Doctor insights on:
Pneumonia In Elderly Prognosis
Good: The chances of getting lung infections increases with age and underlying diseases, but is far more common in those over the age of 60. Pneumococcal pneumonia used to be called the "old man's friend" because it would produce death in elderly individuals with chronic diseases that were debilitating. ...Read more
If they lie down.: If they lie down for a long time, especially on his/her back. ...Read more
Generally: It depends on the virus - there are outbreaks where the old and very young appear to have been spared for unclear reasons while those in the prime of life are most affected (e.g. The h1n1 outbreak). In most cases, however, the very young and elderly are more vulnerable due to either a fading immune system or an immature one. ...Read moreSee 1 more doctor answer
All of them: Elderly get all the same diseases as the young ones.. Sometimes immunity wanes and vaccines get forgotten so they are prone to many of the same illnesses as unvaccinated children. Most contagious disease though is mild and viral ( not amounting to a pneumonia) and there is no vaccine for that. ...Read more
Sputum culture: Nosocomial pneumonia most commonly are Gram negative bacteria, MRSA, fungal organisms such as Candida. Sputum cultures and sensitivities determine which antibiotics are most appropriate . But because the culture takes about 48-72 hrs , initial regimens include a second or third generation Cephalosporin plus a Quinolone. Institutions where there is prevalence of MRSA , Vancomycin is chosen. ...Read more
Should an elderly wiman sleep in a room with temp below 50 degrees when she is having respiroty problems, just got over pneumonia.
Yes: It is more dangerous in that more severe illness and even death is statistically more common in the very young or the elderly. In both age groups pneumonia is still usually readily treatable with appropriate antibiotics and support. The highest risk of serious illness occurs not just with age, but with the existence of some other underlying disease. (cancer, heart disease, hiv, etc.). ...Read moreSee 1 more doctor answer
Depends: This depends on many factors - what bug, how strong is the person's immune system, how quicky treatment was started, how many organs are involved, etc. Sometimes even severe cases of sepsis can be treated successfully with complete recovery. Other times we are not as lucky. ...Read moreSee 1 more doctor answer
For an elderly with dementia, to further avoid aspiration pneumonia should we replace the peg tube for a pej one. Is that an option?Consequences? Thx
Yes it is an option: If she is having aspiration while receiving feedings via a peg tube, conversion to j- tube should diminish aspiration from gastric reflux( assuming there is no obstruction distally in the GI tract). If the aspiration is from swallowing, conversion will not help. If her dementia is profound, it may be helpful to discuss both medical and life goals with her physician or ethics board. ...Read moreSee 2 more doctor answers
This is a hypothetical scenario If an elderly pt is hypotensive eg BP in recent days 116/59, 107/59, 104/69, 112/69, 102/62 & 106/70 & is in pain could regular hydromorphione lower BP too much or affect other vital signs if pt has pneumonia & sepsis?
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