Practice diagnosis and treatment of pneumonia

2021-02-05 12:00 AM

For patients with normal health and without complicated complications can start treatment with amoxicillin 500mg tablets, 3 times a day.

Pneumonia is a viral or bacterial infection in the lungs, which can be in one lobe of the lung (lobar pneumonia) or start in the bronchi and then spread to the lung tissue (bronchitis - lung). Pneumonia is common in people whose body has a weak resistance, such as children, the elderly, and people who often use harmful substances such as tobacco, alcohol ... The rate is higher in men than in women.

Reason

Most cases of pneumonia are caused by viruses or bacteria.

A very few may be caused by fungi, moulds, and protozoa.

A few cases of pneumonia are not caused by infection, usually due to:

Allergic to some factors such as dust, animal hair ...

Reacts with radioactive substances.

Side effects of some drugs such as amiodarone, azathioprine ...

Diagnose

Diagnosis is based on physical symptoms such as:

Cough with phlegm, usually half yellow to half green.

Fever (but in the elderly and children sometimes there is no fever), accompanied by a feeling of chills

Shortness of breath.

Pleural pleuritic chest pain, often associated with pleural effusion.

Haemoptysis.

Vomiting or diarrhoea in children.

Dizziness, easily falling, or signs of drowsiness or confusion in the elderly.

Little urine, dark urine.

Some of the following tests can support the diagnosis:

Chest x-ray if symptoms do not allow a definitive diagnosis. Triangular haze can be seen occupying a lobe or a segment.

Test for sputum and culture for bacteria to determine the cause.

Use test strips urine ketones (ketone) if suspected dehydration.

Hearing a rough crack, blowing tubes, alveolar whispering decreased in the inflamed lung lobe.

 Pneumonia is a viral or bacterial infection in the lungs, which can be in one lobe of the lung (lobar pneumonia) or start in the bronchi and then spread to the lung tissue (bronchitis - lung). Pneumonia is common in people whose body has a weak resistance, such as children, the elderly, and people who often use harmful substances such as tobacco, alcohol ... The rate is higher in men than in women.

Reason

Most cases of pneumonia are caused by viruses or bacteria.

A very few may be caused by fungi, moulds, and protozoa.

A few cases of pneumonia are not caused by infection, usually due to:

Allergic to some factors such as dust, animal hair ...

Reacts with radioactive substances.

Side effects of some drugs such as amiodarone, azathioprine ...

Diagnose

Diagnosis is based on physical symptoms such as:

Cough with phlegm, usually half yellow to half green.

Fever (but in the elderly and children sometimes there is no fever), accompanied by a feeling of chills

Shortness of breath.

Pleural pleuritic chest pain, often associated with pleural effusion.

Haemoptysis.

Vomiting or diarrhoea in children.

Dizziness, easily falling, or signs of drowsiness or confusion in the elderly.

Little urine, dark urine.

Some of the following tests can support the diagnosis:

Chest x-ray if symptoms do not allow a definitive diagnosis. Triangular haze can be seen occupying a lobe or a segment.

Test for sputum and culture for bacteria to determine the cause.

Use test strips urine ketones (ketone) if suspected dehydration.

Hearing a rough crack, blowing tubes, alveolar whispering decreased in the inflamed lung lobe.

Treatment

In cases of severe symptoms, subjects with weak resistance such as children, the elderly, people with damaged immune systems, diabetes ... should be referred to hospital for treatment. timely monitoring and management of complications.

For patients with normal health and without complicated complications can start treatment with amoxicillin 500mg tablets, 3 times daily, or erythromycin 500mg 4 times daily.

A nonsteroidal anti-inflammatory drug may be given to relieve symptoms.

If the fever does not improve within 48 hours or there are signs of illness developing in the whole body, the patient should be referred immediately to hospital treatment.
 

In cases of severe symptoms, subjects with weak resistance such as children, the elderly, people with damaged immune systems, diabetes ... should be referred to hospital for treatment. timely monitoring and management of complications.

For patients with normal health and without complicated complications can start treatment with amoxicillin 500mg tablets, 3 times daily, or erythromycin 500mg 4 times daily.

A nonsteroidal anti-inflammatory drug may be given to relieve symptoms.

If the fever does not improve within 48 hours or there are signs of illness developing in the whole body, the patient should be referred immediately to hospital treatment.