Pneumonia
Incentive spirometer, cough to the side, oral care, understanding, get up, head of bed
What is Atelectasis?
Atelectasis results from the partial or complete, reversible collapse of the small airways and alveoli leading to an impaired exchange of CO2 and O2.
Pneumonia Risk Factors (5)
Travel, comorbidities, 65+, smoking, long term care facilities
What is Contraction Atelectasis?
Fibrotic changes in the pleura or lung prevent full expansion. This is from scar tissue from chronic lung disease, surgical procedures, injury, radiation, or inflammatory conditions.
Antivirals used sparingly. Usually have to be given within 48-72 hours of onset.
What is Resorption (Obstructive) Atelectasis?
A type of atelectasis that is from a lung collapse that happens when an airway is obstructed which leads to the absorption of air from the affected lung tissue.
What are the tests for Pneumonia? (4)
CXR, C&S with gram stain, blood culture, and CBC
What is Resorption (non-obstructive) Atelectasis?
This type of Atelectasis occurs when a high concentration of oxygen is inhaled, causing this oxygen to replace other gases, like Nitrogen, in the alveoli. It's quickly absorbed into the bloodstream, leading to a loss of alveolar volume and collapse.
What are Pneumonia complications? (SLAPHER)
Septicemia, lung abscess, ARDS, Para-pneumonic effusions, hypotension, empyema, respiratory failure/renal failure