Pathophysiology Pneumonia

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Pathophysiology Pneumonia

IDEAL

Predisposing Precipitating
- Old age - Medications
- Lung problem - Mechanical ventilation
- Immunocompromised - Endotracheal , tracheostomy,
status(from disease or
and nasogastric tube
medication)
- Poor nutritional status
- Altered level of consciousness

Entry of microorganism Cough / Shortness of breath


through nasal passages

Invasion of the respiratory tract Massive Inflammation


(Pneumonia)

Infection Diagnostics: Treatment:

- Chest x-ray  - Antibiotic


Activation of immune response - Drink plenty of
- Sputum
testing  nonalcoholic
- Urine antigen fluids to stay
Increase secretions of fluids in testing  hydrated
the alveoli - Blood testing  - Anti pyretics
- Blood oxygen - avoid cigarette
measurement  or other
Increase secretions of fluids in Bronchoscopy  tobacco
the alveoli smoke 
- IV
supplementati
Exudates within the airspace of on with
the lungs antibiotics
Treated Complications

A person with pneumonia usually Fluid accumulation — Fluid can develop between
begins to improve after three to five the covering of the lungs (pleura) and the inner
days of antibiotic treatment. lining of the chest wall; this is called a pleural
Improvement may be defined as effusion. If the fluid becomes infected as a result of
feeling better or having fewer pneumonia (called empyema), a chest tube (or less
symptoms, such as cough and fever. commonly, surgery) may be needed to drain the
Fatigue and a persistent, but milder, fluid.
cough can last for up to one month,
Abscess — A collection of pus in the area infected
although most people are able to
with pneumonia is known as an abscess. They can
resume their usual activities within
usually be treated with antibiotics; rarely, surgical
seven days. Patients treated in the
removal is needed.
hospital may require three weeks or
more to resume normal activities. Bacteremia — Bacteremia occurs when the
pneumonia infection spreads from the lungs to the
bloodstream. This is a serious complication since
infection can spread quickly from the bloodstream
to other organs. Bacteremia can also cause the
blood pressure to be dangerously low.

Death — Although most people recover from


pneumonia, it can be fatal in some cases. The
mortality rate is approximately 5 to 10 percent
among patients admitted to a general medical
ward, but is as high as 30 percent in patients with
severe infection requiring admission to an
intensive care unit.

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