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Bacterial Pneumonia (Medical Management (Sepsis (Antibiotics (Broad…
Bacterial Pneumonia
Medical Management
PNA/Lungs
Physical exam/History
Immune system assessment
Vitals/Arterial Blood Gases
Antibiotic treatment
Oxygenation/ventilation
Chest X-ray (CXR)/CT scan
Lower airway cultures (when patient is on Ventilation)
Bacteremia
Antibiotics
Cultures
Sepsis
Antibiotics (Broad Spectrum)
Intravenous fluids
Supplemental Oxygen
Blood cultures/samples
Monitoring urine output
Corticosteriods
Dialysis
Blood Transfusion
Mechanical Ventilation
Liver failure
Blood tests
Ultrasound/CT/MRI
Biopsy
Anti-viral medications
Liver transplant
GI dysfunction
Medications
Feeding tubes
Intravenous fluids
Resections
Pathophysiology
Bacteria enters the lungs
Inflammatory response
Hypertrophy of mucus membranes (inflammatory response)
Excess interstitial fluid
Alveoli become solid due to fluid accumulation and debris
Increased capillary permeability (decreased integrity)
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Increased pulmonary edema
Increased lymphatic drainage
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Decreased oxygen transport
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Increased CO2
Decreased O2
Increased pH
Normal or Increased HCO3
Uncompensated Respiratory Alkalosis
Risk Factors of Bacterial Pneumonia
Diabetes or systemic disease
Abusing alcohol
Age over 65 years
Work/Living environment
Smoking
Chronic lung disease
Respiratory infection
Weakened immune system
Signs and Symptoms (Pneumonia)
Dyspnea
Hypoxemia
Tachypenia
Tachycardia
Fever
Cough with sputum production
Pleuretic Chest pain
Broncial Breath Sounds
Patchy, fluffy, infiltrate, consolidation in CXR
CARA LOBIANCO
Stephen Ambrosio, Jonathan Castano, Jacqueline Gucker, Caitlin Lemire