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Definition An inflammation of lung parenchyma caused by various microorganisms, including bacteria, mycobacteria, fungi and viruses Community acquired pneumonia Hospital acquired pneumonia Pneumonia in the immunocompromised host Aspiration pneumonia Low immunity Affect both ventilation and perfusion CHF DM Alcoholism COPD AIDS Rapid rising fever (40.5 C) Chills Pleuritic chest pain (become bad with deep breathing and coughing) Tachypnea Signs of respiratory distress (SOB, use of accessory muscles) Pulse is rapid and bounding (10 more each 1C of temp.) Orthopnea Chest X-ray. Blood culture Sputum examination Pneumococcal People at risk vaccine Pharmacologic therapy ASSESSMENT DIAGNOSIS PLANNING INTERVENTION EVALUATION