Doctor insights on:
Hypostatic Pneumonia Treatment
What is the difference between bronchopneumonia and hypostatic pneumonia. Are the treatments exactly identical?
What is the difference between hypostatic pneumonia and pulmonary venous congestion? Is there a treatment for PVC in a non-ambulant patient?
Hypostatic pneumonia: Hypostatic pneumonia is a term used to describe fluid accummulation in the lower portions of lungs in bed-ridden individuals (typically elderly). One thing you can do to reduce a pneumonia risk is to have your physician provide you with an early pneumonia shot (pneumovax /ppsv-23) before age 65. ...Read moreSee 1 more doctor answer
Definition pneumonia: =inflammatory response within lungs; the lung alveoli become filled with fluid/pus (water with many white blood cells) in response to presumed viral or bacterial infection. Hypostatic modifier refers to this occurring within the posterior (dorsal) portions of someones lungs who has been in a supine position for extended periods, e.g. hospital bed. Less activity=less clearance of lung irritants. ...Read moreSee 1 more doctor answer
Am I write in thinking that although HYPOSTATIC PNEUMONIA is not itself an infection it can be caused by an infection? But can it have other causes?
Bedridden immobility: Hypostatic pneumonia comes from shallow breathing while lying in a single position for a long time. Therefore bronchial secretions usually cleared by deep breathing & coughing instead settle by gravity in lower portions of the lung & become seats of infection. Usually in bedridden elderly. Also big reason why activity is encouraged right after major surgery. Hope that helps. ...Read more
Are there any statistics on the survival rate of 90 year-old patients with hypostatic pneumonia? Of course, I appreciate that the outcome depends upon the overall medical condition of each patient.
Excessive lying on b:
Hypostatic pneumonia occurs in old and weak patients due to excessive lying in bed. It is the result of collection of fluid in the dorsal area of the lungs
1discomfort or tightness in chest
4spitting up mucus, sometimes with a little blood
6cyanosis (blue tinge in skin and mucous membranes)
if not recognized and treated can end in respiratory failure. ...Read more
I understand that hypostatic pneumonia can be caused by a virus or bacteria (if a patient is non-ambulatory for a long time). Are there any other causes?
Yes: Fungal in some cases as well but very unlikely unless immunosuppressed. More likely bacterial or viral. Depending on the facility you may be able to get chest physiotherapy which may assist and possibly reduce the risk of this unfortunate complication developing ...Read moreSee 2 more doctor answers
In addition to a chest X-ray and blood cultures, what tests can be done to confirm a diagnosis of hypostatic pneumonia?
Is the antibiotic that is generally considered to be the best medication for treating hypostatic pneumonia also the best medication for treating sepsis?
Does monoclonal b-cell lymphocytosis make the patient more vulnerable to infections, e.G., hypostatic pneumonia? Is monoclonal b-cell lymphocytosis capable of transforming into acute leukemia?
No infections in MBL: The definition of mbl is an elevated lymphocyte count with a lack of symptoms or complications. It can transform into cll (chronic lymphocytic leukemia), in which low immunoglobulins and the abnormal b lymphocytes can indeed cause increased infections. Neither of these has been associated with transformation to acute leukemia, although cll can become an aggressive lymphoma. ...Read moreSee 1 more doctor answer
Prevent, not treat: Some studies (http://thorax. Bmj. Com/content/61/11/957.Full) suggest that diabetics taking Atorvastatin have a lower risk for pneumonia. So perhaps you can "prevent" infection but once you have bacterial pneumonia, you need antibiotics to treat it. Of course, your doc might have you continue taking Atorvastatin to continue lowering cholesterol & risk for heart disease, even while taking antibiotic. ...Read moreSee 1 more doctor answer
"aspiration? ": I'm guessing that you probably meant aspiration (not asphyxiation) pneumonia. Asphyxiation essentially means suffocation. Aspiration is when food or bacteria from the mouth gets into the airway and lungs. This can result in inflammation, and about 25% of the time a true infection will develop. Sometimes if there is no infection, we call it "pneumonitis". Antibiotics help if infection. ...Read more
Perhaps: The choice of an antibiotic for pneumonia depends upon the causative agent of the lung infection and its sensitivities to antibiotics, the potential necessity to hospitalize and treat intravenously, the extent of involvement and the degree to which the patient is compromised, among other factors. Azithromycin is an oral agent which may be effective against, particularly, some atypical pneumonias. ...Read more
Antibiotics: Pneumonia is an infection of the lung tissues. It is usually caused by one of a number of bacteria or by aspiration of saliva or food in those who have problems swallowing such as patients who have had strokes or altered levels of consiousness due to alcohol or drugs or seizures. Pneumonia is usually treated with antibiotics. ...Read more
For patients that: Do not need hospitalization oral antibiotics are usually prescribed. For someone who is 20 years old a standard treatment would be amoxicillin, or my preference is Augmentin (amoxicillin and clavulanate) which is a combination of two antibiotics that includes amoxicillin. An alternative is doxycycline which can be taken by people allergic to pen. Also, azithromycin in the for of a 'Z-pack' is a convenient treatment. ...Read more