Paciente femenina de 43 años con neumonía asociada a la ventilación mecánica.
Pneumonia is an infection that inflames the alveoli, affecting either one or both lungs. In this part the lungs fill with fluids, liquids or pus that will cause a cough with phlegm, fever, and difficulty breathing or will hinder breathing as such. Nosocomial pneumonia: NN is defined as the infection...
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| Format: | bachelorThesis |
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2021
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| Online dostop: | http://dspace.utb.edu.ec/handle/49000/9784 |
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Označite | Izvleček: | Pneumonia is an infection that inflames the alveoli, affecting either one or both lungs. In this part the lungs fill with fluids, liquids or pus that will cause a cough with phlegm, fever, and difficulty breathing or will hinder breathing as such. Nosocomial pneumonia: NN is defined as the infection that affects the lung parenchyma, which manifests itself 72 hours or more after the patient's admission to hospital, and which was not present or in the incubation period at the time of admission of the patient to the hospital. The factors that influence the etiology of VAP are the time of mechanical ventilation, the previous administration of antibiotic therapy, in addition to some host-dependent factors such as the presence of COPD or coma. Ventilator-associated pneumonia is a multifactorial pathophysiological phenomenon. It develops when lung defense mechanisms are weakened or overwhelmed, allowing microorganisms to multiply rapidly. Pneumonia in critically ill patients on mechanical ventilation causes fever and increased respiratory and heart rate or changes in respiratory parameters, such as increased purulent secretions or worsening hypoxemia. The management involves 2 simultaneous treatments. On the one hand, supportive treatment and, on the other, antibiotic treatment. Supportive treatment begins with mechanical ventilation adjusted to the needs of the patient. Regarding antibiotic treatment, the most important thing is not to delay an effective treatment since inadequate initial empirical treatment leads to higher mortality. If the AVN is early and these risk factors do not exist, most of the empirical guidelines present a correct coverage of the flora that we will find. Key words: pneumonia, nosocomial pneumonia, mechanical ventilation, ventilator-associated pneumonia, bacteria. |
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