Sie sind auf Seite 1von 1

MODIFIABLE RISK FACTORS

OCCUPATION CONSTRUCTION WORKER Exposed to airborne chemicals and irritants SEDENTARY LIFESTYLE

NON-MODIFIABLE RISK FACTORS


AGING (52 yrs/old)

Heavy Smoker

No Regular Exercise Poor Circulation Degenerating Immune System

Smoking for 38 years; 1 pack/20 cigarettes per day

Increased Risk to any diseases STAPHYLOCOCCUS PNEUMONIAE

HYDROGEN CYANIDE

Anemia

CO Combines with NICOTINE Hemoglobin Immunocompromised Host Bacteria enters through the airways

Destruction of Cilias in the Trachea Impaired Cough Reflex Decreased ability to expectorate irritants

Loss of Elasticity in the Alveoli Impaired Alveoli Function Loss of Surface Area for gas exchange

Carboxyhemoglobin Brochoconstriction Ineffective delivery of O2 to body tissues Tissue Hypoxia

Reduction of Aspiration of Pulmonary Capacity Respiratory Irritants

Pallor and delayed capillary refill test

DOB

Tachypnea

S. Pneumoniadeposits in the airways

Inflammation

Increased Synthesis of Prostaglandins Sensitize receptors X-ray reveals densities on left upper lung lobe

Increased Stimulation of Mast Cells

Release of Inflammatory chemicals (kinins, histamines, etc.)

CHEMOTAXIS Stimulation of Neutrophils and Monocytes Increases Inflammatory response Increases Phagocytosis

Histamine Edema/Swelling of the bronchioles Increases Capillary Permeability

Release of Neurotransmitters Depolarization of Neurons Action Potential Repolarization Spinal Cord Limbic System Cerebral Cortex Pain on Chest and throat Facial grimace during pain

Further Bronchoconstriction

Sodium, water and proteins shifts from IVF to ISF Release of Exogenous Pyrogens Destroyed and absorbed by phagocytes

Non-pitting edema Increases Macrophages Production

Increases Mucus Secretion Oversecretion of Mucus Crackles upon Auscultation Nasal Flaring Further Congestion of Lungs

(June 22, 2013) Elevated: WBC: 21.5 (N: 4.1-10.5)

Granulocytes: Platelets:

86.8 (N: 46.5-86.3) Endogenous pyrogens Stimulates Interleukin 1, 6, TNF, IF from phagocytes Hypothalamus Sensitization Fever 439 (N: 150-399)

DOB

Fatigability Bedridden

Increases Energy demand Anorexia Wt. Loss; BMI:17.23

Decreased Muscle Tone and Strength

Pressure Ulcer in the back

Pallor on nails and palpebral conjunctiva and delayed capillary refill test (4secs.)

Tachypnea; RR: 33cpm

PATHOPHYSIOLOGY OF COMMUNITY ACQUIRED PNEUMONIA CAP MR

Inability to perform usual ADLs

Das könnte Ihnen auch gefallen