1. What are the types of pathogens that can 1)viral
cause pneumonia? 2)bacterial
3)fungal
2. How do the pathogens enter? 1) inhalation
2)Aspiration
3)Circulation
3. Pathogens can enter via Aspiration of the oropharyngeal contents
____?____ contents
4. Pathogens can enter via Circulation through extrapulmonary
a
____?___source
5. what disease state can be found in the upper 1)sinus tract infection
respiratory tract? 2) pharyngitis
6. what disease state can be found in the lower 1)Pneumonia****
respiratory tract? 2)Bronchitis
7. where do pneumonia occur? lower respiratory tract
8. What is the Alveolar involvement in Pneumo- Organism enters alveoli, immune sys-
nia pathophysiology ? tem is activated, alveoli fill with pus/flu-
id
9. What is our defenses agains Pneumonia ? 1)mechanical
(host) 2)cough
3)Mucociliary transport
4)Humoral antibodies
5)alveolar defense
10. what is alveolar defense?
, Community Acquired Pneumonia
1)Lung surfactant
2)macrophages
3)Polymorphonuclear cells (PMNs)
4) Cellular immunity (T cells)
11. what are the 4 type of pneumonia classifica- 1)Community acquired Pneumonia
tion? (CAP)
2)Hospital Acquired Pneumonia (HAP)
3)Ventilator-Associated Pneumonia
(VAP)
4)Aspiration pneumonitis
12. A)Developed OUTSIDE of the hospital ORd48 community Acquired Pneumonia (CAP)
hr after hospitalization is what type of pneu-
monia?
13. Developed in the hospital > 48 hr after admis- Hospital Acquired Pneumonia (HAP)
sion is what type of pneumonia ?
14. Developed while on the mechanical ventila- Ventilator-Associated Pneumonia (VAP)
tor is what type of pneumonia?
15. inflammation resulting from the aspiration Aspiration pneumonitis
of gastrointestinal contents is what type of
pneumonia?
16. risk factors of pneumonia 1)Age >65
2)Diabetes
3)Asplenia
4)pulm/renal/hep disease
5)smoking
6)alcohol
, Community Acquired Pneumonia
17. RT is a 59 yo female with PMH of COPD 1)cough/chills
and HTN. She presents to the emergency de- 2)right lower lobe infiltrate
partment with a 2 day history of cough and 3)low oxygen saturation
chills.•
Her vital signs in the ED are as follows:HR:
101 beats/min BP: 100/65 RR: 22 breaths/min
SpO 2 : 88%•
A chest X-ray is performed and shows a right
lower lobe infiltrate
What signs/symptoms of CAP does this pa-
tient have?
18. what is the most likely cause of CAP in the 4)influenza virus
previous patient?
A)Streptococcus Pneumonia
2)Haemophillus flu
3)staphylcoccus aureas
4)influenza virus
19. Signs & Symptoms of pneumonia? 1)chills
2)fever
3)cough
4)Pleuritic chest pain
(breathing hurts)
5)dyspnea
20. older patients tend to have altered mental true
status and loss of appetite
21. physical exam of pneumonia ? 1)Tachypnea
(RR > 18)
2)Tachycardia