Pneumonia Notes
Pneumonia is a lower respiratory problem. It is an acute inflammation of the lung, caused by viral, chemical, bacterial, fungal agents. Usually happens in people with compromised immune systems, or people who have compromise to the structures that protect the airway (i.e. the nares dry up and can't humdify air anymore, bronchioles shrivel and can't filter the air) If anything occurs with the mucocilliary system, the epiglottis, or the nares, we are inviting pneumonia into our bodies. Aging also causes a huge predisposition for pnuemonia because lungs are smaller, it's harder to expel air because the shape of the thoracic cage changes, and the immune system is less efficient.
4 ways that you can acquire pneumonia
(1) Aspiration: suction isn't done correctly or the epiglottis dysfunctions and food or fluid is introduced into the lungs, where it will sit and grow bacteria. To prevent this, STOP the tube feeding before you lay the patient flat or turn them. If patient is nauseous put them on their L side because aspiration is most likely in the R lung. Check for placement after you put in an NG tube to avoid putting tube feeding into the lungs.
(2) Inhalation of microbes: microbes like mycoplasma pneumoniae exist in the air and you can breathe them in.
(3) Blood: pneumonia can get into your blood and spread to your lungs.
(4) Pneumo/Hemothorax: the lung is introduced to the outside air and outside bacterias.
*it is super important that we encourage our patients to ambulate, cough and deep breathe, IS, and walk so they don't get pneumonia*
5 types of pneumonia
(1) Community acquired: lower respiratory infection resulting from smoking and being in a community infected with pneumonia. Smoking ruins your mucocilliary tract and makes it easy for an infection to nest there. Usually symptoms occur while in the infected community or 2 days after admittance to the hospital.
(2) Hospital acquired: Strains like *pseudomonas, enterobacter, staph aureus, and strep
4 ways that you can acquire pneumonia
(1) Aspiration: suction isn't done correctly or the epiglottis dysfunctions and food or fluid is introduced into the lungs, where it will sit and grow bacteria. To prevent this, STOP the tube feeding before you lay the patient flat or turn them. If patient is nauseous put them on their L side because aspiration is most likely in the R lung. Check for placement after you put in an NG tube to avoid putting tube feeding into the lungs.
(2) Inhalation of microbes: microbes like mycoplasma pneumoniae exist in the air and you can breathe them in.
(3) Blood: pneumonia can get into your blood and spread to your lungs.
(4) Pneumo/Hemothorax: the lung is introduced to the outside air and outside bacterias.
*it is super important that we encourage our patients to ambulate, cough and deep breathe, IS, and walk so they don't get pneumonia*
5 types of pneumonia
(1) Community acquired: lower respiratory infection resulting from smoking and being in a community infected with pneumonia. Smoking ruins your mucocilliary tract and makes it easy for an infection to nest there. Usually symptoms occur while in the infected community or 2 days after admittance to the hospital.
(2) Hospital acquired: Strains like *pseudomonas, enterobacter, staph aureus, and strep