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Paediatric Nursing

Pneumonia in Children
What is Pneumonia
Pneumonia is an infection of the lungs that is caused by
bacteria, viruses, fungi, or parasites. It is characterized
primarily by inflammation of the alveoli in the lungs or by
alveoli that are filled with fluid (alveoli are microscopic sacs
in the lungs that absorb oxygen).
At times a very serious condition, pneumonia can make a
person very sick or even cause death. Although the disease
can occur in young and healthy people, it is most dangerous
for older adults, babies, and people with other diseases or
impaired immune systems.
Causes pneumonia?
Bacteria and viruses are the primary causes of pneumonia.
When a person breathes pneumonia-causing germs into his
lungs and his body's immune system cannot otherwise
prevent entry, the organisms settle in small air sacs called
alveoli and continue multiplying. As the body sends white
blood cells to attack the infection, the sacs become filed with
fluid
and
pus
causing
pneumonia.
Pneumonia has bacterial, viral, fungal, and other primary
causes eg,
Bacterial-Streptococcus pneumonia, it is the most common
cause of bacterial pneumonia, Klebsiella pneumoniae and
Hemophilus influenzae.
Viral - Adenoviruses, rhinovirus, influenza virus (flu),
parainfluenza virus are all potential causes of viral
pneumonia.
What are the symptoms of pneumonia?
Symptoms of pneumonia caused by bacteria usually come on more quickly than
pneumonia caused by virus. Most children with pneumonia begin with cold and
flu symptoms and then develop a high fever, chills, and cough with sputum
includes the following
•Cough
•Rusty or green mucus (sputum) coughed up from lungs
•Fever
•Fast breathing and shortness of breath
•Shaking chills
•Chest pain that usually worsens when taking a deep breath (pleuritic pain)
•Fast heartbeat
•Fatigue and feeling very weak
•Nausea and vomiting
•Sweating
•Headache
•Muscle pain
•Confusion or delirium
•Cyanosis from poorly oxygenated blood
Treatment of Pneumonia
Pneumonia treatments depend on the type of pneumonia and the severity
of symptoms.
• Bacterial pneumonias are usually treated with antibiotics
• Whereas viral pneumonias are treated with rest and plenty of fluids.
• Fungal pneumonias are usually treated with antifungal medications.
Over-the-counter medications are also commonly prescribed to better
manage pneumonia symptoms. These include• Treatments for reducing fever, reducing aches and pains and suppressing
coughs.
• In addition, it is important to get plenty of rest and sleep and drink lots
of
fluids.
Hospitalization for pneumonia may be required if symptoms are
especially bad or a patient has a weakened immune system or other
serious illness. At the hospital, patients generally are treated with
intravenous antibiotics and possibly put on oxygen.
How can pneumonia be prevented?
There are several ways to prevent pneumonia. There are two vaccines that
are available to prevent pneumococcal disease :
1. Pneumococcal conjugate vaccine (Prevnar) - Prevnar is generally
administered as part of the normal infant immunization procedure and
is recommended for children less than 2 years of age or between two
and four years with certain medical conditions.
2. Pneumococcal polysaccharide vaccine (Pneumovax) - Pneumovax is
provided for adults who are at increased risk of developing
pneumococcal pneumonia, such as the elderly, diabetics, those with
chronic heart, lung, or kidney disease, alcoholics, smokers, and those
without a spleen.
In addition to vaccinations, physicians recommend that people wash
hands, refrain from smoking, eat healthfully, exercise, and stay away
from sputum or cough particles from others with pneumonia.
How can pneumonia be prevented?
There are several ways to prevent pneumonia. There are two vaccines that
are available to prevent pneumococcal disease :
1. Pneumococcal conjugate vaccine (Prevnar) - Prevnar is generally
administered as part of the normal infant immunization procedure and
is recommended for children less than 2 years of age or between two
and four years with certain medical conditions.
2. Pneumococcal polysaccharide vaccine (Pneumovax) - Pneumovax is
provided for adults who are at increased risk of developing
pneumococcal pneumonia, such as the elderly, diabetics, those with
chronic heart, lung, or kidney disease, alcoholics, smokers, and those
without a spleen.
In addition to vaccinations, physicians recommend that people wash
hands, refrain from smoking, eat healthfully, exercise, and stay away
from sputum or cough particles from others with pneumonia.

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Pneumonia in children

  • 2. What is Pneumonia Pneumonia is an infection of the lungs that is caused by bacteria, viruses, fungi, or parasites. It is characterized primarily by inflammation of the alveoli in the lungs or by alveoli that are filled with fluid (alveoli are microscopic sacs in the lungs that absorb oxygen). At times a very serious condition, pneumonia can make a person very sick or even cause death. Although the disease can occur in young and healthy people, it is most dangerous for older adults, babies, and people with other diseases or impaired immune systems.
  • 3. Causes pneumonia? Bacteria and viruses are the primary causes of pneumonia. When a person breathes pneumonia-causing germs into his lungs and his body's immune system cannot otherwise prevent entry, the organisms settle in small air sacs called alveoli and continue multiplying. As the body sends white blood cells to attack the infection, the sacs become filed with fluid and pus causing pneumonia. Pneumonia has bacterial, viral, fungal, and other primary causes eg, Bacterial-Streptococcus pneumonia, it is the most common cause of bacterial pneumonia, Klebsiella pneumoniae and Hemophilus influenzae. Viral - Adenoviruses, rhinovirus, influenza virus (flu), parainfluenza virus are all potential causes of viral pneumonia.
  • 4. What are the symptoms of pneumonia? Symptoms of pneumonia caused by bacteria usually come on more quickly than pneumonia caused by virus. Most children with pneumonia begin with cold and flu symptoms and then develop a high fever, chills, and cough with sputum includes the following •Cough •Rusty or green mucus (sputum) coughed up from lungs •Fever •Fast breathing and shortness of breath •Shaking chills •Chest pain that usually worsens when taking a deep breath (pleuritic pain) •Fast heartbeat •Fatigue and feeling very weak •Nausea and vomiting •Sweating •Headache •Muscle pain •Confusion or delirium •Cyanosis from poorly oxygenated blood
  • 5. Treatment of Pneumonia Pneumonia treatments depend on the type of pneumonia and the severity of symptoms. • Bacterial pneumonias are usually treated with antibiotics • Whereas viral pneumonias are treated with rest and plenty of fluids. • Fungal pneumonias are usually treated with antifungal medications. Over-the-counter medications are also commonly prescribed to better manage pneumonia symptoms. These include• Treatments for reducing fever, reducing aches and pains and suppressing coughs. • In addition, it is important to get plenty of rest and sleep and drink lots of fluids. Hospitalization for pneumonia may be required if symptoms are especially bad or a patient has a weakened immune system or other serious illness. At the hospital, patients generally are treated with intravenous antibiotics and possibly put on oxygen.
  • 6. How can pneumonia be prevented? There are several ways to prevent pneumonia. There are two vaccines that are available to prevent pneumococcal disease : 1. Pneumococcal conjugate vaccine (Prevnar) - Prevnar is generally administered as part of the normal infant immunization procedure and is recommended for children less than 2 years of age or between two and four years with certain medical conditions. 2. Pneumococcal polysaccharide vaccine (Pneumovax) - Pneumovax is provided for adults who are at increased risk of developing pneumococcal pneumonia, such as the elderly, diabetics, those with chronic heart, lung, or kidney disease, alcoholics, smokers, and those without a spleen. In addition to vaccinations, physicians recommend that people wash hands, refrain from smoking, eat healthfully, exercise, and stay away from sputum or cough particles from others with pneumonia.
  • 7. How can pneumonia be prevented? There are several ways to prevent pneumonia. There are two vaccines that are available to prevent pneumococcal disease : 1. Pneumococcal conjugate vaccine (Prevnar) - Prevnar is generally administered as part of the normal infant immunization procedure and is recommended for children less than 2 years of age or between two and four years with certain medical conditions. 2. Pneumococcal polysaccharide vaccine (Pneumovax) - Pneumovax is provided for adults who are at increased risk of developing pneumococcal pneumonia, such as the elderly, diabetics, those with chronic heart, lung, or kidney disease, alcoholics, smokers, and those without a spleen. In addition to vaccinations, physicians recommend that people wash hands, refrain from smoking, eat healthfully, exercise, and stay away from sputum or cough particles from others with pneumonia.