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•Streptococcus Pneumoniae
-The most common cause of community acquired pneumonia (CAP)
-Persons with decreased immune status at greater risk
-Lower lobes most commonly infected
•Due to gravity
•The pneumococcus establishes itself in the alveoli

•Haemophilus Influenzae
-Second most common cause of CAP
-Can occur in healthy individuals and often seen in alcohol abuse.

•Legionella Pnuemophila
-Associated with air conditioning systems and showerheads
-Inpatient ventilators
-Incidence higher in smokers, alcoholics, older adults

•Chlamydia Pneumoniae
-Gram negative
-Little is known about mode of transmission
-Recurrent infection is common

•Nosocomial Pneumonia
-Caused by gram negative bacterias
•Pseudomonas Aeruginosa
•Klebsiella Pneumoniae
•E.Coli

-But can see gram positives (mostly in nursing homes)
•MRSA
•S. Pneumoniae

-High risk patient include:
•Post operative patients
•Endotracheal tube patients
•Mechanically assisted patients

•Mycoplasma Pneumonia
-AKA primary atypical pneumonia or walking pneumonia
-Children older than 5 and young adults most at risk
-Long incubation phase (2-3 weeks)
-Transmitted via hand to hand contact or aerosolized

•Anaerobic Pneumonia (still bacteria)
-Can occur inpatient and in community
-Aspiration is most common cause
•Individuals with larger amounts of oropharyngeal secretions at greater risk
-Alcoholism the most common predisposing factor
-Dysphagia
-Strokes
-Seizures
-Anesthesia
-Usually insidious onset
•Pt. may present with lung abscess, empyema

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Normal breath sounds heard over most of both lungs are described as being Quizlet

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Terms in this set (79)

A 70-year-old patient is being seen in the clinic for severe exacerbation of his heart failure. Which of these findings is the nurse most likely to observe in this patient?
a. Shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, and ankle edema
b. Rasping cough, thick mucoid sputum, wheezing, and bronchitis
c. Productive cough, dyspnea, weight loss, anorexia, and tuberculosis
d. Fever, dry nonproductive cough, and diminished breath sounds

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Which breath sound is normally heard over the majority of the lungs?

Vesicular sounds are soft, blowing, or rustling sounds normally heard throughout most of the lung fields. Vesicular sounds are normally heard throughout inspiration, continue without pause through expiration, and then fade away about one third of the way through expiration.

Which sounds are considered normal breath sounds quizlet?

Terms in this set (5).
Normal Breath Sounds. Vesicular, Bronchial or Tracheal, Bronchovesicular..
Vesicular Breath Sounds. Soft, low-pitched fine rustling sounds. ... .
Bronchial or Tracheal Breath Sounds. Loud, high-pitched tubular sounds. ... .
Bronchovesicular Breath Sounds. Moderately pitched. ... .
Inaudible Breath Sounds..

What terms are used to describe normal breath sounds?

This is called auscultation. Normal lung sounds occur in all parts of the chest area, including above the collarbones and at the bottom of the rib cage..
Rales. Small clicking, bubbling, or rattling sounds in the lungs. ... .
Rhonchi. Sounds that resemble snoring. ... .
Stridor. ... .
Wheezing..

Which breath sounds are most often Auscultated over the majority of both lungs?

In airfilled lungs, vesicular breath sounds are commonly heard over the majority of the lung fields. Tracheal sounds are heard best over the trachea and typically are louder and have a higher pitch than vesicular sounds.