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Pediatric Pneumonia
PA CLin Med
24
Health Care
Graduate
09/19/2009

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Cards

Term
define pediatric pneumonia
Definition
infection of the lower resp tract that involves the airways and parynchema with CONSOLODATION of the alveolar spaces.
Term
cascade pathogenesis starting with URI:
Definition
URI>LRT>immune response/inflammation>air spaces fill with debris> decreased lung compliance, increased resistance, obstruction, altered V/Q.
Term
5 patterns of pneumonia:
Definition
1. lobar
2. broncho
3. necrotizing
4. caseating
5. interstitial
Term
define: lobar pneumoinia
Definition
involved in single lobe or segment
Term
define bronchopneumonia:
Definition
involvement of airways and surrounding interstitium
Term
necrotizing pneumonia is assoc w:
Definition
associated with aspiration
Term
caseating granuloma =
Definition
TB
Term
interstitial pneumonia =
Definition
viral
Term
what are the etiologic agents of aspiration pneumonia?
Definition
anaerobes (peptostreptococcus, fusobacterium)
Term
what are the etiological agents of nosocomial pneumonia?
Definition
GNR, S. aureus
Term
etiologic agent for neonatal pneumonia:
Definition
Group B Strep, E. coli
Term
etiologic agents for children over 5:
Definition
S. pneumoniae, Mcat, Chlamydophila pneumoniae
Term
when are viruses the most common cause of pneumonia?
Definition
children <5
Term
febrile pneumonia in 1-3mo = ?, afebrile?
Definition
febrile = RSV
afebrile = Chlamydia trachomatis
Term
what are the lung sounds assoc w pneumonia?
Definition
decreased lung sounds ; wheezing, crackles - one spot on lung
Term
resp rate for children <12mo that indicates severe infection:
Definition
>70bpm
Term
resp rate in children >12mo that indicates severe infection:
Definition
>50bpm
Term
possible labs to order during pediatric pneumonia:
Definition
LRESC, CBC, BLOOD C
Term
Tx for pneumoinia
Definition
varies by age but usually given Abtcs for common bugs of age group
Term
Tx infants (1-4mo)
Definition
febrile = admit
afebrile = erythromycin/azithromycin
Term
Tx 4mo-4yrs
Definition
Strep pneumo; amoxicillin, cefdinir
Term
Tx for >5yo:
Definition
azythro, erythro, clarithromycin
Term
radiographs for pneumonia patients may not change for up to:
Definition
6 wks
Term
cough post pneumonia may continue for up to:
Definition
several wks - 4mo
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