Pneumonia

Question 1

What is pneumonia?

Answer 1

• An inflammatory condition of the lung where the alveolar fills with consolidation and exudation

Question 2

4 Stages of Pneumonia

Answer 2

Consolidation - Occurs in the first 24 hours. Vascular engorgement.

Red Hepatisation - 2-3 days. Massive exudation occurs. Liver like consistency.

Grey Hepatisation - 4-6 days. Progressive disintegration of red blood cells.

Resolution - 6+ days. Exudate undergoes progressive digestion and is reabsorbed or coughed up.

Question 3

Types of Pneumonia

Answer 3

CAP - Community Acquired Pneumonia
HAP - Hospital Acquired Pneumonia
HCAP.- Health Care Acquired Pneumonia
VAP - Ventilator Acquired Pneumonia

Question 4

Signs and symptoms of Pneumonia

Answer 4

• Fever
• Malaise
• Chest pain
• Dyspnoea
• Coughing (productive and non-productive)
• Fatigue
• Rapid HR

Question 5

Medical diagnosis of Pneumonia

Answer 5

• High temp
• Increase HR (>100bpm)
• Crackles on ausc
• Decreased breath sounds or bronchial breath sounds (indicates consolidation)

Question 6

Diagnostic tests for Pneumonia

Answer 6

• CXR
• Auscultation
• CT scan
• Blood/sputum test

Question 7

Physio treatment for Pneumonia

Answer 7

Non Productive - Positioning, positions of ease, VQ matching, mobilisation

Productive - Positioning, percussion, shakes/vibs, ACBT, AD, breathing exercises, adjuncts, suctioning, nippy clearway, postural drainage