PNEUMONIA AngDaanangHanginngKatawan (PULMONYA)

Pinakasimple: Impeksyonnglower respiratory tract(ibabangbahagingdaananghangin) mulatracheahanggangalveoli Sa ating pang araw-arawnakaranasan, angpinakamahalagangmatutunan at maintindihanayangcommunity acquired pneumonia (CAP) community-ac uired! dahilnakukuhaangimpeksyonnaitosa community

 Community Acquired Pneumonia (CAP)

Impeksyonngnakukuhasa communitysaloobng $% naorashanggang $ linggo "araniwangsintomas (adult): Community Acquired Pneumonia (CAP) #bo ($% hours & $ weeks) "araniwangsintomas (pediatric): (11 & *$ $3 breaths per minute) )achypnea #bo ($% hours weeks) (;1 * 433 beats per minute) )achycardia 'e(er () * +,-. /) () * +,-. /) 'e(er 'ast 0reathing: W !H* at one abnormal chest 7inding: 11 23least per minute ($ to 4$ months) 8ecreased 11 * %3 perbreath minutesounds (4$ months to 2 years) 1honchi S56515: chest indrawning or stridor in a calm child /rackles W !H at least one abnormal chest 7inding: 9hee:e breath sounds 8ecreased 1honchi /rackles 9hee:e

P51< kahit may mganakitangsintomas at senyalesgayangmganaunangnabanggit , hindi pa rinsiguradong /=P ang diagnosis Peropwede pa ring gumawang presumpti(e diagnosis ng /=P

 "ung may history ng admission saospital o long-term health 7acility saloobng $ linggo, hindipwedengmaging /=P ang diagnosis 8apat ding tandaannakapagelderlyangpasyente, malakiangposibilidadnawalasilangmgatinataw AnoangPulmonya"Pneumonia# agna classical symptoms! gayanglagnat, ubo, dyspnea, etc-

 ;angga>tmaari, DAPA! may chest ?-ray angbawatpasyentengpinaghihinalaang may pneumonia

@atutukoy kung gaanokalalaangpulmonya @asisiguroang diagnosis ngpulmonya @akikita kung may ibangsakitangpasyentenamaipapaliwanagangka nyangmgasintomas

 Subalitparasamgalugar o sitwasyongwalangsapatna resources o mgapasilidad, pwedenanghindigawinang Aray samgasumusunodnakundisyon:

@ga relati(ely malusognataona may stable co-morbid conditions! BormalCStable (ital signs and assuring P5 7indings A$D nakakasigurotayosa 7ollow-up ngpasyente at pagsunodsapayo

;indi narinkailanganang /A1 kung susundinang %C guidelines (parasamga 3-2)

 "ailangangpagbasehanangmgasumusunodsapagdedesisy on kung saospitalbadapatgamutinangpasyente o pwedeng outpatient KailanDapat &re'er "ondisyonngpasyentesaorasngpagkonsulta angPasyentesa(spital (Adult)# "ung angkanyangibangsakit (co-morbid condition) ay hindi stable /A1 'indings 0ase samgaito, mayroongmanagement&oriented ris) strati'ication namabubuo (categories ng /=P)

 =ngmgapasyentengmapapabilangsakategoryang *ow&ris)angmaaaringgamutinbilang outpatient "ung angpasyente ay nasacategoryang%oderate&ris) o High& ris)kinakailangang maospitalangpasyenteparasa mas tutukangpagbabantay at

 *(W&+ ,K CAP
Presence o7:
Stable (ital signs: 11 & +3 breathsCmin, P1 & 4$2 beatsCmin )emp * +D / or & %3 / S0P E F3mm;g, 80P * D3mm;g

Bo altered mental state o7 acute onset Bo suspected aspiration Bo <1 stable comorbid conditions /A1

Gocali:ed in7iltrates Bo e(idence o7 pleural e77usion or abscess

 H -H&+ ,K CAP

A$. o7 the criteria under moderate risk /=P category P*/, Se(ere Sepsis and Septic Shock Beed 7or mechanical (entilation

 0ased on %C -uidelines: Presence o7 A$.Danger ,igns

;indi makasusoCdede o makainom Isinusukaanglahat =ngbata ay nagkombulsyon )ingnan kung angbata ay lethargic (sobrangtamlay) o walangmalay

(H) /hest Indrawing(+ (H) Stridor in a CA*% child

 AD/*!:

=ssess: )emperature, 11, ;1, 0P, Sensorium, <$ Saturation, Inspired <$ concentration 8apatgumagandanaanglagayngpasyentesaloobng $% hanggang ,$ oras- (=(erage: $ days)- "ung hindigumagandaanglagayngpasyentemataposang ,$ oras, dapatulitin (o magpa) /A1 "ung hindigumagandaanglagayngpasyente +010+ to %D2

 P0D A: IumagandanglagayngPasyente (lalunglalonaangpagbagalng 7ast breathing!) saloobng ,$ oras (a(e$ days) mataposumpisahanang antibiotic "ung hindigumagandaanglagayngpasyente, +010+2

 AD/*!:
=ngbakunalabansa in7luen:a ay inirerekomendaparasapag-iwassaPulmonya =ngbakunangtinatawagna pneumococcal (accine ay inirerekomendaparamaiwasanang in(asi(e pneumococcal disease ,%(K $- C0,,A! ($ is recommended 7or all patients with /=P who smoke

 1ecommendations 7or Pneumococcal 6accination (one time (accination):

* D3 years old Persons with chronic illnesses Immunocompromised persons (mahinaangresistensiya, depensangkatawan) @ganakatirasa nursing home o iba pang long term care 7acilities @gananinigarilyo o may hikaedad 4F to D%

 E 23 years old /hronic illness Immunosuppression (;I6, /=, etc) 0untisnanasa $nd or +rd trimester @ganakatirasa nursing home o iba pang katuladnapasilidad ;ealth care personnel ;ousehold contacts and caregi(ers o7 children & 2 years and adults E 23 ;ousehold contacts (including children) and caregi(ers o7 persons with medical conditions that put them at high risk 7or se(ere complications 7rom in7luen:a