Transcript for:
Understanding Pneumonia: Causes and Treatments

Hi, I'm Cathy with Level Up RN. In this episode  of Ask a Nurse, I'll be answering your questions   about pneumonia, such as what is pneumonia,  what are the signs and symptoms of pneumonia,   and how is pneumonia diagnosed and treated?  Pneumonia is an infection of the lungs that   causes the alveoli, which are the air sacs in the  lungs, to become inflamed and filled with fluid   or pus. It is most commonly caused by bacteria,  but can be caused by a virus or fungus as well.   Signs and symptoms of pneumonia include fever,  chills, shortness of breath, chest pain,   and a cough. In older adults, a sudden onset of  confusion is another key symptom of pneumonia.   So if you have an older family member  or friend who suddenly becomes confused,   you should suspect that they may have an  infection or electrolyte imbalance present.   In babies, signs and symptoms of pneumonia can  include grunting, nasal flaring, rapid breathing,   and cyanosis, which is the blue discoloration  of the skin and lips due to a lack of oxygen.   In terms of diagnosis, your provider will review  your medical history and symptoms and listen to   your lungs. They will also measure how much oxygen  is in your blood using a pulse oximeter, which is   a small device that is attached to your finger  or ear. Blood tests may also be ordered, which   may show an increase in white blood cells, which  indicates your body is fighting an infection. And   then a chest X-ray would be used to confirm the  presence of pneumonia in your lungs. If you are   hospitalized or have severe symptoms, other tests  that may be ordered include an arterial blood gas   test, which directly measures levels of oxygen in  an artery, or a sputum test, which uses a sample   of the mucus from your cough to determine the  exact microbe that is causing the pneumonia.   Treatment of pneumonia depends on the cause.  For bacterial pneumonia, antibiotics will be   prescribed, and it's essential to take your  antibiotics exactly as directed. You may start   feeling better after a couple of days, but it  is super important to finish the entire course   of antibiotics or else your pneumonia may come  back. Unlike bacterial pneumonia, viral pneumonia   typically goes away on its own. Your provider will  likely encourage rest, increased fluid intake,   the use of a humidifier, and Tylenol or ibuprofen  to treat fever and/or pain. In some cases,   an antiviral agent may be prescribed to help  decrease the severity and length of infection.   And then finally, for pneumonia that is caused by  a fungus, an antifungal agent will be prescribed.   If you have severe pneumonia, it may need  to be treated in the hospital where you may   receive oxygen therapy, respiratory therapy,  breathing treatments, and the administration   of IV fluids and antibiotics. And in very  severe cases, a ventilator may be required.   Patients in the hospital are also typically  given a device called an incentive spirometer.   This device helps you take slow, deep breaths,  which in turn helps to open up the airways and   loosen secretions so that you can cough them  out. As you are recovering from pneumonia,   it's important to drink plenty of fluids  so you can stay hydrated and help thin your   respiratory secretions. In addition, sitting  upright can help you breathe more easily,   and it's important to take deep breaths  and cough frequently throughout the day.   You also want to prevent spreading the  infection to others, so be sure to cover   your mouth and nose when you are coughing  and sneezing and wash your hands often.   And then lastly, it's important to know that it  can take several weeks until you feel better,   and most people feel tired for about a month after  having pneumonia. So it's important to take good   care of yourself and give yourself some grace as  you are recovering. That is it for this episode of   Ask a Nurse. I hope you found it to be helpful. If  so, be sure to hit that like button and subscribe   to our channel. And if you have a health topic  or question you'd like me to address in a future   episode of Ask a Nurse, then definitely leave that  in the comments. Stay informed and stay well.