Guidelines for the use of pneumonia medication, pneumococcal pneumonia selection

If you only have a lung infection, oral or injection of third-generation cephalosporins, ofloxacin, or levofloxacin can be used alone, or combined with pioneer and floxacin, and roxithromycin, or azithromycin, oral or injection. It's best to see a doctor first.

Use of antibiotics + expectorants.

In addition to bed rest, drinking plenty of water, oxygen, and active expectoration, the most important part of pneumonia is anti-infection. Use antibiotics such as penicillins and first-generation cephalosporins. Fluoroquinolones (moxifloxacin, gemifloxacin, and levofloxacin) that are specific to respiratory tract infections may be used for drug-resistant Streptococcus pneumoniae.

Broad-spectrum and powerful antimicrobial drugs are preferred for severe patients, with sufficient amounts and combinations.

Drug-induced pneumonitis is an iatrogenic illness caused by drugs, which is an inflammatory reaction in the lungs caused by direct cytotoxicity and allergic reactions to drugs and their metabolites. is part of a drug-induced systemic adverse reaction. The incidence of the former is about 10-20%, of which adverse effects on the lungs account for about 5-8%.

The adverse effects of drugs on the lungs are varied, ranging from temporary and reversible to permanent damage after discontinuation of the drug; Some have an acute onset, some have a chronic onset, and in severe cases, it can even be life-threatening.

The development of drugs is an important aspect of medical progress, which plays an important role in the prevention of diseases, the improvement of the quality of life of patients, but at the same time it is also pathogenic. It is estimated that 2% to 5% of hospitalized patients in the United States are admitted because of drugs***, and drug-related deaths are in-hospital deaths. Although William Osler discovered that an overdose of morphine could cause acute pulmonary edema as early as 1880, it was not until 1972 that Rosenow first systematically described the relationship between more than 20 drugs and non-damage, and then drug-induced lung disease gradually became important.

However, due to various reasons, the pathogenesis of it is still poorly understood, and further in-depth research is needed. There are now more than 200 drugs known to damage the lungs, and clinicians, especially respiratory physicians, are obliged to know about these drugs in order to reduce patient mortality and serious complications.

Answer] :d Test Center: 1 Pneumococcal pneumonia:

Gram-positive coccal capsules are the causative cause and heal without fibrous scarring; Healthy people without primary disease have protruding high fever under the inducement, coughing up rust-colored sputum, herpes simplex can appear, ** mucosal bleeding points can appear when there is sepsis, there is no obvious abnormality in the lungs in the early physical examination or only decreased breath sounds and a little crackles at the lesion, there are signs of lung consolidation when the lesion is large, and crackles in the dissipation period; The most meaningful test is an X-ray. **Penicillin is preferred, 800,000 U, Q8H, IM, 8 million U for heavy cases, divided intravenous drops, and each dose should be dripped within 1 hour as much as possible. The course of treatment is 7-10 days.

2 Clinical manifestations: Symptoms: cold and high fever, cough and sputum, chest pain, dyspnea, and other symptoms.

Signs: signs of lung consolidation, decreased respiratory movement on the affected side, increased tactile tremor, dullness on percussion, decreased or absent breath sounds on auscultation, bronchial breath sounds may be present. 3 Complications:

Septic shock, pleurisy and empyema, myocarditis, extrapulmonary complications. 4**: General** (rest, water, energy).

Symptomatic** (antipyretic, oxygen, phlegm, cough, etc.). Antimicrobials**. Septic shock (oxygen cooling, blood volume replacement, correction of water-electrolyte and acid-base balance disorders, use of glucocorticoids, use of vasoactive drugs, control of infection, prevention and treatment of cardiorenal insufficiency).

Once in the morning and once in the evening.

It's very effective, oh, I've been getting rid of pneumonia for almost a month, I was using clindamycin + head full croxime, other sugars are not good if they are on fire, and the effect of playing in the hospital outpatient clinic is not very good, the amount of three days.

To standardize the drip, but also the right pneumonia, I am the New Year, a bottle in the morning, the best acquaintance told me a secret recipe is complete, 8 days of drip, you go to the pharmacy to buy some Chuanbei called the pharmacy to grind into powder, a bottle in the afternoon, so that it is easy to absorb, Chuanbei powder + a little water + add half or a pear (peeled) + rock sugar.

Steam until the pears are soft and rotten, and remember to make sure to rock sugar.

Transfusion. Cefminol sodium 3 g.

Ambroxol. 30 mg.

Viral zol. Wheezing grams.

In the case of pneumonia, thick sputum can block the airways, and the inflammation itself narrows the airways, causing atelectasis or poor expectoration. Flexible bronchoscopy can play a good role. How long Taineng can be used also depends on whether the pathogen is sensitive, and it can be determined by checking sputum culture in combination with clinical recovery.

Ambroxol is used for phlegm-reducing drugs, and it is used in combination with nebulization, oral administration and intravenous application. However, the airway is not patency and the effect is not ideal.

Qinhuangdao First Hospital - Pediatrics - Chief Physician Wang Guilan.