Announcement

Collapse
No announcement yet.

In hospital with pneumonia

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

    #16
    Originally posted by SCI-Nurse View Post
    Yes, poor oral hygiene has been associated with acquired pneumonia, esp. in those who are at risk for aspiration. In the hospital, it is now routine for patients on ventilators, with trachs, and with other known aspiration risks to have oral care done every 4 hours using an oral antiseptic (either H202 or CHX), with teeth brushing done at least 2X daily, and the antiseptic swabbed inside the mouth at the other 4 times daily. This has decreased HAP (hospital acquired pneumonia) significantly when done as a regular routine.

    (KLD)
    Well I never heard that before. Glad I practice good oral hygiene!

    PDF with more of the same related to KLD's post:

    http://www.in.gov/fssa/files/aspirat...evention_3.pdf

    Comment


      #17
      Sorry dude. My hubby just got out for the same. he's still at home on an IV . Careful with that Vanco. My husband has ringing in his ears now and I'm trying to figure out what to do from here..... Get better !!!!!!!!!!

      Comment


        #18
        Glad your feeling a little better and starting to figure some medical stuff out. Hopefully it will help you stay much improved in the future. This SCI shit seems to require a crap load of discipline an constant vigil.
        T12L1 Incomplete Still here This is the place to be 58 years old

        Comment


          #19
          Yeah, every time I go the dental hygienist I get a lecture about brushing and flossing. I don't floss and only brush every other day; I used to do that stuff but just get tired of all the stuff involved in just life so I cut out some things. But I do have to go three times a year for cleaning so I do hear her lectures three times a year. I never heard not brushing can cause pneumonia, one of the few problems I haven't had so far (I can cough nearly normally though, so I am probably not at risk).

          My hygienist would jump for joy if she heard not brushing can cause pneumonia, she loves to deliver speeches about the importance of constant brushing and flossing; the last few years she has emphasized it is important in preventing heart infections. (To be fair she is an excellent and conscientious hygienist, it's just that dental hygienists can get a bit wrapped up in their profession).

          Comment


            #20
            Originally posted by SCI-Nurse View Post
            Yes, poor oral hygiene has been associated with acquired pneumonia, esp. in those who are at risk for aspiration. In the hospital, it is now routine for patients on ventilators, with trachs, and with other known aspiration risks to have oral care done every 4 hours using an oral antiseptic (either H202 or CHX), with teeth brushing done at least 2X daily, and the antiseptic swabbed inside the mouth at the other 4 times daily. This has decreased HAP (hospital acquired pneumonia) significantly when done as a regular routine.

            (KLD)
            I think mine started with bronchitis at home - I was feeling that tight "spastic" feeling I get when I know something ain't right. I had a slight cough every know and again but that was it. When I came to the hospital it got worse. I thought it was a severe UTI because I had a lot of pus in my urine but I had just had botox in my bladder a few days before and the urologist said that's a side effect and should go away.

            Comment


              #21
              Originally posted by gjnl View Post
              Really sorry to hear that you have had another complication. Wish you could catch a break here and have a good run for at least a few months.

              I know it sounds tempting to go on prophylactic antibiotics to help prevent urinary tract infections, but the risks are great that you can/will develop antibiotic resistant bacteria, and then where would you be, with only limited antibiotics available to treat infections.

              Any time you develop urinary tract infections, one right after another, it is a good idea to call in an infectious disease doctor. You have got to be careful, now that you are in the hospital, that you don't get slammed with a hospital acquired infection. I have read a resent study about the best way to try to avoid the hospital acquired infections like MRSA, Methicillin-resistant Staphylococcus aureus. Bathe daily, wash hands often, and swab the nose, daily, with Neosporin ointment.

              Take care and get out of the hospital, ASAP.

              All the best,
              GJ
              I'll have to get some neosporin ASAP and start swabbing. Thanks GJ!

              Comment


                #22
                I'd also ask your pulmonologist or respiratory therapist about the effect different pain meds have on your respiratory strength. Many pain meds suppress your respiration.
                Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, "I will try again tomorrow."

                Disclaimer: Answers, suggestions, and/or comments do not constitute medical advice expressed or implied and are based solely on my experiences as a SCI patient. Please consult your attending physician for medical advise and treatment. In the event of a medical emergency please call 911.

                Comment


                  #23
                  So sorry to hear of this!
                  It's close to home as I crashed with pneumonia in '09 after decades of good health. (Paralyzed from neuro.cond.)
                  It all started with severe sore throat and overnight turned into coughing then my inability to cough. At hospital I was given a trach and a respirator, with all antibiotics known to man. They didn't figure out what kind of pneumonia I had. I had previously had vaccination.
                  Took 5 months to finally get out of 3rd hospital/nursing home. Had other, major complications develop. Toward the end they doubled my dose of Vancomycin and that finally helped me get rid of the dreaded, debilitating, C-Diff.
                  Since then I sleep and nap with bi-pap machine. Doing fine now.

                  I follow up with pulmonologist on regular basis - never had before but should have had evaluation done.
                  Suggest you and family members stay in close touch with health care staff regarding your needs and issues.
                  Best to you!

                  Comment


                    #24
                    Originally posted by lynnifer View Post
                    I'm sorry to hear this. You have had one thing after another! I hope it gets better soon ... best get sorted while in hospital.
                    Thanks, Lynnifer!

                    Comment


                      #25
                      They took a sputum sample after I'd been on abx for a few days and the culture grew out negative, just normal flora.

                      However, I keep spiking fevers and when I cough up the sputum deep from my lungs it is dark yellow/discolored indicating infection and I developed severe spasms on Thursday and an increase in neuro pain, so I know there is an active infection. My cough is awful.

                      They say there may be a mucus plug not an infection. But that would not be causing these symptoms would they?

                      Comment


                        #26
                        Mucus plug is what got me the trach and respirator. Maybe they have meds or treatment to resolve yours.

                        Comment


                          #27
                          Originally posted by SCI-Nurse View Post
                          Yes, poor oral hygiene has been associated with acquired pneumonia, esp. in those who are at risk for aspiration. In the hospital, it is now routine for patients on ventilators, with trachs, and with other known aspiration risks to have oral care done every 4 hours using an oral antiseptic (either H202 or CHX), with teeth brushing done at least 2X daily, and the antiseptic swabbed inside the mouth at the other 4 times daily. This has decreased HAP (hospital acquired pneumonia) significantly when done as a regular routine.

                          (KLD)
                          Aye! They did this routinely to me when hospitalized with Septic Shock. I had a slight Pneumonia and was on a vent, so they must have done all those swabs for that purpose. Interesting to learn that.

                          Comment


                            #28
                            Originally posted by jbridges9 View Post
                            I never thought I could f feel so bad. I am currently on vancomycin and cefzim. I had my pneumonia vvaccine but they Said that wouldn't prevent this type of pneumonia. I'm a T3 so it's hard for me to cough up the stuff. There's a big pocket down in my left lung.

                            Jason
                            I hope you feel better soon. Bacterial infections cannot be prevented by vaccinations, but it works for the viral form.

                            Comment


                              #29
                              Jason-
                              I hope that you are doing better. I don't know much more to add.
                              CKF
                              The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                              Comment


                                #30
                                I had pneumonia caused by MRSA, a nasty antibiotic-resistant strain, and it can be deadly. It came on overnight. I was in hospital for two weeks, then in a nursing home on IV antibiotics for a week, then in the hospital rehab unit getting PT for another week. That was in February and I'm still dealing with coughing and mucous that's hard to cough up. I'm wondering when or if I will ever get back to normal. I am L1 para, 64.

                                Comment

                                Working...
                                X