Know Your Antibiotics: Silent Sodium An inpatient is diagnosed with heart failure exacerbation and pneumonia . They are on IV diuretics and IV antibiotics. What is a good way to lower sodium load to improve heart failure management? How did others respond? Reveal the answer Best Answer Switch to PO antibiotics Explanation: Sodium load in …
Pick Your Poison: Legionella Pneumonia A Legionella urine antigen returns positive in a patient on empiric ceftriaxone (CRO) and azithromycin for community-acquired pneumonia. How should antibiotics be adjusted? How did others respond? Reveal the answer Best Answer Stop ceftriaxone, continue azithromycin Explanation: Legionella is a common causative pathogen of community-acquired pneumonia (CAP) and is covered …
How Long for Legionella? A patient has finished 3 days of azithromycin 500 mg daily and has a positive Legionella urinary antigen. They are clinically stable. Should azithromycin be continued? How did others respond? Reveal the answer Best Answer No Explanation: Legionella is a common causative pathogen of community-acquired pneumonia (CAP) that is covered by …
Cefdinir PO for Bacteremic UTI A patient is being discharged on cefdinir 300 mg PO BID for E. coli bacteremia secondary to a cUTI. Is this an appropriate discharge plan? How did others respond? Reveal the answer Best Answer No Explanation: Cefdinir is unable to reach appropriate serum target attainment for typical MICs of …
Know your Antifungal: Echinocandins A patient has candida endophthalmitis . Which echinocandin should be used? How did others respond? Reveal the answer Best Answer Neither Explanation: Echinocandin antifungals should not be used in CNS, eye, or urine infections. They are similar in characteristics such as spectrum of activity, tolerability, and distribution. None of the echinocandins …