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

16954tn

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