Pneumonia III
Pathophysiology Course
Risk Factors & Causes
Common Exam Question
#1 - Advanced AGE >65 Best indicator of ventilator
Over 65 years old
associated pneumonia (VAP) ?
VAP - “Ventilator Associated Positive sputum culture
Pneumonia”
1. Reposition side to side Q 2 hours Best blood lab value shows effective
2. Oral Care & Suctioning Q 2 hours treatment of pneumonia after IV
3. Chlorhexidine antibiotics?
Best indicators of VAP NCLEX TIP White blood Cell count
2
hrs
Positive sputum culture
Fever
Chest X-ray: new infiltrates
• Prolonged immobility - secretions are not mobilized & get stuck in
TED
body ELEVA
• Post-Operative - Anesthesia - the body is put to sleep which traps
infection in the lungs
Nursing Care
Early ambulation
Mobilize secretions & Expand Lungs (within 8 hours after surgery)
Chest physiotherapy
Cough with splinting
TCDB - turn cough & deep breathe! Common Exam Questions Hand Washing
Huff coughing technique Mouth Care Q 12 hour
NCLEX TIP
AVOID cough suppressants Chlorhexidine swab
Fluid 2 - 3 L per day Incentive Spirometer Q Hour
Positioning
GIVE Pain Meds
HOB UP! High Fowler’s
Hypoxia in Unilateral Pneumonia?
= Good Lung Down NCLEX TIP IS IS
INCENTIVE INCREASE SIZE
SPIROMETER OF THE ALVEOLI
8 O2 CO2
out
hrs
in
Interventions
Prevent Reinfection
Finish oral antibiotics at home
Mobilize Secretions Pneumonia vaccine (Every 5 years)
Avoid cough suppressants Smoking cessation
Antitussives: Codeine Hand Washing
Cool mist humidifier at night Schedule follow up & Chest X-ray
Increase Fluids Report: increased or Worsening
Re-expand Alveoli Fever
Confusion
IS - Incentive spirometer at home
SOB, cough, sputum
Pathophysiology Course
Risk Factors & Causes
Common Exam Question
#1 - Advanced AGE >65 Best indicator of ventilator
Over 65 years old
associated pneumonia (VAP) ?
VAP - “Ventilator Associated Positive sputum culture
Pneumonia”
1. Reposition side to side Q 2 hours Best blood lab value shows effective
2. Oral Care & Suctioning Q 2 hours treatment of pneumonia after IV
3. Chlorhexidine antibiotics?
Best indicators of VAP NCLEX TIP White blood Cell count
2
hrs
Positive sputum culture
Fever
Chest X-ray: new infiltrates
• Prolonged immobility - secretions are not mobilized & get stuck in
TED
body ELEVA
• Post-Operative - Anesthesia - the body is put to sleep which traps
infection in the lungs
Nursing Care
Early ambulation
Mobilize secretions & Expand Lungs (within 8 hours after surgery)
Chest physiotherapy
Cough with splinting
TCDB - turn cough & deep breathe! Common Exam Questions Hand Washing
Huff coughing technique Mouth Care Q 12 hour
NCLEX TIP
AVOID cough suppressants Chlorhexidine swab
Fluid 2 - 3 L per day Incentive Spirometer Q Hour
Positioning
GIVE Pain Meds
HOB UP! High Fowler’s
Hypoxia in Unilateral Pneumonia?
= Good Lung Down NCLEX TIP IS IS
INCENTIVE INCREASE SIZE
SPIROMETER OF THE ALVEOLI
8 O2 CO2
out
hrs
in
Interventions
Prevent Reinfection
Finish oral antibiotics at home
Mobilize Secretions Pneumonia vaccine (Every 5 years)
Avoid cough suppressants Smoking cessation
Antitussives: Codeine Hand Washing
Cool mist humidifier at night Schedule follow up & Chest X-ray
Increase Fluids Report: increased or Worsening
Re-expand Alveoli Fever
Confusion
IS - Incentive spirometer at home
SOB, cough, sputum
