How to treat lung inflammation with medicine

Pneumonia is a common disease. There are many causes of pneumonia. When the patient's immunity is relatively poor, the bacteria will enter the lungs through the respiratory tract, thereby inducing pneumonia. This often causes symptoms such as coughing, fever, and physical fatigue. Some patients also experience bronchiectasis. Pneumonia must be treated in a timely manner. First of all, anti-inflammatory and bactericidal treatment must be carried out. Certain antibiotics can be used for treatment. In addition, in daily life, you must get enough rest, keep warm, and eat some high-calorie foods. Learn more: How to treat lung inflammation with medication?

General supportive care

Patients should rest in bed, keep warm, and eat easily digestible food. People with fever should drink plenty of water and receive intravenous fluids if necessary. People with high fever should reduce their temperature physically or use antipyretics. For patients with hypoxia symptoms such as shortness of breath and cyanosis, oxygen can be given through a nasal cannula. For patients with severe irritating cough, codeine 15-30 mg can be given 2-3 times a day. Ammonium chloride and brown mixture can be used to eliminate expectorants.

2. Application of antibiotics

Antibiotics can be used to treat various bacterial pneumonias and prevent viral pneumonia complicated with bacterial infection. They are targeted at pathogenic bacteria and combined with drug sensitivity tests.

(1) Pneumococcal pneumonia:

Penicillin G is the first choice. For young adult patients, 800,000 units should be injected intramuscularly three times a day. For more serious cases, 2.4 to 4.8 million units should be administered by intravenous drip every 6 hours. In severe cases and complicated by meningitis, the dose should be increased to 10 to 30 million units per day, evenly divided into 4 intravenous drips. Or use first or second generation cephalosporins, such as cephalothin, cefazolin, cefadroxil, etc. Skin allergy tests should be performed before using penicillin and cephalosporins. For those who are allergic to penicillin, erythromycin 1.5g per day can be used for mild cases, intravenous drip; or lincomycin 2g per day can be used, intravenous drip. After the condition improves, you can take sulfamethoxazole orally; 2 tablets twice a day; or cephalexin 0.5g, once every 6 hours.

(2) Patients with out-of-hospital infection:

Penicillin G can be used, 3 to 10 million U per day, divided into 4 times for intramuscular injection or intravenous drip. For patients with nosocomial and some non-nosocomial penicillin-resistant staphylococcal infections, β-lactam antibiotics, such as oxacillin and cloxacillin, should be administered, 4 to 6 g per day, divided into two intramuscular injections or intravenous drips. Vancomycin can also be used by intravenous drip at 1 to 2 g per day. Erythromycin, lincomycin or clindamycin also have certain therapeutic effects, and cephalosporin antibiotics can also be tried for penicillin-resistant strains. Aminoglycoside antibiotics can be used in combination with the above-mentioned drugs. When complications occur, such as empyema, meningitis, endocarditis, and metastatic abscesses of the kidney, brain, or myocardium, 10 to 30 million U of penicillin G can be used daily, divided into 4 to 6 intravenous drips.

(3) Klebsiella pneumonia:

Aminoglycoside antibiotics are the first choice, such as gentamicin, kanamycin, tobramycin, and amikacin. The combination of oxypiperidone penicillin, thiophenecarboxazid penicillin and aminoglycosides has better effect. In severe cases, cephalosporins such as cefoperazone, ceftriaxone, and ceftriaxone should be added. Chloramphenicol, tetracycline and co-trimoxazole are also effective in some cases.