How to treat pneumonia ?
Pulmonology / / May 01, 2016
Medical tactic at acute pneumonia varied as the accumulation of knowledge, experience and understanding of the role of individual pathogens of this disease, the body's reactivity, effectiveness of chemotherapy and different treatments.Unchanged was the requirement to ensure the proper care and monitoring of patients with pneumonia.Unfortunately, patients with pneumonia care is being given insufficient attention.Perhaps this is due to the fact that the main treatment is considered to be anti-bacterial, and all other methods of treatment are old, have lost their meaning.This is an erroneous judgment is fairly widespread even among medical professionals.
patients with pneumonia should be treated in a hospital.This is particularly important for the treatment of lobar pneumonia and hard occurring forms of focal pneumonia.In a hospital environment, you can use the entire arsenal of modern diagnostic and therapeutic substances and to achieve a speedy recovery with no complications.
In cases where the treatment of pneumonia for one reason or another can not be in the hospital and carried out at home, it is held by a physician, who appoints the necessary therapy, guided the course of the disease and the changes occurring in the patient's condition as a result of the use of antimicrobial drugs, symptomatic medicationand other methods of therapeutic effects.
pneumonia patients should be observed gentle treatment, even if the disease is relatively easy.Saving mode during antibiotic therapy -Important condition for successful treatment of pneumonia and prevention of complications.Enhanced mode is immediately after the temperature reduction and improvement of peripheral blood.
For the treatment of pulmonary inflammation using powerful antimicrobial drugs antibiotics and sulfonamides.Their use requires compliance with certain rules relating to the characteristics of the antimicrobial action of these drugs.If treatment is started in some antibiotics, it is necessary to follow a policy in full and in those doses that are prescribed by a doctor.Sometimes patients after reducing the temperature and improving the state tend to discontinue treatment, since they disappear weakness, cough decreased, and they consider themselves to be cured.
Indeed, antibiotics quite quickly stop the reproduction and development of bacteria, reduces symptoms of intoxication of the organism, and therefore the status and health of patients improves, but this does not mean that the patient has recovered.Anatomical changes caused as a result of lung inflammation, regress significantly slower than being improvement occurs.The patient feels well, but pneumonia is not over yet.Therefore it is important to remember that after temperature reduction and improvement of the necessary further 2 to 3 days, depending on the doctor's instructions to continue treatment with antibiotics or sulfanilamide preparations, t. E. Complete the treatment prescribed by the doctor on the scheme.At the termination of unauthorized administration of drugs bactericidal and bacteriostatic antibiotics or sulfa drugs prematurely reduced, even when less than pneumonia, and pathogens are able to re-growth and development.
patient lung tissue is highly susceptible to further damage.So there are a variety of complications, such as the disease can take a prolonged or chronic.Therefore, the treatment of pulmonary inflammation with antibiotics and sulfanilamide drugs must continue even after normalization of temperature for several days (2-3 or more, depending on the doctor's instructions).
We can not allow an arbitrary reduction of the dose of medication.In the treatment of pneumonia antibiotics and sulfa drugs are administered in doses that provide the desired concentration of antibacterial substances in the focus of infection.Without this recovery may not occur.The treatment of pneumonia with antibiotics and sulfonamides assigns and changes depending on the doctor.condition of the patient and the disease.But the general principle remains the same: an effective treatment can only be provided a sufficient content of antibacterial drugs in the body of the patient, ie, to create a therapeutic concentration...
Sometimes patients and their relatives often show unwarranted suspicion and even negative attitude to the appointment of the drug in such a large, in their opinion, doses.Externally, agreeing with the medical staff in the need for a course of therapy, then they reduce the dose on their own, bringing it does not benefit, and heavy damage to the patient: especially for drugs administered by injection.It is understood that injections do not deliver pleasure to the patient, but it is necessary remedial measure, without which it is impossible to do in the treatment of pneumonia.
the treatment of pneumonia at home, in addition to the strict implementation of drug therapy, it is important to arrange proper care for the sick.First of all it concerns the creation of the necessary conditions, similar to those by hospital.Compliance with bed rest is important, especially in the first days of illness.Nurses, relatives and friends who care for the sick, it is necessary to monitor the slightest changes in the patient's condition, telling the doctor about everything during his next visit.With explicit deteriorating condition of the patient should seek emergency medical care.Especially it is necessary to be alert during the decrease in temperature, when the possibility of a sharp drop in blood pressure and the development of vascular collapse.In these cases it requires urgent therapeutic care.When the mental excitement, delusions of a sick need to set clock surveillance of relatives and immediately call a physician.
Clean air in the room where the patient with pneumonia, is an important condition for successful treatment, so it is necessary to ventilate the room several times a day, even at the high temperature of the patient.During ventilation should be good to hide the patient, especially the head, leaving open only the face.
pneumonia patient diet should be varied, easily-digestible, high-calorie, but not burdensome.In the early days of the disease, when the appetite is usually reduced, we should not insist on a particular meal.In the absence of appetite provide strong broths, sour milk products, fruits or fruit juices.When the appetite can be expanded diet.It is important to give the patient fluid (up to 2 liters per day if there is poor circulation) as febrile patient loses a lot of liquid sweat.In addition, excessive fluid administration contributes to the release of the patient from toxic metabolic products, toxic body.It may be syrups, fruit drinks, fruit teas, juices, etc. In cases where the patient takes sulfa drugs are also needed alkaline liquid -.. Borzhom, soda pop, etc. They help to improve the dissolution of the drug and provide a more complete..removing them from the body.Useful hot drink: milk with soda, tea with raspberries, because, according to most doctors, profuse sweating reduces intoxication and thus contributes to the rapid recovery.
Care should be taken oral avoid secondary infection (rinse after meals, and in severe cases - wiping the mouth swab dipped in a weak 1% solution of hydrogen peroxide).Normal bowel function is regulated by food intake (prunes, boiled beets on an empty stomach with vegetable oil, buttermilk, kefir) or the appointment of appropriate medicinal preparations and procedures (use of laxatives, liquid paraffin, cleansing enemas).
In sleep disorders it is necessary to ensure the normalization using sedatives and opiates.
From symptomatic treatment for pneumonia used antitussives, expectorants, antipyretics, analgesics, cardiac and vascular agents that are prescribed depending on the evidence.
The use of oxygen, of course, contributes to the success of the treatment of pneumonia.At home, the patient can use the oxygen bags, breathing oxygen through a nasal catheter (rubber tube of small diameter) inserted into the nasal passages.
From physiotherapy treatments at home is possible to use cans and mustard plasters on the affected side.Very good heating of the patient part of the chest dry hot compress or woolen cloth.
patients who are in serious condition, need more careful care.At high temperatures, it is particularly important oral care, skin rubbing alcohol, wash the face with lukewarm water and cleansing enemas.
If the patient can not swallow the tablets, they need to chop, stir in water and drink enough to give plenty of fluids.In case of cancellation of medication necessary to persevere and to achieve the introduction of the drug.Without the permission of a doctor in any case it is impossible to cancel, at least once, and assigned medication...
Thus, in the treatment of a patient with pneumonia, in addition to the usual obschegigienicheskih patient care, monitoring of his power, and so forth, you must fulfill the following requirements: 1) carefully observed while taking medicines prescribed and the dose that is prescribed by a doctor;2) the introduction of sulfa drugs combined with the appointment of a hearty drink, especially alkaline liquids;3) carefully monitor patients in order not to miss the occurrence of complications, including the reception of drugs;the manifestation of any changes in the patient's condition immediately notify the physician, to take the necessary measures to eliminate any complications.
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- Thanks to modern methods of highly efficient treatment of lung inflammation in most cases ends in recovery.Sometimes, however, the disease may be accompanied by a variety of complications directly lung and pleura and other organs.Among the complications in the respiratory system bodies include: prolonged duration of pneumonia, exudative pleurisy, lung abscess (abscess), proliferation of connective tissue in the lungs (pulmonary fibrosis), the transition to a chronic pneumonia, etc.
lung inflammation may be accompanied by a lesion of the most diverse..systems and organs, such as inflammation of the meninges (meningitis), kidney disease (nephritis), liver (hepatitis), inflammation of the heart membranes (endocarditis, pericarditis), and so on. d. Complications of pneumonia sometimes are so serious that they lead to disabilityup to full disability.This highlights the need for timely and correct treatment for a speedy recovery of the patient without any complications.Organization of good patient care - one of the most important sections of the complex treatment of pneumonia.