Consolidation of lung treatment
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- The document discusses the treatment and management of lung consolidation caused by pneumonia. - Pneumonia is most commonly treated on an outpatient basis with oxygenation, appropriate fluid balance, and antibiotics. Hospitalization is recommended for those over 65, with significant co-morbidities, low white blood cell count, or inability to take oral medications. - Oxygen therapy aims to maintain oxygen levels above 8kPa, and may include CPAP for those remaining hypoxic. Intravenous fluids are given to those who are severely ill, vomiting, or older.
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Consolidation of lung treatment
- 2. • The most common cause for consolidation is PNEUMONIA • In consolidation, no reduction in lung volume • Hence treating the underlying cause cures with no residual impairment
- 3. TREATMENT FOR PNEUMONIA • Hospitalisation poses a risk to patient (NOSOCOMIAL INFECTIONS),so mostly treated on OP-basis Adequate oxygenation Appropriate fluid balance Antibiotics
- 4. CRITERIA FOR HOSPITALISATION • Elderly(>65yrs) • Significant co-morbidity(kidney,heart or lung diseased) • Leukopenia(<5000wbc/ul) • Suppurative complication(empyema, endocarditis) • Failure of OP management/Inability to take oral medication • Tachypnea (>30/min),Tachycardia(>140/min),Hypotension(<90m mHg,sys),Hypoxemia(<60mmHg),Altered mental status
- 5. OXYGENATION • To all patients with tachypnea,hypoxemia,hypotension or acidosis • Aim: Maintain PaO2 at or above 8kPa • High concentrations, preferably humidified should be used • CPAP(continuous positive airway pressure ) – to who remain hypoxic despite this
- 6. INTRAVENOUS FLUID • TO – Severly ill – Vomitting – Older patients • Ionotropic support for patient with shock
- 8. DURATION • For uncomplicated- 7days • Legionella • Staphylococcus longer duration • Klebsiella • Clinical review-6 weeks later • Anaerobic organism oral Metronidazole- • Lung abscess 4-6 weeks • For pleural pain-NSAIDS • Fever -paracetamol
- 9. PREVENTION • Cessation of smoking • Vacciantion against influenza(Hib)/Pneumococcus measels/pertussis
- 10. •Thank you