Lower Resp Flashcards
What is pneumonia
acute infection of the lung parenchyma
What is some general care for all lower resp problems
O2 therapy
positioning
coughing and deep breathign
Who are at highest risk for pneumonia
flu
depressed cough and epiglottal reflecs
mucocilliary mechanisms impaired
immune suppression
What are things that can cause mucocilliary mechanism damage
pollution smoking upper resp inf tracheal intubationi aging
When deciding whether to treat someone with community acquired pneumonia at home or in the hospital what scale do we use
CURB-65
What does the CURB-65 stand for
Confusion BUN >20 Resp rate >30 Blood pressure systolic <90 or diastolic <60 65- years old
How do you use the CURB 65 scale
give one point for each, 0 means treat at home
1-2 Consider hospital
3 Hospital
4-5 intensive care hospital
What are some manifestations of pneumonia and what might be some that are unique to lower resp inf
cough dyspnea, tachypnea fever, chills pleuritic chest pain from effusion- this might be unique crackles
How many days after hospitalisation does the appearance symptoms indicate HAP vs CAP pneumonia
first three days are likely community acquired
What does an ESR test for
inflammation
What sounds during percussion of a patient with lots of fluid in their lungs are you likely to hear
dull sounds
What symptom is more likely for any resp infection
increased fremitis
What is the first intervention for treating pneumonia
antibiotics
What are other interventions for pneumonia
O2 therapy analgesics for chest pain antipyretics Drug therapy Nutrition raise head of bed early ambulation incentive spirometry postural drainage and chest physiotherapy
After prompt antibiotic treatment with uncomplicated pneumonia, how long until they should respond to treatment
with 48-72 hrs
