Wednesday, February 22, 2012

He also had mental status changes that ...

2 types of bacteria

As a practicing physician of internal medicine who work in intensive care, I care for patients with pneumonia on a daily basis. Although pneumonia is recognized as a disease, pneumonia symptoms can vary widely based on the unique characteristics of the patient. This is the fourth in a series of articles I wrote about pneumonia symptoms. Mr. J is a 55-year-old man who was found in very bad shape in his apartment. He found his friend were on the floor on Friday afternoon. There were several empty bottles of vodka, which is everywhere. The room seemed as though they were cleaned in months. Apparently, the patient drank straight on over three days and came out somewhere in that period. He was shot down in the ER by ambulance. He is the head CT done which was normal. Then it was pack blood and urine. All but his blood alcohol level seemed normal. He was still completely unconscious and his blood alcohol level of more than 0. 5 or 50%. I then called to admit a patient, and I had to send him to the ICU immediately. We watched it about in the intensive care unit. He started waking up about 4 hours. He was still simple, but to answer simple questions. The next morning, he was still in mind, but really wanted and shaky. He seemed to have developed severe alcohol withdrawal syndrome. This patient had all the signs of severe alcohol dependence and its history was under it. With the amount of alcohol he consumed, was very high risk of serious and potentially life-threatening withdrawal symptoms. We started it with some sedative to help alleviate the symptoms of withdrawal, but that was not enough. His symptoms increased rapidly, and it requires large doses of sedatives. It was the dream and tried to pull it out of IV. Later, he was seizure episode where his body was very hard and started to shake strongly. At this point he received a high dose of anti-seizure medication. Then we intubuvaty it and plugged it into the breathing machine. This was done to prevent respiratory failure from capture and high doses of sedatives to control it. Once he was on ventilator for 2 days, it is conditional deteriorated. He was more fragile and needs more oxygen. He daily X-ray done when he was on artificial ventilation. His first X-ray chest was normal, but the second showed a lack of clarity in both order strattera lungs, which seemed very irregular. He was diagnosed with pneumonia. This type of pneumonia called simply the hospital pneumonia. In his case, it can also be caused by ventilator associated pneumonia, she developed while he was connected to a breathing machine (ventilator), when it was diagnosed with pneumonia. This is one of several possible clinical situations that are likely to develop hospital pneumonia symptoms. Patient weak immune from alcoholism and its protection against pneumonia symptoms have been compromised. He also had mental status changes, which increased the possibility of aspiration and pneumonia. The requirement of large doses of sedative drugs also increase the risk of hospital pneumonia symptoms. Hospital acquired pneumonia symptoms are nonspecific and diagnosis should be considered in those whose general condition is deteriorating. You can read about in hospital of pneumonia. The importance of this special type of pneumonia that these patients have a greater chance of complications. Microorganisms that cause hospital acquired pneumonia symptoms are usually more resistant to conventional antibiotics. Our patient therefore strong antibiotics treatment, which cover most types of hospital pneumonia. His condition improved after 4 days, it requires less oxygen, and became more awake. We were able to break him sedatives, and when he was ready, we took the tube. He is very good after that. We followed him in the hallway, and he was like a different person. He was ready to talk with a social worker about his problems with alcohol and would go to a rehabilitation clinic to start a new life. I hope the story of my patient will give you an example of context and to understand that the hospital actually pneumonia. Pneumonia is a very common disease, but there are so many different things you can learn about the disease to really take care of patients with pneumonia symptoms. I will talk about some other aspects of the symptoms of pneumonia in my future articles. Please do not forget to send me your questions or comments about this patient-oriented approach to learning various aspects of pneumonia symptoms. Articles about pneumonia symptoms Dr. Sapkota:

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