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Lec 5

The document discusses various medical conditions and complications related to respiratory health, particularly during the COVID-19 pandemic. It highlights the importance of infection control, the role of different bacteria, and the impact of immunosuppression on pneumonia. Additionally, it covers diagnostic imaging techniques and management strategies for respiratory issues, including the need for early mobilization and secretion removal.

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ssotszhei
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12 views45 pages

Lec 5

The document discusses various medical conditions and complications related to respiratory health, particularly during the COVID-19 pandemic. It highlights the importance of infection control, the role of different bacteria, and the impact of immunosuppression on pneumonia. Additionally, it covers diagnostic imaging techniques and management strategies for respiratory issues, including the need for early mobilization and secretion removal.

Uploaded by

ssotszhei
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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LEC 5

Admission rate decrease during covid


More people died due to old age

Healthcare-acquired is due to lack of infection control


Differientiate with xray
Similar clinical presentation
Bronchopneumonia is homogenous, more fluid

E coli is from feaces


PCP pneumonia infection only happens for people with HIV/immunosuppress
Do culture with the suptumn to check for type of bacteria

Poor pain control may caused inability for deep breathing


Commensal microbes: balance and eliminate the bacteria

Pleura effusion cause empyema in pleural membrane

Most death is caused by the sepsis


Abnormal SpO2 may be caused by pulmonary embolism
Immunosuppression drugs
HIV

RBC will go into the alveoli

bronchial breathing sound can be heard


Lots of secretion in resolution stage
Anterior lordotic view for looking at the upper lobe without clavicle obstruction
Decubitus view for viewing fluid level
Can see left diaghragm still -> left lower lobe intact
Secretion will have inspiratory crackles
fluid level -> may need aspiration
Pleural thickening -> difficult to expand

May need surgery


Inflate the cuff with syringe
Inflate until it fully occupy the trachea

Need to remove the secretion in red area to prevent them from going down
Early mobilization to get off the ventilator earlier
MHI is manual hyperinflation
Damage to the bronchial wall -> permanent expansion
Pseudomonas aeruginosa cough out green suptumn
Frank hamoptysis should not happen (coughing out a can of blood)
Heart pump harder to overcome pressure

Hematocrit greater than 55 will make the blood more viscous


Hemoglobin should be 11-16g/dL

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