B patient is instructed to maintain adequate dental

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b. Patient is instructed to maintain adequate dental and oral hygiene, since anaerobic bacteria play a role in the pathogenesis of lung abscess. c. Give appropriate antimicrobial therapy to those with pneumonia. 4. MANAGEMENT a. Adequate drainage thru postural drainage aided by percussion, effective coughing and breathing exercises. b. Sometimes, bronchoscopy is needed to drain abscess. c. ↑ protein, ↑ calorie diet – since chronic infection is associated with a catabolic state. d. Antibiotic therapy duration may be from 6-18 weeks to prevent relapse. e. Surgery if medical intervention is inadequate. 5. NURSING INTERVENTIONS FOR LUNG ABSCESS a. Antibiotic administration as indicated. b. Chest Physiotherapy c. Ensure proper nutritional intake d. Emotional support
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PATHOPHYSIOLOGY OF LUNG ABSCESS Aspiration of Oral Anaerobes to the lungs Inflammatory Response Cavity extend to or Directly to bronchus Abscess becomes Encapsulated Necrotizes Pre Disposing Factor Hygiene Lifestyle Immune System Risk Factor Oral Hygiene Alcoholism Immunocompromised Patients Cough with small amount of sputum ↓ Grade Fever Secondary Mechanical or Functional Obstruction Pleuritic Chest Pain Bronchus Continuous Production of Sputum Purulent Sputum In time may became foul
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