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Tuesday, April 7, 2020

Discharge Instructions - Pneumonia

As discussed in the Emergency Department prior to discharge, you have been diagnosed with pneumonia.  Pneumonia is a lung infection that can cause coughing, fever, and trouble breathing.  The lung infection is often caused by bacteria, but it can also be caused by viruses or other microorganisms.

Doctors use the term "community-acquired" when a person catches an infection in their daily life, and not from being in the hospital.  Doctors call it "hospital-acquired" when people catch an infection from being in the hospital.

Community-acquired pneumonia can be mild or severe.  A mild infection is sometimes called "walking pneumonia."  That's because most people with walking pneumonia are not very sick and can still walk around and do their daily activities.

Common symptoms of pneumonia include cough, coughing up mucus (sputum), fever, chest pain (especially when taking a deep breath), a fast heartbeat, and shaking chills.

Doctors treat community-acquired pneumonia with antibiotic medicines.  These medicines kill the germs that are causing the infection.  Most people can take antibiotic pills at home, but some people need to be treated in the hospital.  People who are treated in the hospital usually get antibiotics through a thin tube that goes into their vein, called an "IV."  Some people also get extra oxygen to help them breathe more easily.

Most people start to feel better within 3 to 5 days of taking their medicine.  But a cough from pneumonia can last weeks or months after treatment.  If your symptoms do not improve or get worse after starting treatment, tell your doctor or nurse.

You should also be sure to get plenty of rest, drink plenty of fluids, and take a fever-reducing medicine, if you have a fever.

Return to the Emergency Department for worsening chest pain, significant difficulty breathing, fever (≥38.0 °C or 100.4 °F) after 2 days of antibiotics, significant fast heartbeat, inability to tolerate fluids or antibiotics by mouth, confusion, or any new or concerning symptoms.

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