2. Pneumonia 폐렴

• An inflammatory reaction in the alveoli and interstitium

• Caused by an infectious agent: chemicals, viruses, bacteria, and aspiration

• Production of cellular debris and secretions (올라) --> impaired gas exchange.

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High-Risk Individuals (Immune, Age, Comorbidity, Aspiration)

• The elderly & Infants (Immune, aspiration)

• Individuals with high risk of aspiration (GERD)

• Inability to protect airway (Stroke, unconsciousness)

• Pre-existing lung disease (COPD, Bronchiectasis and etc)

• Seriously ill pts (Ventilator associated)

• Hospitalized pts

• Immune - compromised pts (HIV, chemotherapy)

• Smokers.

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Symptoms: 전반적인 감기몸살 증상,

• Fatigue, sweating, chills, sore throat, dyspnea, pleuritic Chest Pain, Productive, Purulent Sputum: Thick, yellowish, or greenish mucus produced, Tem up (>100.4 F, 38 C). Tachycardia, Crackles on auscultation (alveoli and small airways blocked by mucus), Older adults (급성 혼란 Acute confusion), Infants and young childrens (lethargy, irritability, and poor appetite), Pulmonary Infiltrates (침), Positive Sputum Culture, Leukocytosis (WBC count of >10,000 mm)

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느낀점:

이론이 함축이 많이 되어있지만, 서서히 정리하면서 개념이나 약 이름을 보았을때 설명을 잘 할 수 있도록 하겠다. 특히 모르는 단어 문제풀이를 한 후라도 꼭 단어정리와 개념정리를 잘하고 넘어간후 계속 계속 리뷰해서 내꺼로 만들어야지! 김상중 강사로 인해서 COPD 개념을 너무나 잘 알게되어서 기쁘다 :) Thank you!!!