Treatment of severe pneumonia in the elderly

Severe pneumonia in the elderly is caused by the inflammatory reaction of lung tissues caused by infection with a variety of pathogens, causing serious complications such as respiratory dysfunction and hypoxia. Its treatment mainly includes general treatment and drug therapy.

1. General treatment: including bed rest, oxygen support, maintaining respiratory tract patency, maintaining water and electrolyte balance and nutritional support. If the patient has hypotension or shock, he or she should immediately rehydrate and expand his or her blood pressure, and use vasoactive drugs to raise blood pressure as prescribed;

2. Anti-inflammatory treatment: for bacterial pneumonia, sensitive antibiotics can be selected to control infection, commonly used amoxicillin clavulanate potassium tablets, cefoperazone sulbactam sodium injection, levofloxacin hydrochloride capsules, etc.; Patients with fungal infection should use voriconazole dispersible tablets, itraconazole capsules and other drugs; Patients with viral infection can use drugs such as ribavirin granules and oseltamivir phosphate capsules. In addition, the medication regimen can be adjusted according to the results of sputum culture;

3. Immunomodulatory therapy: the elderly have low immunity and are prone to other diseases, and the appropriate application of thymus peptide enteric-coated tablets and transfer factor oral solution under the guidance of doctors to improve their own resistance is helpful for the recovery of the disease.

4. Symptomatic treatment: If combined with heart failure, cardiac, diuretic, and tube expansion drugs should be given to improve symptoms, such as furosemide tablets, digoxin tablets, spironolactone tablets, etc.; If there is an electrolyte imbalance, it is necessary to correct the water and electrolyte imbalance in time, and if necessary, intravenous glucose sodium chloride injection to ensure the energy supply in the body.

In addition, it is also necessary to pay close attention to the changes in the condition and regularly review the changes in blood routine, C-reactive protein and other related indicators, so as to facilitate the adjustment of treatment measures. In daily life, we should pay attention to keeping warm to avoid cold, pay attention to light and easy-to-digest foods rich in protein in our diet, eat more fresh fruits and vegetables, quit smoking and drinking, and drink more water to promote metabolism.