COMMUNITY ACQUIRED PNEUMON

Pneumonia is an infection in one or both

lungs. The infection may be caused by fungi,
bacteria, or viruses. Pneumonia causes
inflammation in your lungs air sacs, also
referred to as alveoli. The alveoli fill with fluid
or pus, making it difficult to breathe.

Community-acquired pneumonia(CAP)
is definedas an acute infection of the
pulmonary parenchyma in a patient who
hasacquiredthe infection in thecommunity,
as
distinguished
from
hospitalacquired(nosocomial)pneumonia(HAP).

CLASSIFICATIONS OF
PNEUMONIA

Based on the infected area in the

lung:
Bronchial pneumonia
Lobar pneumonia

Based on how the infection was

acquired:
Hospital acquired pneumonia (HAP)
Ventilator acquired pneumonia

COMMON MANIFESTATIONS

-fever
-chills
-cough
-sputum production
-sweating
-shortness of breath
-increased respiratory rate
-pleuritic pain
-cyanosis

PREVENTIVE MEASURES

-proper hygiene
-staying healthy and physically
sound
-quit smoking
-vaccine
-flu shot

Pneumonia is an infection in one or

both lungs. The infection may be caused
GENERAL
DATA or viruses. Pneumonia
by fungi, bacteria,

causes
inflammation
in your lungs air
NAME:
K.M.D
sacs,
also referred83 to
asoldalveoli. The
AGE:
years
alveoli fill with fluid or6, pus,
making it
BIRTHDATE:
29, 1956
RELIGION:
difficult to breathe. Roman Catholic
GENDER:
Female

CITIZENSHIP:
Chinese
Community-acquired
CHIEF COMPLAINT:
Cough and shortness
pneumonia(CAP)
is definedas an
of breath
DIAGNOSIS:
Acquired
acute infection of Community
the pulmonary
Pneumonia
parenchyma
in
a
patient
who
DATE OF ADMISSION: 10, 12, 2014
hasacquiredthe
infection
in

thecommunity, as distinguished from

PAST MEDICAL HISTORY

HYPERTENSION
HISTORY OF PRESENT ILLNESS

Two weeks prior to admission, the patient had

dry cough and fever.
Five days prior to admission, the patient
experienced nasal congestion and occasional
shortness of breath.

GENERAL
DATA
MEDICATIONS

NAME:
Ceftriaxone 1g IVJ.A.D.
Q12
AGE:
73 years old
BIRTHDATE:
August 29, 1941
N- AcetylcysteineRoman
(Fluimucil)
RELIGION:
Catholic600mg
GENDER:
Male
PO in
CITIZENSHIP:
Filipino
glass of water
CHIEF COMPLAINT:
Cough and shortness
of breath
Aldactone 25mg/tab
tab PO OD
DIAGNOSIS:
Community
Acquired
Pneumonia
DATE
OF ADMISSION:
August 24, 2015
Mosegor
Vita

BEDSIDE MEDICATIONS
Candesartan 16 mg/tab BID
Simvastatin (Cholestad) 20 mg/tab
OD
Metoprolol (Neobloc) 50 mg/tab OD
Clopidogrel (Timiflo)75 mg/tab OD
Trimetazidine 35 mg/tab BID

LABORATORY RESULTS

CXR

-Shows partial clearing of the haziness in the left

upper lobe.
-There is no significant change in the left-sided
pleural effusion.
ABG

pH
pCO2
pO2
HCO3
AFB

7.390
31.4 mmHg
81.3 mmHg
20.3 mmol/L

Proliferati
on of
bacteria
and
viruses
Risk factors:
AGE (73 years old)
SMOKING
EXPOSURE TO VIRAL
OR INFLUENZA
INFECTION

Droplets
Nose, mouth,
sinuses
Tracheobronchial
tree
Alveoli
Immune
system
Inflammatory
response
Neutrophils, Histamine, Bradykinin

Capillary leak, edema, exudates,

mucus
Thickened alveolar
walls
Respiratio
n

Systemic
Fever

Chills

Anorexi
a

Shortnes
s of
breath

Cough
Crackles
and
wheezes

Sputum
productio
n