PATHOPHYSIOLOGY
Pneumonia:
Bronchopneumonia
Predisposing Factors Precipitating Factors
Age Airborne Pathogenic
History of weak lungs
Without history of pneumococcal
vaccination
Inhalation of infectious organism
Infectious organism penetrate airway mucosa
Inflammatory response of the lungs
Multiplication of infectious organism in the alveolar spaces
WBC migrate to the area of infection
Local capillary leak, edema and exudates
Fluids collect in and around alveoli
Diagnostic Exams: Clinical Manifestation COMPLICATIONS:
• Chest X-ray • Fever Alveolar walls thicken
and chills
• Blood/Serologic • Hypoxemia
• Exam
Plueric Chest Pain Manifests ↓ gas exchange
• Ventilatory Failure
Treatment: • Shortness of breath
• Antimicrobial RBC
therapy • Atelectasis
and fibrinand
• Crackles alsowheezes
move into alveoli
• Bronchodilators• Cough • Pleural Effusion
• Deep Breathing• and • Pleurisy
Sputum production • Continued infection despite of
Coughing Exercise
Capillary leak • Rapid,
spread of shallowinto
infection respirations
the other areas
use ofof the lungs ↓ ability
antimicrobial
Manifests therapy
of lungs to
• Increase Fluid Intake Manifests ↓
IF TREATED
•Resolution
Absolute bedrest Necrosis
Overwhelming
POOR
Abscess
of Deathoxygenate
PROGNOSIS
pulmonary
formation tissues vital
sepsis the blood moving
GOOD PROGNOSIS
Action Fibrin
provides
andexcellent
Exudates
edema Alveolar
of
culture
digested
inflammation
collapsed
media
by enzymes
tostiffen
↑ spread
the lungs
of organismcapacity
through it
IF NOT TREATED