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NR601 MIDTERM WEEK 2 QUIZ WITH NOTES

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NR601 MIDTERM WEEK 2 QUIZ WITH NOTES

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NR601 MIDTERM WEEK 2 QUIZ WITH NOTES



Pneumonia symptoms

Chills or hyperthermia, fever, sweating, chest discomfort or dyspnea, a new

cough with or with- out sputum production or with chronic cough, a change in

sputum color.



fatigue, abdominal pain, headache, myalgias, loss of appetite, and worsening

of other chronic illnesses.



older adults: Chest pain with fever and confusion




Atypical pneumonia

More gradual onset and may include a dry, hacking cough with more

constitutional symptoms such as headache, coryza (inflammation of the nose)

, shaking chills, myalgias, and sore throat



Mycoplasma Legionella Chlamydia




community acquired pneumonia (CAP)

Is an acute lower respiratory tract infection of the lung parenchyma in

which consolidation oc- curs as exudate fills the alveoli

,Bacterial or viral



begins outside of the hospital or is diagnosed within 48 hours of admission

without recent (14 day) residence in a long-term care facility.



Sudden on-set chills followed by fever, pleuritc pain and productive cough




Most common cause of CAP

streptococcus pneumoniae, followed by mycoplasma pneumoniae,

Staphylococcus aureus, le- gionella pneumophilia, and enterobacteriacaea




Hospital acquired pneumonia

(Pseudomonas aeruginosa, Klebsiella pneumoniae, S. pneumoniae,

Escherichia coli, Sarratia proteus, and Enterobacter)



Nursing Home Residence pneumonia

Aureus, MRSA, S. pneumoniae, and H. influenza




Pneumonia

Most common cause of death from infectious disease in older patients.

, CURB-65

Evaluation for

Pneumonia.

Measures

Confusion

=1

BUN>19=

1

Resp Rate> 30= 1

B/P Systolic < 90 and Diastolic < 60=1



Score:

0-1: Low risk: Out patient treatment

2= Brief hospitalization or closely monitored out

patient treatment 3 or greater= Severe, hospitalized

or possible ICU.




pneumonia severity index (PSI)

scale used to predict 30 day mortality rate in CAP, length of stay, time to

stability, ICU admission and hospitalization




Pneumonia mortality symptoms

Dyspnea, chills, altered mental status, tachypnea, hypotension,

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