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Cater to the patient's food and drink preferences within the limits of dietary restrictions.Give antipyretics and use cooling measures to reduce high fever.Humidify inhaled air.Splint chest and abdomen with a pillow during coughing attacks.Apply emollient to the lips and nares as needed.Clear the nostrils as much as possible to prevent mouth breathing.Provide for periods of uninterrupted rest.
Protect from and monitor for secondary infections such aspneumonia, otitis media, and sinusitis, because the weakened immune system causes greater susceptibility.SLIDE 8Pneumonia is classified as community acquired or hospital acquired.Viral pneumonia does not produce exudateIt causes interstitial inflammation, and it tends to be less severe than bacterial pneumonia.Any respiratory infection in an already debilitated patient can have severe consequences. In otherwise healthy individuals, viral pneumonia is usually a mild, self-limiting illness. Streptococcus pneumoniae(pneumococcus) is the most common cause of bacterial pneumonia. Pathogenic microorganisms are always present in the upper respiratory tractPneumonia can occur when resistance is lowered by someother factor, such as chronic disease, alcoholism, debilitation, physical inactivity, or extremes in age (very young or very old).Any respiratory infection in an already debilitated patient can have severe consequences. In otherwise healthy individuals, viral pneumonia is
usually a mild, self-limiting illness. Streptococcus pneumoniae(pneumococcus) is the most common cause of bacterial pneumonia. Pathogenic microorganisms are always present in the upper respiratory tract; Pneumonia can occur when resistance is lowered by someother factor, such as chronic disease, alcoholism, debilitation, physical inactivity, or extremes in age (very young or very old).SLIDE 17Deep breathing and use of an incentive spirometer help to keep the alveoli open and functional.SLIDE 18ci-dioido-mycosis Although classified as a fungal infection, PCP does not respond to antifungal treatment, and trimethoprim-sulfamethoxazole (Bactrim) is the preferred therapy. Fungal infections are diagnosed by history, signs and symptoms, and positive skin test reaction to the fungus.SLIDE 20The causative organism is the true tubercle bacillus Mycobacterium tuberculosis.Latent TB infection (LTBI)refers to an infection with Mycobacterium tuberculosisbut no current active disease.
LTBI may develop into active TB if the immune system is weakened by a serious illness such as HIV, or when the system is less efficient, as with advanced age.Tuberculosis is spread through airborne particles that carry the TB bacilli and are inhaled by a susceptible individual. The droplets can remain suspended in the air for several hours. Infection most often occurs after prolonged exposure, but not everyone contracts the disease, even after close and extensive contact with infected persons.