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PNEUMONIA
BY SHAZIA HASSAN
B.PHARMA
4TH YEAR
INTRODUCTION
~ It is an inflammatory condition of the lung
that is caused by a microbial agent.
~ ā€œPneumonitisā€ is a general term that
describe an inflammatory process in the lung
tissue that may predispose a patient to or
place a patient at risk for microbial invasion.
~ It is the leading cause of death from the
infectious disease.
INTRODUCTION
~At the end of breathing tubes in your lungs are cluster
of tiny air sacs. If you have pneumonia, these tiny sacs
become inflamed and fill up with fluid. Terms such as
bronchopneumonia, lobar pneumonia and double
pneumonia are sometimes used, but refer to the same
condition with the same causes and treatment.
PNEUMONIA
PATHOPHYSIOLOGY
SIGNS AND SYMPTOMS
ā—¦ High fever, Shaking chills
ā—¦ Shortness of breath (Dyspnoea)
ā—¦ Increased breathing rate
ā—¦ Chest pain when you breathe deeply or cough
ā—¦ Dusky or purplish skin colour (cyanosis) from poorly oxygenated
blood
ā—¦ Fatigue and muscle aches
ā—¦ Nausea, vomiting or diarrhoea
ā—¦ Cough, particularly cough productive of sputum
BRONCHITIS
VS
PNEUMONIA
Diagnosis
Etiological diagnosis
Gramā€™s and culture of sputum
Blood cultures
Antigen Tests
Polymerase Chain Reaction
Serology
Bronchoalveolar lavage
Bronchoscopy
0
0
0
0
0
0
0
0
0
DIAGNOSTIC EVALUTION
ā—¦ Physical examination
ā—¦ Chest X-Ray
ā—¦ Gram stain and culture and sensitivity tests of sputum
ā—¦ Blood culture
ā—¦ CT Scan and thorax
ā—¦ Transtracheal aspirate
ā—¦ Fiberoptic bronchoscopy or transcutaneous needle aspiration/biopsy
ā—¦ Transcutaneous oxygen level analysis or ABG
TREATMENT
ā—¦ Most people can be treated at home.
ā—¦ pneumonia becomes so severe that treatment is in the hospital,you may receive
fluids and antibiotics in your veins, oxygen therapy, and possibly breathing
treatments
ā—¦ Viral Pneumonia: Antivirals like Oseltamivie (Tamiflu) and zanamivir(Relenza)
ā—¦ Bacterial pneumonia: Patients with mild pneumonia who areā€˜otherwise healthy
are treated with oral macrolide antibiotics(azithromycin, clarthromycin, or
erythromycin)
ā—¦ Patients with other serious illnesses, such as heart disease, chronic obstructive
pulmonary disease, or emphysema, kidney disease, or diabetes are often given
more powerful and/or higher dose antibiotis,
Treatment ā€“ oral antibiotics
ā—¦Common medications for treating pneumonia:
ā—¦ Penicillins: Amoxicillin, Amoxicillin-Clavulanate
ā—¦ Sulfonamides: Co-trimoxazole
ā—¦ Macrolides: Azithromycin, Clarithromycin,Erythromycin
ā—¦ 2nd generation Cephalosporins: Cefaclor
ā—¦ Dose according to childā€™s weight
Surgical therapy
ā—¦ * Failure of medical treatment for 8 weeks.
ā—¦ * Complications: Massive Hemoptysis, Bronchopheuralfistula or
empyema,
ā—¦ * Specific pathology: Persistence of cavity larger that6cm after
medical therapy, Necrotizing pneumonia, Suspicion of Malignant
abscess, Bronchial obstruction with a foreign body or neoplasm &
Infection with resistant bacteria, mycobacteria, or fungi. Nonbacterial
cause of cavitary lung disease may bepresent, such as lung infarction,
cavitating neoplasm, and vasculitis. The infection of a pre-existing
sequestration, cyst, or bulla.
Surgical indications of resection (lobectomy) in lung abscess are:
MANAGEMENT OF PNEUMONIA
ā—¦Donā€™t smoke
ā—¦Practice good hygiene
ā—¦Stay rested and fit
ā—¦Wearing surgical masks by the sick may also prevent illness
ā—¦Appropiatele treating underlying llnesses (such as
HIV/AIDS, diabetes mellitus, and malnutrition) can
deacrease the risk of pneumonia.
ā—¦Geta a Pneumonia Vaccination
THANK YOU
FOR YOUR ATTENTION

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PNEUMONIA finl.pptx

  • 2. INTRODUCTION ~ It is an inflammatory condition of the lung that is caused by a microbial agent. ~ ā€œPneumonitisā€ is a general term that describe an inflammatory process in the lung tissue that may predispose a patient to or place a patient at risk for microbial invasion. ~ It is the leading cause of death from the infectious disease.
  • 3. INTRODUCTION ~At the end of breathing tubes in your lungs are cluster of tiny air sacs. If you have pneumonia, these tiny sacs become inflamed and fill up with fluid. Terms such as bronchopneumonia, lobar pneumonia and double pneumonia are sometimes used, but refer to the same condition with the same causes and treatment.
  • 6.
  • 7.
  • 8. SIGNS AND SYMPTOMS ā—¦ High fever, Shaking chills ā—¦ Shortness of breath (Dyspnoea) ā—¦ Increased breathing rate ā—¦ Chest pain when you breathe deeply or cough ā—¦ Dusky or purplish skin colour (cyanosis) from poorly oxygenated blood ā—¦ Fatigue and muscle aches ā—¦ Nausea, vomiting or diarrhoea ā—¦ Cough, particularly cough productive of sputum
  • 10. Diagnosis Etiological diagnosis Gramā€™s and culture of sputum Blood cultures Antigen Tests Polymerase Chain Reaction Serology Bronchoalveolar lavage Bronchoscopy 0 0 0 0 0 0 0 0 0
  • 11. DIAGNOSTIC EVALUTION ā—¦ Physical examination ā—¦ Chest X-Ray ā—¦ Gram stain and culture and sensitivity tests of sputum ā—¦ Blood culture ā—¦ CT Scan and thorax ā—¦ Transtracheal aspirate ā—¦ Fiberoptic bronchoscopy or transcutaneous needle aspiration/biopsy ā—¦ Transcutaneous oxygen level analysis or ABG
  • 12. TREATMENT ā—¦ Most people can be treated at home. ā—¦ pneumonia becomes so severe that treatment is in the hospital,you may receive fluids and antibiotics in your veins, oxygen therapy, and possibly breathing treatments ā—¦ Viral Pneumonia: Antivirals like Oseltamivie (Tamiflu) and zanamivir(Relenza) ā—¦ Bacterial pneumonia: Patients with mild pneumonia who areā€˜otherwise healthy are treated with oral macrolide antibiotics(azithromycin, clarthromycin, or erythromycin) ā—¦ Patients with other serious illnesses, such as heart disease, chronic obstructive pulmonary disease, or emphysema, kidney disease, or diabetes are often given more powerful and/or higher dose antibiotis,
  • 13. Treatment ā€“ oral antibiotics ā—¦Common medications for treating pneumonia: ā—¦ Penicillins: Amoxicillin, Amoxicillin-Clavulanate ā—¦ Sulfonamides: Co-trimoxazole ā—¦ Macrolides: Azithromycin, Clarithromycin,Erythromycin ā—¦ 2nd generation Cephalosporins: Cefaclor ā—¦ Dose according to childā€™s weight
  • 14. Surgical therapy ā—¦ * Failure of medical treatment for 8 weeks. ā—¦ * Complications: Massive Hemoptysis, Bronchopheuralfistula or empyema, ā—¦ * Specific pathology: Persistence of cavity larger that6cm after medical therapy, Necrotizing pneumonia, Suspicion of Malignant abscess, Bronchial obstruction with a foreign body or neoplasm & Infection with resistant bacteria, mycobacteria, or fungi. Nonbacterial cause of cavitary lung disease may bepresent, such as lung infarction, cavitating neoplasm, and vasculitis. The infection of a pre-existing sequestration, cyst, or bulla. Surgical indications of resection (lobectomy) in lung abscess are:
  • 15. MANAGEMENT OF PNEUMONIA ā—¦Donā€™t smoke ā—¦Practice good hygiene ā—¦Stay rested and fit ā—¦Wearing surgical masks by the sick may also prevent illness ā—¦Appropiatele treating underlying llnesses (such as HIV/AIDS, diabetes mellitus, and malnutrition) can deacrease the risk of pneumonia. ā—¦Geta a Pneumonia Vaccination
  • 16. THANK YOU FOR YOUR ATTENTION