255 respiratory infections

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Author:
elevatedsound7
ID:
235352
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255 respiratory infections
Updated:
2013-09-17 12:23:56
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255 respiratory infections
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255 respiratory infections
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  1. pneumonia =
    acute inflammation of lung parenchyma (lower respiratory tract)
  2. pneumonia is spread through
    droplet
  3. risk factors for pneumonia =
    • decreased LOC
    • intubation
    • smoking
  4. why is smoking a risk factor in pneumonia
    smoking impairs mucociliary action
  5. VAP =
    • ventilator acquired pneumonia
    • biggest risk factor is poor mouth care
  6. highest incidence of mortality in pneumonia
    aged and young
  7. URI =
    upper respiratory infection
  8. PPV =
    pneumococcal polysaccharide vaccine
  9. when should people recieve pneumonia vaccines
    • 65 or older
    • 2-64 with chronic illness
    • persons 19-64 who smoke or have asthma
  10. booster for pneumonia vac given
    5 or more years after intial immunization
  11. community-acquired pneumonia =
    onset in community of within first 2 days
  12. hospital acquired pneumonia =
    • pneumonia occurs 48 hours or longer after admission
    • VAP = after ventiltor
  13. viral pneumonia =
    • cytomegalovirus
    • immunocompromised pt
  14. where does pneumonia commonly occur
    commonly in bronchioles, interstitial lung tissue and alveoli
  15. consolidation
    clumps and sticks together in pneumonia
  16. rust colored sputum =
    classic clinical manifestation in pneumococcal pneumonia =
  17. hemoptysis  =
    blood in sputum
  18. myalgia =
    muscle pain
  19. bronchial breath sounds are indicative of
    consolidation
  20. why do you hear bronchiole breath sounds instead of vesicular in pneumonia
    consolidation
  21. what would you feel in assessment with a pt with pneumonia
    • increased tactile fremitus
    • dull percussions
  22. what do you not want to see on chest xray
    white out
  23. treatment for pneumonia
    • increased fluid intake (3L/D)
    • id pathogen and target
    • supplement oxygen
    • limit activity
    • antipyretics and analgesics
  24. Acute bronchitis commonly follows a
    viral illness
  25. most common symptom of bronchitis
    • cough
    • DOE = dyspnea on exertion
  26. viral medications must be started within
    48 hours of onset of symptoms

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