Pneumonia

Description

Healthcare / Medical Mind Map on Pneumonia, created by Marvis Igiolu on 09/11/2018.
Marvis Igiolu
Mind Map by Marvis Igiolu, updated more than 1 year ago
Marvis Igiolu
Created by Marvis Igiolu over 5 years ago
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Resource summary

Pneumonia
  1. Diagnostic Tests
    1. Cultures and sensitivities
      1. Chest x-ray essential for early diagnosis
        1. Pulse Oximetry
          1. (Copstead & Banasik.2013)
          2. CBC, electrolyte levels BUN and creatinine
          3. Causative Factors
            1. Hospital acquired
              1. Infectious organism
                1. Bacteria, viruses, mycoplasmas, fungi, rickettsiae, protozoa, and helminths
                  1. People
                    1. Equipment and supplies
                      1. (Lopez, Struckey & Mallory, 2016)
                      2. Invasive devices
                        1. Environment
                        2. Noninfectious agents
                          1. Inflammation in the interstitial spaces, the alveoli and often the bronchioles
                            1. By surviving lung defenses including inflammation, Organisms penetrate airway mucosa and multiply in alveolar spaces
                              1. WBCs migrate to infection causing a capillary leak, edema and exudate
                                1. Fluids collect in and around alveoli and the walls thicken reducing gas exchange
                                  1. The capillary leak spreads infection to other areas of the lung and if the organisms move into the bloodstream sepsis results
                                    1. (Lewis, Heitkemper, Dirksen,& Bücher.2012)
                                    2. Fibrin and edema of inflammation stiffen lung reducing vital capacity
                                      1. Alveolar collapse further reducing gas exchange to blood causing hypoxemia
                                        1. Park, & Kim 2015
                              2. Aspiration of fluid, food, and vomitus
                                1. GERD
                                2. Inhalation of toxic gases, chemicals, smoke
                              3. Community acquired
                                1. Signs and Symptoms
                                  1. Flushed cheeks, bright eyes, anxious expression
                                    1. (Merai, Siegel, Rakotz, Busch, Wright, Wong & Thorpe 2016)
                                    2. Myalgia, headache, chills, fevers, cough, and sputum
                                      1. Pain or discomfort in chest or pleura
                                        1. Tachycardia, dyspnea, tachypnea
                                          1. Crackles are heard when assessing breathing
                                            1. Hypoxemia
                                              1. Arterial oxygen less than 80 mm Hg
                                            2. Pathophysiology
                                              1. Fluid in the lungs
                                              2. Treatments
                                                1. Fluid and oxygen management
                                                  1. Pulm. Toilet
                                                    1. Nasal & Oral Suctioning
                                                      1. Doyle-Cox, Brousseau, Tullouch, Mielniczuk, Davies, Sherrard, & Clark, 2016
                                                    2. Pain control
                                                      1. Anti-infective drugs
                                                        1. Maintain patent airway
                                                            1. Cough &deep breathe every 2hrs
                                                              1. Bronchodilators help when bronchospasm or wheezing is present
                                                                1. Albuterol
                                                                  1. (Copstead & Banasik.2013)
                                                              2. Health promotion education for caregivers
                                                                1. Hand Washing
                                                              3. Risk Factors
                                                                1. Older adult
                                                                  1. (Lewis, Heitkemper, Dirksen,& Bücher.2012)
                                                                  2. Exposure to viral or influenza infections
                                                                    1. Mechanical ventilation
                                                                      1. Adenovirus
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