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Respiratory Therapy RST 252
Egan Chapter 22
20
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Undergraduate 4
02/03/2011

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Term
Name of infection involving lungs
Definition
Pneumonia
Term
Pneumonia aka
Definition
Lower respiratory tract infection
Term
How many people die from pneumonia annually in the United States?
Definition
Five million
Term
What is the sixth leading cause of the death in the US?
Definition
Pneumonia
Term
Organisms that cause typical pneumonia?
Definition
  1. Streptococcus pneumoniae
  2. Haemophilus influenzae
  3. Moraxella catarrhalis
  4. S. aureus
Term
Organisms that cause Atypical pneumonia?
Definition
  1. Legionella pneumophila
  2. Chlamydophila pneumoniae
  3. Mycoplasma pneumoniae
  4. Viruses
  5. Coxiella burnetii
Term
Organisms that cause Chronic Community Acquired Pneumonia
Definition
  1. Mycobacterium tuberculosis
  2. Histoplasma capsulatum
  3. Blastomyces dermatitidis
  4. Coccidiodes immitis
Term
Organisms that cause Health Care associated pneumonia
Definition
  1. Mixed aerobic and anaerobic mouth flora
  2. Staphylococcus aureus
  3. Enteric gram-negative bacili
  4. Influenza
  5. M. tuberculosis
Term
Organisms that cause pneumonia in immunocompromised hosts
Definition
  1. Pneumocystsis carinii

  2. Cytomegalovirus

  3. Aspergillus sp.

  4. Cryptococcus neoformans

  5. Reactiviation tuberculosis or histoplasmosis

Term
Organisms associated with nosocomial pneumonia
Definition
  1. Aspiration
  2. Mixed aerobes and anaerobes
  3. Gram-negative bacilli
Term
Organisms associated with HAP or VAP pneumonia
Definition
  1. S. aureus
  2. Psedomonas aeruginosa
  3. Acinetobacter sp.
  4. Enterbacter sp.
  5. Klebsiella sp.
  6. Stenotrophomonas maltophilia
Term
What does the term "empirical therapy" refer to?
Definition
Treatment that is initiated based on the most likely cause of infection when the specific causative organism is still unknown
Term
What are the two types of Community acquired pneumonia?
Definition
Acute and Chronic
Term
Define HCAP
Definition

Health care-associated pneumonia

HCAP is pneumonia occuring in any pt hospitalized for 2 or more days in the past 90 days in an acute care setting or in the past 30 days in a long-term care setting, attended a hospital or hemodialysis clinic or recd iv antibiotics, chemotherapy or wound care

 

Term
Define HAP
Definition

Hospital acquired pneumonia

Lower respiratory infection that develops in hospitalized pts >48 hrs after admission.

Term
Define VAP
Definition

Ventilator-assoicated pneumonia

Lower respiratory tract infection 48-72 hours after endotracheal intubation. Second most common nosocomial infection in the US. Accounts for 15-18% of all such infections. >250,000 pt each yr. HAP increases hospitalization 7-9 days.  Attributable mortality as high as 33-50%.

Term
Which two microrganisms are associated with higher rates of mortality?
Definition
  1. Pseudomonas aeruginosa
  2. Acinetobacter spp.
Term
Which pt populations are at risk of large volume aspiration?
Definition
Impaired gag reflexes d/t narcotic use, alcohol intoxication or prior stroke, cardiac arrest or syncope
Term
What is the major mechanism responsible for the development of mixed aerobic and anaerobic, gram-negative and staphylococcal HAPs?
Definition
Aspiration
Term
What is the most uncommon cause of pneumonia?
Definition
hematogenous dissemination - the spread of infection through the bloodstream from a remote site
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