ICU
Compromised Immune System
Exposure to infectious agent
Key
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Diagnostic
75 pack years 🚬
Sign and Symptoms
sedentary lifestyle
work related stress
Pathophsyiology
bacteria reach alveoli in lower respiratory tract
Physical Therapy Intervention
overweight
Medical Management
bacteria multiply and colonize
immune response
Adult onset diabetes
compromised cilia secondary to smoking
Fluid and Bacterial colonization fill up alveoli and create areas of consolidation
Pulmonary Devices
Percussion & Vibration
Acapella
chest x-ray showing white, patchy infiltrate
mucous membrane hypertrophy, increased capillary permeability
Risk Factors
Excessive interstitial fluid in alvoli
fever
NSAIDs/Antibiotics
infection passes to system
Bacteremia
Cytokines released
system-wide exaggerated inflammatory response
shortness of breath/tachypneic
auscultation
Bacteria PNA
Supplemental Oxygen
antibiotics
sepsis
decreased lung function
uncompensated respiratory alkalosis
Respiratory Alkalosis 7.49 / 33 / 70 / 27 / +2 / 91%
ABGs
metabolic system unable to compensate for respiratory alkalosis
crackles and bronchial breath sounds
circulatory abnormalities depresses gut's normal barrier function allowing bacteria translocation
uncompensated respiratory alkalosis
DBE
deteriorating condition, worsened uncompensated respiratory alkalosis: 7.49/ 32/ 50/ 26/ 0/ 87%
Increased Strain on system
increased HR=146, BP= 175/96, and RR=40-60
Labored respirations
Intubated & mechanically ventilated
Ambulation with AMBU bag/Respiratory care
fluid supplementation, nutrient delivery, antibiotics
hepatic and gastrointestinal dysfunction
mitochondrial functions altered, leading to damaged mitochondria
energy crisis
release of proinflammatory and antiinflammatory mediators
immunosuppression
organ dysfunction
ICU admission, bacteremia, age >65 years, diabetes, obesity, PNA
immunoglobulin infusions/ immune system support
Vasodilation/Hypotension
Clotting in organ vessels
multi-organ failure
CBC (low platelet, High WBC, CPK/inflammatory markers)
Blood sample through arterial line- CBC for ABGs
CPK - indicates inflammation
CBC- look for elevated CPK or inflammatory markers
Sputum sample test
Dialysis if reaches kidneys