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NR566 / NR 566 Midterm Exam Study Guide Advanced Pharmacology for Care of the Family Expected Questions and Verified Answers
1. Common CAP pathogens: S. Pneumoniae (most common)
- Influenzae (smokers/COPD)
- Aeruginosa (CF)
2. CAP first line treatment: Macrolides, Doxycyline, Amoxicillin
- what to give if 1st CAP treatment doesn't work?: Respiratory Fluoroquinolone if not
received abx in the past 3 months
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4. Mycoplasma pneumoniae: atypical pneumonia; commonly seen in children
- pediatric atypical pneumonia treatment: Macrolides (Erythromycin), if failed then
Respiratory fluoroquinolone
6. CAP treatment during pregnancy: Amoxicillin, cephalosporins, or Erythromycin
- Treatment of chlamydial pneumonia in infant: Macrolide (Azithromycin): 500mg
orally on day 1 followed by 250 mg once daily on days 2-5
- When to use broad/empiric spectrum antibiotics?: Before cultures are result- ed/
critically ill patient after first culture obtained, based on NP knowledge of patient history, local susceptibility/geographic location
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