Krista Vs Curb65 Case

After the PA/LAT chest x-ray, Krista has a left lower lobe pneumonia. This is an issue that needs to be addressed either on an inpatient or an outpatient basis. According to Morris (2011), the CURB65 or the CRB65 can be used to determine the level of care for CAP as there was not difference in the overall scores. The confusion, respiratory rate, BP, and 65 years of age (CRB65) are assess giving each factors a score of one. If the score is above 3, then hospitalize is required for a high risk of death. If a score of 1 or 2 is obtained, then there is an increased risk of death with hospitalization for a score of 2. If there is a score of 0, then the patient can be treated on an outpatient bases. With Krista tobacco usage, the likely organism is staphylococcus aureus which is a gram positive coccal bacterium. The treatment for the first line is Azithromycin 500 mg orally one dose, then 250 mg PO daily for 4 days or Clarithromycin 500 mg orally twice a day and finally Doxycycline 100 mg orally twice a day. In terms of her symptoms, Krista can take a cough suppressant, acetaminophen, and an antihistamine. Coricidin HBP is a combination drugs of the two latter drugs with a dose of 325 mg-2 mg 2 tabs oral every 4 to 6 hours not to exceed 12 tabs in a 24 hour period. This is the drug of choice for hypertension as well. Krista should continue drinking plenty of fluids and rest. Lastly, Krista should be offered a nicotine patch for
(2014). Health promotion, risk stratification, and treatment options to decrease hospitalization rates for community-acquired pneumonia in adults. Journal of The American Association Of Nurse Practitioners, 26(10), 537-549. doi:10.1002/2327-6924.12072

Morris, A. (2011). ACP Journal Club. Review: CURB65, CRB65, and Pneumonia Severity Index similarly predict mortality in community-acquired pneumonia. Annals of Internal Medicine, 154(8), 4-13.