Titre du document / Document title

Managing the nonsurgical candidate with an empyema related to community-acquired lobar pneumonia

Auteur(s) / Author(s)

MCLAUGHLIN Richard L. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Nursing, Rush University, ETATS-UNIS

Résumé / Abstract

This case study reviews the medical management for a 76-year-old patient with a cardiac history and recurrent admissions for a persistent pneumonia. Computed tomography showed evidence of an empyema in the right middle and lower lobes of his lung. The standard treatment for an empyema is a thoracotomy and long-term antibiotics. However, the patient's cardiac history disqualified surgery as an option. Therefore the management plan was composed of antibiotics and treatment of his symptoms. The patient's symptoms improved after a week of levofloxacin (Levaquin), prednisone, bilevel positive airway pressure mask as required, and oxygen. He was discharged with home care, oxygen, Levaquin, tapering doses of prednisone, and previous medications. At a 6-week follow-up examination, the patient was asymptomatic and had marked improvement noted on chest radiograph. The advanced practice nurse played an important role in this patient's recovery by conducting patient education and coordinating follow-up after his release.

Revue / Journal Title

Heart & lung   ISSN 0147-9563   CODEN HELUAI 

Source / Source

2000, vol. 29, n^o5, pp. 378-382 (3 ref.)

Langue / Language

Anglais

Editeur / Publisher

Mosby, St. Louis, MO, ETATS-UNIS  (1972) (Revue)

Mots-clés anglais / English Keywords

Empyema ; Pneumonia ; Bacteriosis ; Pulmonary lobe ; Thoracotomy ; Antibiotic ; Clinical form ; Human ; Case study ; Infection ; Respiratory disease ; Lung disease ; Surgery ;

Mots-clés français / French Keywords

Empyème ; Pneumonie ; Bactériose ; Lobe pulmonaire ; Thoracotomie ; Antibiotique ; Forme clinique ; Homme ; Etude cas ; Infection ; Appareil respiratoire pathologie ; Poumon pathologie ; Chirurgie ;

Mots-clés espagnols / Spanish Keywords

Empiema ; Neumonía ; Bacteriosis ; Lóbulo pulmonar ; Toracotomía ; Antibiótico ; Forma clínica ; Hombre ; Estudio caso ; Infección ; Aparato respiratorio patología ; Pulmón patología ; Cirugía ;

Localisation / Location

INIST-CNRS, Cote INIST : 17411, 35400009109001.0090