Subjective
Increased vitals?
Increased temp. 39.5C and increased HR 102bpm
Gram negative rod that starts with K
Klebsiella sp
How long is the antibiotic empiric therapy for this patient?
7 days
How long the patient have had a severe headache?
2 days
Increased WBC, BUN, hematocrit, decreased platelets
This organism is involved in CAP
S. pneumoniae
What is the dosage for dexamethasone for this patient?
10mg IV Q 6 H for 2 - 4 days
What is the mental status of the patient at the ER?
Unresponsive, non - verbal
Symptom in neonates?
Bulging fontanel
Causative organisms in neonates and elderly?
Listeria
Which corticosteroid is used in empiric therapy?
Dexamethasone
What could be the main reason for contracting S.pneumo?
3 yo grandchild, runny nose
Symptoms part of the triad
Fever, neck stiffness, severe headache
Gram negative diplococcus?
N. Meningitidis
Main empiric therapy in >50yo
What is the therapy recommended after blood cultures show positive for s.pneumoniae?
Ceftriaxone 2g Q12 H for 14 days