Lung Abscess
Lung Abscess
Lung Abscess
1. DESCRIPTION:
a. A localized lesion in the lung containing pus and necrotic tissues that collapses and forms
cavities, or pockets, in the lung.
b. May occur from aspiration of vomitus or infected material (nasotracheal secretions or blood)
from the upper respiratory tract; or secondary to bronchial oibstruction due to a tumor, where
infection or necrosis within the tumor mass results in accumulation of secretions.
c. May be also a sequel of necrotizing pneumonias, tuberculosis, pulmonary embolism, trauma,
bronchial neoplasms.
2. NURSING ASSESSMENT:
a. Initially cough, with small amount of sputum, a ↓ grade fever, and malaise.
b. In time, sputum becomes copious and often foul-smelling, sometimes containing blood.
c. Pleuritic chest pain.
d. Sometimes, onset is sudden, with chills, high fever, cough and malaise.
4. MANAGEMENT
a. Adequate drainage thru postural drainage aided by percussion, effective coughing and breathing
exercises.
b. Sometimes, bronchoscopy is needed to drain abscess.
c. ↑ protein, ↑ calorie diet – since chronic infection is associated with a catabolic state.
d. Antibiotic therapy duration may be from 6-18 weeks to prevent relapse.
e. Surgery if medical intervention is inadequate.
Abscess becomes
Encapsulated
Bronchu
Necrotizes Pleuritic Chest
Continuous
Production
of
Sputum
Purulent
Sputum In
time may
became foul