Vap


title: Ventilator Associated Pneumonia tags: #FFICM notebook: 🌑-FFICM type: inprogress


source: mcqs-and-sbas-in-intensive-care-medicine-oxford-higher-special-training

Flashcard type:basic
Which are the main guidelines to use when defininig Ventilator Associated Pneumonia? CDC Guidelines
What timescale can you split VAP into? Early and Late
What makes a VAP an early VAP? Occurs within 4 days of intubation
What makes a VAP an late VAP? Occurs after 4 days of intubation
Which are better at getting results, invasive or non-invasive samples for respiratory cultures? They're the same according to cochrane
Which are better at getting results, quantative or qualiative respiratory cultures? They're the same according to cochrane
The three main bugs that cause early VAP are Strep Pneumo, Haem Influenzae, and Staph Aureus
The three main bugs that cause late VAP are Pseudomonas, Acinetobacter, and MRSA

Plus some cloze stuff:

Flashcard type:cloze
The {{c1::CDC guidance for VAP::name and disease}} state that you need:
{{c2::Radiological Changes::first criteria}} PLUS One of
{{c3::Fever (>38)}}
{{c3::High or Low White Cells}}
{{c3::Confusion if Over 70}}
PLUS at least two of
{{c4::Purulent Sputum}}
{{c4::Worsening cough/dyspnoea}}
{{c4::Bronchial Breath sounds}}
{{c4::Worsening gas exchange}}
Then {{c5::optionally}} there are also {{c6::microbiological}} criteria