Antibiotics are prescribed when the patient...

Respiratory support with oxygen, if necessary. Antibiotics, with decisions based on test results for specific organisms or organisms known on the basis of individual risk factors (such as age, health status and disease severity). Up to 10% of all adult hospitalizations in the United States related to pneumonia. Studies indicate that many patients are hospitalized unnecessarily pneumonia and those that can be released earlier. Number of strategies developed to determine when and which patients can be safely performed. One approach to determine the patient should be hospitalized categories of patients in five classes, depending on risk factors, severity, from the 1st class is the least severe (with less than 0. 5% mortality risk) and 5 class is most difficult (with at least 10% mortality risk). Excluding the least severe cases. These decisions about placement or does not start filtering out low-risk patients (referred to as Class 1 and 2) that can be discharged from outpatient treatment only. This can often be done with a simple physical examination, which often exclude serious condition. Patients with low-risk category have the following characteristics: >> << At the age of 50 years, and no patient in the nursing home. No other serious conditions are present. No serious symptoms are present (eg, change of mental status, rapid breathing with cough or shortness of breath, cyanosis blue in the face of the skin indicates a very low blood pressure too high). Even these criteria, however, should not be carved in stone. Doctors still have to use your own judgment and take mitigating factors. As an example, these young people with signs of pneumonia should be hospitalized, even if they otherwise fit the low-risk (class 1) category:

Any child per month. Young people with alcoholism or severe psychiatric disorders. Young people or children with irregular heart rhythms. Young adults or children who strongly felt sick. Children who are dehydrated. Definitions The following severity. If the patient is in class 1-category, or do not require hospitalization, obviously, the next step is to determine which of the other four major classes of patient fits. This step includes the destination points to other data, including the following:

Results of laboratory tests. X-ray study. Demographics (eg, man or woman, nursing home patients). Patients will benefit low point in these results are Class II and III; usually can be treated at home or only need to be hospitalized for 24 hours for observation. Patients with higher ratings are placed in classes IV and V and hospitalized. Care at home is possible even in difficult cases where there is good support and services available at home institution. Often, caregivers can even be trained to manage intravenous antibiotics and chest patients at home. Most patients with mild pneumonia can be treated at home with oral antibiotics, usually amoxicillin. (Good of the study in 2002 suggested that children with mild bacterial pneumonia can do, and with three days to five days of amoxicillin. This is important because it provides better reduction of compliance).

Patients should be sure to drink plenty of fluids. Coughing should not be suppressed because it is an important reflex for clearing the lungs. Some doctors advise taking expectorants, such as huafenizin (Breonesin, Glycotuss, Glytuss, Hytuss, Naldecon Senior EX, Robitussin), to loosen phlegm. There is no evidence that any of these products make a big difference in the results. Moderate pain can be treated with aspirin (for adults), acetaminophen (Tylenol and other brand) or ibuprofen (Advil, Motrin). For severe pain, codeine or other powerful pain relievers may be offered. It should be noted, however, that codeine and other narcotics suppress coughing, so they should be used with care in pneumonia and often require control. Interesting reports of laboratory studies that aromatic oils containing oregano, thyme, rose wood and destroy

S. pneumonia. It is unknown whether they have any effect on pneumonia in humans, but they are harmless and pleasant in any case. Patients should practice breast care. Treatment. If pneumonia is serious enough for hospitalization, standard treatment is intravenous antibiotics for five to eight days. (In case of uncomplicated pneumonia, many patients may require only two or three days of intravenous antibiotics should oral therapy). Antibiotics are prescribed when the patient has improved or out of the hospital. Length of stay. In the past, patients remained in hospital from eight to 11 days, but the hospital stay is shorter now, in most cases. I wonder what was in the 2002 study in which patients were first treated in the emergency department were able to return home earlier than those admitted directly into the hospital room. The reason for this was that ER patients, usually for the appropriate antibiotics and treated earlier than in the same hospital. It is important to emphasize, in any case that once patients are hospitalized, they must remain there until all vital stable. Most patients are stabilized for three days. Many experts use seven variables to measure this stability and determine whether the patient can go home:

temperature. (Opinions differ on the temperature goal. Some experts believe that the patient can go home if the temperature falls to a level of 101 degrees F. stringent criteria requiring it to be at or near normal).

Breath. (Goal is normal breathing rate, although expert opinions vary on the degree of normality must be met.)

Heart rate. (Goal 100 beats per minute or less).

Blood pressure. (Goal is systolic blood pressure of 90 mmHg and above).

Oxygenation. (The purpose of the oxygen level in blood determined by your doctor).

The ability to eat. (Goal regular appetite.)

Mental functions. (Goal is normal).

Patients or their families should discuss these criteria with the doctor. In the 2002 survey, 42% of patients in whom two or more signs of instability, when they went to the hospital were either readmission or died within 30 days. This compared with 10. 5% 30-day denial of fully stabilized patients. Chest therapy using incentive spirometry, rhythmic inhalation and coughing, and chest press are important techniques to loosen mucus and move it up from the lungs. It should be used as a hospital, and when the patient returns home during recovery. Incentive spirometry. The patient uses the incentive spirometer at regular intervals to improve breathing and loosen sputum. Spirometer handheld transparent plastic device that includes a breathing tube and a container with a moving sensor. The patient exhales and inhales

forced through the tube using a pressure gauge inspiration to raise a high level. Rhythmic breathing and coughing. During recovery, the patient performs strattera side effects rhythmic breathing and coughing every 4:00:

Before you begin breathing exercises, the patient should gently press on the chest to loosen mucus in the lungs. If possible, teacher should also tap on the back of the patient. The patient inhales rhythmically and deeply three or four times. Then the patient coughs as can be deeper in order to obtain sputum. .