The patient was intubated in the field following a severe motor vehicle accident and is being managed in the intensive care unit. One day after the accident, increased oxygen requirement and diminished lung sounds are noted, and a radiograph is obtained. The chest x-ray reveals consolidation in bilateral lower lobes. The nurse anticipates which diagnosis for this patient?

Community-acquired pneumonia. The patient who develops pneumonia less than 48 hours after intubation has community-acquired pneumonia. Intubation for 48 hours before development of pneumonia indicates ventilator-associated pneumonia (and therefore hospital-acquired pneumonia). It is unclear whether the patient aspirated, so community-acquired pneumonia is the most accurate diagnosis.

The patient was intubated in the field following a severe motor v...

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Physiological Adaptation
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Category: Physiological Adaptation
Difficulty: 5

Topics: Radiology Respiratory Health Care Ethics, Law, and Policy Health Care Quality Health Promotion Immunity Infection Inflammation

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