NURS 361 Study Guide - Final Guide: Myalgia, Pus, Sputum
Document Summary
Community acquired anyone can get, aspiration (elderly) Nosocomial hospital acquired, at risk from length of stay, ventilator acquired. Opportunistic people who are immunosupressed (chemo, hiv, transplant pt. ) *pt. with enteral feeding (hob at 30 degrees when running!!) Cough dry at first them productive, hemoptysis. Positive = 5-15 mm circumference (15 for normal population) Negative = no response: isoniazid (inh) can cause numbness in extremities, hepatotoxic, rifampin can cause hepatitis, rarely renal failure, purazinamid hepatotoxic, streptomycin toxic to kidney and ears. *histoplasmosis: most common, found in bird droppings, spores inhaled. *coccidioidomycosis caused by coccidioides immitis (fungus), mold that grows in sw. *blastomycosis fungus found in midwest us and canada, men affected more often. *aspergillosis caused by aspergillus, invade blood vessels massive pulmonary hemorrhage! Causes: obstructive bronchitis, lung compression (pneumothorax, pleural effusion, tumor, loss of surfactant (inability to maintain open alveoli) Post-op patients educate on db, coughing, use of incentive spirometers, ambulation.
