Pediatric pneumonia nursing measures

Written by Hu Qi Feng
Pediatrics
Updated on September 23, 2024
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The nursing measures for children's pneumonia include ensuring indoor air circulation, maintaining a temperature between 18 to 24 degrees Celsius, and keeping humidity at 60%. Nutritionally rich diets should be provided. For severely ill children who have difficulty eating, parenteral nutrition can be given. Nursing care should include regular changes in position to reduce lung congestion, frequent back patting to help absorb inflammation and expel phlegm, isolation to prevent cross-infection, and attention to the replenishment and correction of water and electrolytes. Electrolyte imbalance should be addressed, and proper fluid supplementation can also help in opening the airways, but it is important to ensure that the infusion rate is not too fast as it may increase the burden on the heart.

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Pulmonology
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symptoms of pneumonia in children

Pneumonia is a particularly common infectious disease of the respiratory system. Children, due to decreased disease resistance and low immunity, are especially susceptible to upper respiratory and lung infections. The main clinical symptoms of childhood pneumonia are fever and cough. Additionally, children may experience loss of appetite and vomiting. When these symptoms occur, it is advisable to take the child to the hospital for an examination. The doctor can perform auscultation and collect routine blood tests to preliminarily determine the presence of an infection. If pneumonia is suspected, further imaging studies are recommended for a definitive diagnosis.

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Written by Wang Xiang Yu
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Can pneumonia vaccines prevent mycoplasma pneumonia?

Can pneumonia vaccines prevent Mycoplasma infections? First, we need to understand what pneumonia vaccines are. In our country, the most commonly used pneumonia vaccines are aimed at Streptococcus pneumoniae, which are divided into polysaccharide vaccines and conjugate vaccines. Polysaccharide vaccines are mainly suitable for individuals over two years old and include the 23-valent polysaccharide vaccine. This vaccine can prevent infections caused by twenty-three serotypes that often lead to S. pneumoniae infections, with over 90% of pneumonia caused by these twenty-three serotypes. However, the 23-valent polysaccharide vaccine does not prevent infections caused by other serotypes of S. pneumoniae. Additionally, the conjugate vaccine only prevents infections caused by either seven or thirteen serotypes. Since Mycoplasma is neither a bacterium nor a virus, it cannot be prevented by pneumonia vaccines, and currently, there is no vaccine available specifically for Mycoplasma infections.

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Written by Li Jiao Yan
Neonatology
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Differential Diagnosis of Pediatric Pneumonia

Childhood pneumonia needs to be differentiated from other respiratory diseases such as bronchial foreign bodies, bronchial asthma, and pulmonary tuberculosis. A bronchial foreign body generally has a history of inhalation of foreign objects, sudden choking coughs, and a chest X-ray might indicate atelectasis or pulmonary emphysema. If the foreign body has been present for a long time, the disease course is prolonged and may lead to secondary infections, similar to pneumonia or concurrent with pneumonia. The differentiation of bronchial foreign body involves detailed medical history inquiries to check for inhaled foreign objects, then using symptoms and auxiliary examinations like chest X-rays for confirmation. Bronchial asthma, especially in children, might not always present with obvious wheezing attacks but rather persistent coughing. The X-ray might show increased and disordered lung markings and pulmonary emphysema, which can easily be confused with pneumonia. Typically, children with bronchial asthma have an allergic constitution and generally require pulmonary function tests and other auxiliary examinations to differentiate from pneumonia. Pulmonary tuberculosis generally occurs in those with a history of contact with tuberculosis patients. Their tuberculin skin test is positive, and X-rays may show features of tuberculosis lesions in the lungs, which can be used to differentiate from pneumonia.

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Written by Hu Xue Jun
Pulmonology
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Can pneumonia be cured?

Can pneumonia be cured, and will there be any sequelae? Generally speaking, common pneumonia without complications can be completely cured. If pneumonia infection is detected, seek medical attention in a timely manner and treat it rationally under the guidance of a professional doctor, it generally will not leave sequelae or affect lung function. However, some complications of pneumonia, such as meningitis and pericarditis, may leave symptoms like headaches, dizziness, palpitations, and chest pain. Ordinary pneumonia might leave streaky shadows or irregular pleura on chest X-rays or lung CT scans, but these will not impact the human body. Patients who have previously been infected with tuberculosis may have calcification spots in their lungs, which is a normal phenomenon. Some people may experience sequelae after treatment, such as hearing loss caused by the use of antimicrobial drugs, and avascular necrosis of the femoral head occurring after SARS treatment; however, these are possibly side effects of the drugs, rather than sequelae of pneumonia.

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What department does pneumonia go to?

What department should I go to for pneumonia? Pneumonia, as the name suggests, is a lung disease, which is to say it is a disease of our respiratory system. Therefore, the most appropriate department to visit would be the Department of Respiratory Medicine. If the patient's condition is relatively stable, they can visit the outpatient Respiratory Medicine department. Of course, there are a small number of patients whose condition is very critical, and in such cases, they must first visit the Department of Emergency Medicine. The doctors in Emergency Medicine will decide based on the patient's condition whether their next step should be to go to Respiratory Medicine, be admitted for in-hospital treatment, remain in the emergency for observation, or need to be admitted to the ICU for further emergency treatment.