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Acid-Base, Pneumonia - Coggle Diagram

- - - - signs: Normal,deep sigh
        
        history:stress-present eg:tingling
        
        Education,reassurance
        
        abdominal breathing
        
        Meds only if therapy doesnt work
        
        Small dose short acting benzo eg:lorazepam
        
        1.Cerebral vasoconstriction
        
        alkalosis-->hypocalcemia,hypophosphatemia
      - deep sigh-inc TV
  - - - no paresthesia
  - - - palpitations,chest pain,sweating,nausea
- - - - impaired bacterial clearance 2. infection
      - Causes
        
        External
        
        lymphadenopathy,vascular anomaly
        
        Cancer
        
        CT Chest
        
        bronchoscopy
        
        better sensitivity than CXR
        
        GERD
        
        Barium swallow study
        
        Internal
        
        foreign body,stenosis,carcinoid
        
        Recurrent aspiration
        
        Seizures,alcohol,gerd,drug,dysphagia
  - - - Cancer
        
        CT Chest
  - - - vasculitis,BOOP
- - - - Healthy
        
        amoxicillin/doxy
      - comorbid
        
        Fluroquinolone/beta-lactam+macrolide
    - - FQ Or Beta-lactam+macrolide
    - - beta lactam+FQ/macrolide
    - - Fluroquinolones
        
        C difficile infection,tendon rupture,aortic dissection
  - - - initiate treatment-Ceftriaxone+azithro
        
        Aged patient ?
        
        no FQ
        
        aortic dissection
        
        tendon rupture
        
        C diff
        
        why macrolide?
        
        hospitalised-atypical org eg:legionella,mycoplasma
        
        MRSA?
        
        TMP-SMX
        
        Smoking cessation counseling
        
        vaccine-pneumococcal and influneza