Treatment FAQ

a patient presents with a lung abscess. what treatment option would be the most appropriate?

by Antwon Friesen Published 3 years ago Updated 2 years ago

Reduction of fluid intake Because there are mixed bacteria in a lung abscess, starting a broad spectrum antibiotic is the appropriate treatment option. Postural drainage and chest physiotherapy are not recommended because they may cause spillage of infection to other bronchi and spread the infection.

It is recommended to treat lung abscess with broad spectrum antibiotics, due to poly microbial flora, such as Clindamycin (600 mg IV on 8 h) and then 300 mg PO on 8 h or combination ampicilin/sulbactam (1.5-3 gr IV on 6 h) (32).

Full Answer

What are the treatment options for a lung abscess?

Jul 08, 2015 · Lung abscess is a type of liquefactive necrosis of the lung tissue and formation of cavities (more than 2 cm) containing necrotic debris or fluid caused by microbial infection. ... diagnostic and treatment options Ann Transl Med. 2015 Aug;3(13):183. doi: 10.3978/j.issn.2305-5839.2015.07.08. ... In the current review we will present all current ...

What should the nurse teach the patient with a lung abscess?

Jan 14, 2022 · Reduction of fluid intake Because there are mixed bacteria in a lung abscess, starting a broad spectrum antibiotic is the appropriate treatment option. Postural drainage and chest physiotherapy are not recommended because they may cause spillage of infection to other bronchi and spread the infection.

Is it advisable to reduce fluid intake in patients with lung abscess?

Aug 11, 2021 · In most cases, primary lung abscesses are successfully treated by empiric antibiotic therapy, followed by targeted therapy depending on gram stain and culture results with a cure rate of around 90%. Secondary abscesses need treatment of …

When should the health care provider be notified of lung abscess?

What treatment option would be the most appropriate? 1. Postural drainage 2. Antibiotic treatment 3. Chest physiotherapy 4. Reduction of fluid intake 2. Antibiotic treatment Because there are mixed bacteria in a lung abscess, starting a broad spectrum antibiotic is the appropriate treatment option.

When a patient presents with pneumonia symptoms which methods are used in confirming the diagnosis quizlet?

Chest X-ray, which often confirms the diagnosis. Blood tests to check for infection and oxygen status of your blood. Blood culture tests to see if a germ is growing in your bloodstream. Tests of your sputum to see if a germ is present there.

Which action would the nurse take for a postoperative patient who has not voided for eight hours?

(1) If the patient does not have a catheter, and has not voided within eight hours after return to the nursing unit, report this event to the supervisor. (2) Palpate the patient's bladder for distention and assess the patient's response.

Which clinical manifestation should the nurse expect to find during the assessment of a client admitted with pneumonia?

Assess respiratory symptoms. Symptoms of fever, chills, or night sweats in a patient should be reported immediately to the nurse as these can be signs of bacterial pneumonia. Assess clinical manifestations.Apr 22, 2021

When caring for a patient with pertussis what will the nurse prioritize?

The nursing interventions for a patient with pertussis include: Educate about coughing and breathing. Teach the patient the proper ways of coughing and breathing. (e.g., take a deep breath, hold for 2 seconds, and cough two or three times in succession).Feb 11, 2021

What is the highest priority nursing intervention for a client in the immediate postoperative phase?

Maintaining circulation and assessing for cardiac complications in the immediate post-op period is a priority for nursing care.

What are the goals of nursing care after surgery?

Restoring body homeostasis. Pain and discomfort alleviation. Preventing postoperative complications. Promoting adequate discharge planning and health teaching.Jan 23, 2014

Which interventions should be included in the care plan for a patient with a nursing diagnosis of ineffective airway clearance related to pulmonary secretions?

Nursing Interventions for Ineffective Airway ClearanceOptimal positioning (sitting position)Use of pillow or hand splints when coughing.Use of abdominal muscles for more forceful cough.Use of quad and huff techniques.Use of incentive spirometry.Importance of ambulation and frequent position changes.Mar 19, 2022

What treatments are available for pneumonia?

Treatment for pneumonia involves curing the infection and preventing complications. People who have community-acquired pneumonia usually can be treated at home with medication....The options include:Antibiotics. These medicines are used to treat bacterial pneumonia. ... Cough medicine. ... Fever reducers/pain relievers.Jun 13, 2020

What priority nursing interventions should be implemented for the management of a patient with pneumonia?

Nursing interventions for pneumonia and care plan goals for patients with pneumonia include measures to assist in effective coughing, maintain a patent airway, decreasing viscosity and tenaciousness of secretions, and assist in suctioning.Mar 18, 2022

Which prescribed medication will the nurse administer to the client with pertussis?

Macrolides erythromycin, clarithromycin, and azithromycin are preferred for the treatment of pertussis in persons 1 month of age and older.

What are the precautions for pertussis?

Droplet precautions are used when you have disease in your lungs or throat, such as: The flu. Pertussis (whooping cough)

How do you rule out pertussis?

Clinicians commonly use several types of laboratory tests to diagnose Bordetella pertussis. Scientists consider culture the gold standard because it is the only 100% specific method for identification. Other tests that can be performed include polymerase chain reaction (PCR) and serology.

What is the treatment for pulmonary embolism?

This must be treated with phlebotomy. Embolectomy is used in the treatment of pulmonary embolism to remove the deep vein thrombus. Lung transplantation is indicated for patients with severe lung disorder. An inferior vena cava filter is used to filter out the large clots that block pulmonary circulation.

What is the most common form of lung cancer?

Adenocarcinoma is a type of non-small cell lung cancer that is the most common lung cancer found in nonsmokers. Small cell carcinoma is the most malignant form of lung cancer. Unlike adenocarcinoma, small cell carcinoma is associated with endocrine disturbances.

What are the side effects of rifampin?

A nurse should be aware of some of the common side effects of antitubercular drugs like rifampin, one of which is orange discoloration of body fluids such as urine, sweat, tears, and sputum. It may also cause hepatitis.

What are the symptoms of TB?

Active TB disease may manifest initially with constitutional symptoms such as fatigue, malaise, anorexia, unexplained weight loss, low-grade fevers, and night sweats. Dyspnea is a late symptom that may signify considerable pulmonary disease or a pleural effusion.

Is smoking a carcinogen?

Cigarette smoke contains several organ-specific carcinogens. Genetics and occupational exposure are risks but not as high as cigarette smoking. Chewing tobacco is not associated with lung cancer; it is related to oral cancer. A nurse is assessing a patient in whom lung cancer is suspected.

What is stage IIIA lung cancer?

The characteristic feature of stage IIIA lung cancer is a tumor that spreads to the nearby structures, such as the pleura. The heart is involved in stage IIIB lung cancer. Bronchus involvement is associated with stage IIB lung cancer. Contralateral lymph nodes are involved in stage IIIB lung cancer.

Can dyspnea cause pulmonary embolism?

A patient with dyspnea associated with low partial pressure of carbon dioxide and accentuation of the pulmonic heart sound may have a pulmonary embolism. The ongoing obstruction of blood flow in the lung vasculature leads to death of the lung tissue (pulmonary infraction).

What is lung abscess?

Lung abscess is in the group of lung infections such as lung gangrene and necrotizing pneumonia which is characterized with multiple abscesses ( 2 ). The clinical signs and therapy of lung abscess was described for the first time by Hippocrates.

What causes lung abscesses?

Today, aspiration from oral cavity is considered the major cause of lung abscesses as well as poor oral and dental hygiene ( 6 ). In pre antibiotic era, lung abscess was caused by one type of bacteria, and today almost in all cases is caused by poly microbial flora ( 2 ).

How long does antibiotic therapy last?

Antibiotics therapy should last at least until fever, putrid sputum and abscess fluid have resolved, usually between 5-21 days for intravenous application of antibiotics and then per oral application, in total from 28 to 48 days ( 14) with periodically radiographic and laboratory controls.

What is a bronchoscopy?

Diagnostic bronchoscopy is a part of diagnostic protocol for taking the material for microbiological examination and to confirm intrabronchial cause of abscess-tumor or foreign body. Sputum examination is useful for identification of microbiological agents or confirmation of bronchial carcinoma ( 27 ).

How long does it take for MRSA to heal?

For MRSA it is recommended to use linezolid 600 mg IV on 12 h or vancomycin 15 mg/kg BM on 12 h ( 34 ). Effective answer to antibiotics therapy can be seen after 3-4 days, general condition will improve after 4-7 days, but completely healing, with radiographic normalization can be seen after two months.

Can antibiotics cause sepsis?

In case of adequate antibiotic therapy and good immunologic status of patient, the chronic inflammatory reaction will circumscribe the process. In case of inadequate or delayed antibiotic therapy, poor general condition of patient, a sepsis can occur.

Can a lung abscess be differentiated from pneumonia?

Early signs and symptoms of lung abscess cannot be differentiate from pneumonia and include fever with shivering, cough, night sweats, dispnea, weight loss and fatigue, chest pain and sometimes anemia. At the beginning cough is non-productive, but when communication with bronchus appears, the productive cough (vomique) is the typical sign ( 20, 21 ). Cough remains productive, sometimes followed by hemoptysis. In patients with chronic abscess clubbing fingers can appear.

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