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?
Both are impotant: And deserve professional care/answers (locally)-not by these emails. ...Read more
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 more
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 more
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 more
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?
Depends: Totally depends upon findings on cultures. Sepsis is a very serious condition and if you had it, you would know it and most likely be in the hospital. ...Read more
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 more
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 more
"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
Infection/antibiotic: Pneumonia is an infection of the lungs, which can be caused by bacteria, viruses, or fungi. Somethings which predispose to pneumonia include impaired cough (which may happen after surgery or after something like a stroke, weakened immune system, which may be seen with things like cancer chemo, or chronic lung disease. Treatment is antibiotics, support like supplemental oxygen if needed and time. ...Read more
Antibiotics: Depends on what kind of pneumonia. My room the menu simply have to run their course most of the time. Bacterial pneumonia can be treated with a variety of different anabiotic's depending on which pneumonia is prevalent in your area. ...Read more
Unfortunately yes: But they can ALSO die if they receive treatment early. Despite best medical effort, if the bacteria is resistant to the antibiotic, or if it is a virus that doesn't respond to abx, then a patient may die from severe pneumonia because the lungs are unable to bring oxygen to the blood. I hope this hasn't already happened to someone you know! ...Read more
Antibiotics: This is usually a mixed bacterial infection which is slowly progressive and treated with penicillin, clindamycin, and a host of other antibiotics depending upon the doctor's preference. Prolonged therapy may be necessary. It is also important to determine the cause of the aspiration, so that recurrence is minimized and that the primary problem is dealt with. ...Read more
Support and meds: Pcp pneumonia is treated like other pneumonia, specifically support including oxygen or mechanical ventilation if needed. Antibiotics specifically targeting pcp for example bactrim (sulfamethoxazole and trimethoprim). In pcp pneumonia that is associated with HIV disease, steroids for their antiinflammatory effect are also helpful. ...Read more
Depends on cause: The term is one which applies to the radiologic appearance, and not the actual causative agent. This may be viral, or other atypical pneumonias, or may actually not be due to infection. Diagnosis through history, physical and labs is essential to choosing appropriate management. ...Read more
Antibiotics: Uti is a urinary infection. Pneumonia is an infection of the lungs. These are typically treated with an antibiotic. Some antibiotics or a combination will treat both common lung and urinary infections. But, as it would require a physician or health provider to prescribe an antibiotic it would be best to see one to select the best choice for you if they feel indicated for your symptoms. ...Read more
Not advised: Although it is not impossible to beat a bacterial pneumonia without treatment, this disease killed many before the advent of antibiotics. Antibiotics are the standard of care for this disease. ...Read more
Can Be: Breathing treatment with broncho dilator e.g. Albuterol can help. You may not need steroid nebulizer treatment. If your child has her own neb machine, I am sure she has a diagnosis of asthma, so albuterol neb treatment will be good. Pneumonia itself is a triggering factor for asthma flare up. Continue the antibiotic if given by the pediatrician. ...Read more