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Clinical Medicine- Pulmonary > Aspiration > Flashcards

Flashcards in Aspiration Deck (12):

Adult risk factors for aspiration?

>75yo, drug/alc intoxication, anesthesia, stroke, neurological disease


Clinical presentation of foreign body aspiration?

May only have chronic cough (if small, can persist for week/months), fever, chest pain, dyspnea/wheezing (less common), hoarseness, foul smelling sputum*


These possible sequelae may following objects left in place for a while?

recurrent pneumonia, atelectasis, bronchiectasis, lung abcess, pneumothorax, pneumomediastinum


If radiologic imaging is still uncertain, order these?

Laryngoscopy or bronchoscopy (treatment of choice)


Post removal treatment of foreign body?

Corticosteroid if tissue swelling occurs. Antibiotics if respiratory infection occurs


These patients are at risk for aspiration pneumonia?

Alcoholism, cig smoking, poor dentition, homeless, neuromuscular disease, mental status changes, chronic or sever esophageal reflux


These organisms cause bacterial aspiration pneumonia?

Oral anerobes. Peptostreptococcus, fusobacterium nucleatum, prevotella, and bacteroides spp


Clinical presentation of bacterial aspiration pneumonia?

Fever, cough, fatigue, dyspnea, purulent sputum, may progress slower than typical course of CAP or nosocomial pneumonia. *Chills and rigors uncommon


CXR findings of bacterial aspiration pneumonia?

Lung abscesses, necrosis that causes round lesions with airfluid level, empyema


Treatment for bacterial aspiration pneumonia?

Clindamycin 600mg IV q8h OR amoxicillin-clavulanic acid 875mg PO BID OR Metronidazole + Amoxicillin. 7-10 treatment if no abscess or empyema, may need longer if present


Clinical presentation of chemical pneumonitis?

Abrupt onset, severe and prominent dyspnea, low-grade fever, crackles, severe hypoxia


Treatment of chemical pneumonitis?

Suction airway to remove any tracheal fluids, support pulm. function with positive pressure ventilation or mechanical ventilation, antibiotics if secondary bacterial pneumonia suspected