Structural lung disease, severe COPD with exacerbations, prior abx therapy What is a risk factor for Pseudomonas?	300 Includes temp ≤ 37.8øC, HR ≤ 100 beats/min, SBP ≤ 90 mmHg, O2 sat ≥ 90% ort Po2 ≥ 60 mmHg on room air, maintain oral intake, normal mental status What are the criteria for clinical stability?	300 Double pseudomas coverage + MRSA coverage Vancomycin IV + Levofloxacin IV + Zosyn IV Patient with PMH of T2DM and COPD was inpatient for 7 days and was discharged 3 days ago from the hospital with oral antibiotics, but failed to pick it up from his pharmacy due to cost. Patient presents to the ED today with fever of 103.8 F, RR 26 and upon ROS crackles heard in left lower lobe. Which IV antibiotics would you use on this patient?
400 Increased risk of seizures What can happen if two B-lactams are used?	400 CURB-65 What is the scoring system used to determine severity of CAP?	400 ESRD, IV drug use, prior abx therapy, prior influenza What are risk factors for MRSA?	400 Can consume a regular/modified meal Can tolerate at least 1 L/day of oral fluids S/sx of infection have resolved (decreasing WBC toward normal range, temperature < 100 ºF for at least 24-48 h and respiratory rate < 20 breaths/min) What are the criteria for IV to PO switch?	400 Staphylococcus aureus Pseudomonas aeruginosa Enteric G (-) bacilli such as Escherichia coli Acinetobacter bambini 48 year old homeless man was found unconscious on the street, with a empty bottle of vodka near him. Patient needed to be intubated and is in the ICU. Which organisms are you concerned about in this patient, and need to be covered specifically for pneumonia?
500 Piperacillin-tazobactam 4.5 g IV q6h + cefepime 2 g IV q8h + vancomycin 15 mg/kg IV What is the regimen for a patient with HAP a high risk of mortality or prior IV abx exposure?	500 sputum culture What is the preferred method of diagnosing HAP/VAP?	500 Acinetobacter What is an organism known to cause HAP and VAP but not CAP?	500 Linezolid For which abx should you monitor CBC because of bone marrow suppression?	500 Hospital-Accquired Pneumonia A 52-year male from an ALF presents with a 2 day history of fever and productive cough. He has mild dyspnea with excertion and has pain in his right side when he takes a deep breath. Upon ROS he is found to have crackles in the right lower lung, the remainder of examination is WNL. What is this patient diagnosed with?

Pneumonia!

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