What to do if there is half a pepper in the lungs causing inflammation

Normally when we eat, we may accidentally inhale some food into our lungs due to laughing or swallowing too much. In particular, some foreign objects may get stuck in the lungs, affecting our breathing and even making us feel very uncomfortable, causing pneumonia. We can slowly cure pneumonia by using these methods.

Treatment

Anti-infection treatment is the most important part of pneumonia treatment. Treatment of bacterial pneumonia includes empirical therapy and treatment directed at the pathogen. The former mainly selects antimicrobial drugs that may cover pathogens based on the epidemiological data of pneumonia pathogens in the region or unit; the latter selects antimicrobial drugs that are sensitive in in vitro tests based on the culture and drug sensitivity test results of respiratory or lung tissue specimens. In addition, the selection of antimicrobial drugs and routes of administration should be based on the patient's age, underlying diseases, aspiration, whether the patient is in a general ward or intensive care unit, length of hospitalization, and severity of pneumonia.

Antimicrobial treatment of pneumonia should be started as early as possible, and the first dose of antibiotics should be given immediately if pneumonia is suspected. Once the condition stabilizes, the patient can switch from intravenous to oral therapy. The course of antibiotic treatment for pneumonia is at least 5 days, and most patients require 7-10 days or longer. Antibiotics can be discontinued if the body temperature remains normal for 48-72 hours and there are no clinical unstable signs of pneumonia. The clinical stability criteria for pneumonia are: ①T≤37.8℃; ②Heart rate≤100 times/min; ③Respiratory rate≤24 times/min; ④Blood pressure: systolic pressure≥90mmHg; ⑤Arterial oxygen saturation≥90% or PaO2≥60mmHg under breathing room air conditions; ⑥Able to eat orally; ⑦Normal mental state.

The condition should be evaluated 48-72 hours after antimicrobial treatment. Effective treatment will be manifested by a decrease in body temperature, improvement in symptoms, a stable clinical state, a gradual decrease in white blood cells or a return to normal, and delayed absorption of lesions on chest X-rays. If symptoms do not improve after 72 hours, the possible reasons may be: ① the drug fails to cover the pathogenic bacteria, or the bacteria are resistant to the drugs; ② infection with special pathogens such as Mycobacterium tuberculosis, fungi, viruses, etc. ③ Complications occur or host factors that affect efficacy (such as immunosuppression) exist. ④ Non-infectious diseases are misdiagnosed as pneumonia. ⑤Drug fever. It needs to be carefully analyzed, necessary inspections made, and appropriate treatments taken.

Community-acquired pneumonia in young adults and those without underlying diseases

Commonly used penicillins, first-generation cephalosporins, etc. Due to the high resistance rate of Streptococcus pneumoniae to macrolide antibiotics in my country, macrolide antibiotics are not used alone to treat pneumonia caused by this bacteria. Fluoroquinolones (moxifloxacin, gemifloxacin and levofloxacin) that are specifically effective for respiratory infections can be used for resistant Streptococcus pneumoniae.

Community-acquired pneumonia in the elderly, those with underlying medical conditions, or those requiring hospitalization

Commonly used drugs include fluoroquinolones, second- and third-generation cephalosporins, β-lactam/β-lactamase inhibitors, or ertapenem, which can be combined with macrolides.

Hospital-acquired pneumonia

Commonly used are second- and third-generation cephalosporins, β-lactam β-lactamase inhibitors, fluoroquinolones, or carbapenems.