Clinical Presentation of Severe CAP or Aspiration Pneumonia General

In approximately 10% of patients, CAP will be severe enough to require intensive care or mechanical ventilation

Symptoms

• Respiratory—cough (productive or nonproductive), shortness of breath, difficulty breathing

• Nonrespiratory—fever, fatigue, sweats, headache, myalgias, mental status changes Signs

• Temperature may increase or decrease from baseline, but most often it is elevated. The temperature may be sustained or intermittent

• Respiratory rate greater than 30 breaths per minute. Cyanosis and use of accessory muscles of respiration along with the increased respiratory rate are suggestive of severe respiratory compromise

• Hypotension (systolic blood pressure less than 90 mm Hg or diastolic blood pressure less than 60 mm Hg)

• Requirement for vasopressors

• Breath sounds may be diminished. Rales or rhonci may be heard

• Urine output less than 20 mL/h or less than 80 mL over 4 hours

• Confusion, lethargy, and disorientation are relatively common in elderly patients Diagnostic Tests

As stated in the clinical presentation of community-acquired or aspiration pneumonia Laboratory Tests

As stated in the clinical presentation of community-acquired or aspiration pneumonia Microbiology Tests

As stated in the clinical presentation of community-acquired or aspiration pneumonia

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

Get My Free Ebook


Post a comment