Module VII – Respiratory tract infections Classification of.
Module VII – Respiratory tract infections Classification of… Module VII – Respiratory tract infectionsClassification of medications, adverse effects, drug interactions, contraindications, monitoring and patient counseling are always essentialHave you reviewed the learning objectives on the introductory page for each topic and those found in the textBacterium are classified according to gram stain. What organisms make up the normal flora (fig 69-1) and what are the typical pathogenic organism a the sites of infection discussed in this moduleRecognize terms such as resistance, susceptibility, pathogenicity, virulence, MIC, empirical therapy, definitive therapy, de-escalationLRTI Preventative strategiesRisk factors Etiologies (common bugs) (table 71-1)… can’t treat an infection if you don’t know what causes itTreatment (adults only, non-ICU) (table 71-2) based on patient specific characteristics such as co-morbidities (eg diabetes, COPD), allergies (eg. PCN, macrolides, sulfa), drug interactions (quinolones + antacids/dairy, macrolides inhibit P450), CIs (tetracyclines in children), ADRs (clindamycin > c diff, quinolones > tendon rupture, QT prolongation, tetracyclines > photosensitivity), etcURTI (ARBS, AOM)Preventative strategiesRisk factors (72-1, 72-3)Etiologies (common bugs)Treatment based on patient specific characteristics such as co-morbidities (eg diabetes, COPD), allergies (eg. PCN, macrolides, sulfa), drug interactions (quinolones + antacids/dairy, macrolides inhibit P450), CIs (tetracyclines in children), ADRs (clindamycin > c diff, quinolones > tendon rupture, QT prolongation, tetracyclines > photosensitivity), etcFigure 72-2, 72-3; table 72-2,72-4 (note comments in table)Common cold – briefly review table 72-6. The agents used are mostly OTC and are similar to those used in allergic rhinitis and will be re-visited again in a later moduleModule VIII – SSTI / UTIClassification of medications, adverse effects, drug interactions, contraindications, monitoring and patient counseling are always essentialHave you reviewed the learning objectives on the introductory page for each topic and those found in the textSSTI — Focus should be on cellulitisRisk factors EtiologiesWhat if MRSA is suspect?Treatment (table 73-3) based on patient specific characteristics such as co-morbidities (eg diabetes, COPD), allergies (eg. PCN, macrolides, sulfa), drug interactions (quinolones + antacids/dairy, macrolides inhibit P450), CIs (tetracyclines in children), ADRs (clindamycin > c diff, quinolones > tendon rupture, QT prolongation, tetracyclines > photosensitivity), etcUTIDescribe the clinical presentation of a UTI noting if the presentation is complicated or uncomplicated. Are there differences in presentation in the older population vs the general population? Will any of the presenting characteristic (or lack thereof) influence your approach to treatment (table 79-1 and highlighted box on pg 1170)Outline a treatment plan (table 79-2, 79-3) for complicated and uncomplicated UTIs paying specific attention to the duration of therapy required. Your choice should also take into account patient specific characteristics such as co-morbidities (pregnancy), age (nitrofurantoin on BEERs list), allergies (eg. PCN, sulfa), drug interactions, CIs, ADRs, etcHealth Science Science Nursing NSG 533
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