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Bronchopneumonia
BY
Y09PHD0123,V/VI pharmD
DEPT. OF PHARMACY PRACTICE
RUN BY :CHALAPATHI INSTITUTE OF PHARMACEUTICAL
SCIENCES, GUNTUR
Pneumonia
Pneumonia is a form of acute respiratory
infection that affects the lungs. When an
individual has pneumonia, the alveoli are
filled with pus and fluid, which makes
breathing painful and limits oxygen intake.
Epidemiology
Incidence is 290-536 per 1000 in Indian children.
In 2008 pneumonia occurred in approximately
156 million children (151 million in the developing
world and 5 million in the developed countries).
In India prevalence is 5.8%during2006-2008
In the developed countries, the annual incidence of
pneumonia is estimated to be 33 per 10,000 in
children younger than five years and 14.5 per 10,000
in children 10 to 16 years
Etiology
Streptococcus pneumoniae
Haemophilus influenzae
Respiratory syncytial virus
in infants infected with HIV, Pneumocystis jiroveci
Risk factors:
Malnourishment
indoor air pollution caused by cooking and heating
with biomass fuels (such as wood )
living in crowded homes
parental smoking.
SOAP NOTE
Subjective findings
Fever since 2 days
Cough and cold since 10 days
Breathlessness since 10 days
Wheeze and expectorent present
Objective findings
Pallor
X-ray :Bilateral infiltration
ASSESSMENT
DIAGNOSIS
Bronchopneumonia
ETIOLOGY
1.O2 Inhalation
Indications: Hypoxaemic patient to support alveolar
emergencies.
Dose:40%-60% O2 using special oxygen therapy
ADR: Conc> 80% have a toxic effect on lungs leading
to pulmonary congestion,exudation,atelectasis.
2.Inj.Ampicillin+Cloxacillin 500 mg IV QID D1-D6
Indications: UTI,Sinusitis,Bronchitis,Community
acquired pneumonia.
Dose:100mg/kg every 6 hrs
ADR:Nausea,Vomiting,Diarrhoea
Assessment of current therapy
ADR:Tachycardia,palpitations,Headache,muscle cramps.
Assessment of current therapy
Therapeutic monitoring:
Temperature, PR, RR, Hb
Toxicity monitoring:
Cyanosis, Convulsions, Respiratory depression.
Drug monitoring:
Budesonide: Monitor for growth in paediatric
patients, for long term use.
Ampicillin:Signs of anaphylaxis, prolonged therapy monitor
liver,hematological functions.
Salbutamol:BP,HR,serum glucose, potassium,ABG analysis
DRUG BRAND DOSE COST
FEBREX(indoco) 24.23
Prodol(Radicura) 19.50
Genmole(Cadila) 15.70