Terms in this set (29)
silent tachypnea in the presence of fever ( no nasal congestion, no cough) what are you thinking?
how do you take respiratory rate in babies?
do it for a full minute
what is the most sensitive and specific sign of pneumonia?
different presentations of pneumonia not including cough?
fever + vomiting, fever +abdominal pain
fever greater than 102.2 and WBC over 20,000?
pneumonia even without signs or symptoms
tachypnea in 1-5 year old?
tachypnea in 2 to 12 month old
tachypnea from birth to 2 months
signs of increased respiratory distress
GFR (grunting, flaring, retractions)
typical bacterial pneumonia looks like
septic toxic looking, respiratory distress, fever, not usually productive cough, etc
atypical pneumonia looks like
wheezing, malaise, sore throat, headache, fever, not really looking sick
most common etiology of pneumonia school aged child
tolder or preschooler pneumonia etiology
infant older than 3 mo pneumonia etiology
less than 3 mo pneumonia etiology
group b strep, chlamyida, listeria
t/f most peds penumonias are treated empirically
when do you get a blood culture for pneumonia
in young febrile infants
is CXR indicated for a child with mild, uncomplicated outpatient presentation?
treat the patient not xray
top 3 bacteria that cause pneumonia in neonate ( birth to 30 days)
group B strep, listeria, e coli
what do you give to a neonate with pneumonia
ampicillin plus gentamicin +/- cefotaxime
how do you treat inpatient pneumonia ?
what do you add to the neonates abx if you think its staph
what do you give baby 1-3 mo for pneumonia
1 to 3 months what usually causes pneumonia
usually viral but chlamydia trachomatis, RSV are top. the parainfluenza, pertussis, etc
patients in close quarters that get pneumonia?
main etiology for 4 mo to 5 year olds with pneumonia
how do you treat outpatient kids 4mo to 5 years with pneumonia
high dose amoxicillin- don't treat if you think its viral!!
top etiology for pneumonia ages 5-15
mycoplasma or strep pneuma if they're really sick ( purulent sputum, chills, rigors etc)