Ventilator-associated pneumonia

TERMINOLOGY CLINICAL CLARIFICATION • Systemic illness due to microbial infection that can lead to acute organ dysfunction or failure and associated with host immune response to infection CLASSIFICATION • There is a disease continuum with increasing severity if not treated or not responsive to treatment o Systemic inflammatory response syndrome (SIRS) - Documented or suspected infection with systemic manifestations of infection - Clinical response to a nonspecific insult of either infectious or…

priority concern for all healthcare workers. A common nosocomial infection within hospital critical care units is ventilator-associated pneumonia (VAP). Prevention of VAP is crucial since it is believed to increase mortality and length of hospitalization. As with all infections, prevention, early detection, and treatment is required to reduce mortality and decrease costs associated with VAP. Prevention of VAP through research of pathophysiology, epidemiology, equipment, and procedures has…

According to Schouten et al (2008), sepsis involves the activation of the coagulation cascade coupled with down-regulation of anticoagulation and fibrinolysis. An intricate link between inflammation and coagulation exists within the body (Neligan, 2006). When a pathogen is present in the bloodstream or when tissue injury occurs, an inflammatory response occurs. The response causes a stimulation of the immune system to produce interleukin-1 (IL-1), interleukin-6 (IL-6) and tumor necrosis…

Mr. Jax Marlboro Respiratory Care Pharmacology Fall 2015 Joni Sims Presenting History and Physical: Mr. Marlboro, a 65 year old African American male who is being seen in the emergency room with complaints of fatigue, shortness of breath, and wheezing while trying to accomplish simple daily task. He also complains of a cough that is becoming more frequent and persistent. Mr. Marlboro has a history of asthma as a young adult and was diagnosed with hypertension at the age of 40. Mr.…

TERMINOLOGY CLINICAL CLARIFICATION • Acute respiratory distress syndrome {ARDS) is a condition of dysfunctional gas exchange {i.e., pulmonary interstitial and alveolar edema progressing to advanced fibrosis) that is characterized by acute onset, bilateral pulmonary infiltrates, severe hypoxia, the absence of evidence of left atrial hypertension, and a significant risk of mortality.25 DIAGNOSIS CLINICAL PRESENTATION • History o The patient may be in present with complaints of acute dyspnea and…

Due to lack of attention on driving Stevens plowed into an Enterprise Rental Vehicle that was sitting in the parking lot, which was followed by his fourth ticket in four years from cell phone use while driving. Now days we have more to do in a day than we can actually get done. So when we are driving we are trying to accomplish things such as eating or making dinner plans on the phone. Two of the biggest people that multitask are business people and mom with children who can’t take care of…

My Access #2 There could be a lot of meanings to the quote by Colin Wilson. There could be different experiences, and also some different views on what the quote is trying to tell us. Many people might not understand the quote because they don’t know what it’s like to actually come back from failure because they had everything given to them. What I get from the quote by Colin Wilson is that average humans are used to being in some bad situations because they don’t want to try their hardest. I…

Taking your AP Composition English class has been a frightening yet successful challenge. Personally I have always struggled with the English language since it is not my native language. Freshman year I was denied into the honors English program as was the case sophomore year. In my college prep classes I noticed I was not making any noticeable gains, so that was when I realized I had to challenge myself by taking your course. The rumors stated by current seniors made the class seem impossible.…

Within the picture before me, I see myself, dressed in all black; black dress shoes, black pants, a black button-down shirt with a sleek black tie, a black coat, black gloves, a black ski mask, and a black fedora to complete the persona. Frightening faces sat taped over the panes of glass around the porch lights, their eyes glowing as the light passed through, a red beacon rotated about, casting shadows across our lawn with each pass, and eerie music played loudly, drifting through the air into…

diagnosed him with pneumonia. He received antibiotics for his condition but Jeffrey is now susceptible to pneumonia. Pneumonia Pneumonia is an infection in one or both lungs, the air sacs called the alveoli fill up with fluid and becomes inflamed (Mayoclinic, 2015). Pneumonia occurs when the immune system becomes weak from a prior infection or condition. The most common type of pneumonia that people get are caused by different types of germs. The germs that cause pneumonia are bacteria,…