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BSC NURSING GROUP 5

MEDICAL SURGICAL
GROUP ASSIGNMENT

Lung Abscess

Instructor Abdii Waqjira (BSC,MSC)

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• GROUP MEMBER
1. SISAY ALEMAYEHU------------------------------------ 041
2. SITINA RASHAD --------------------------------------- 042
3. TAMIRAT GABRE--------------------------------------- 043
4. TESHOME KEBEDE----------------------------------- 044
5. TIBLET AMARE ---------------------------------------- 045
6. TIGIST SHANTAMA ---------------------------------- 046
7. WORKINESH SIIDA ----------------------------------- 047
8. WORKU DIRIBA --------------------------------------- 048
9. ZEWUYA KEDIR ------------------------------------ 049
10. ZERIHUN ASEFA ------------------------------------ 050
 Table Contents
• Definition • Treatment of lung
• Types of lung abscess abscess
• Symptoms of lung • Nursing diagnosis
abscess • Nursing management
• Causes /risk factor • Conclusion
• Pathophysiology • Referance
• Diagnosis of lung absce
• Differential diagnosis
• Complications of lung
abscess

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 Definition

A lung abscess is a pus-

filled cavity in
your lung surrounded
by inflamed tissue. It
usually results
from breathing bacteri
a that normally live in
your mouth or throat
into the lungs, leading
to an infection. 7
 Continue..
• A lung abscess is a cavity filled with pus. In most
cases, it’s the result of a bacterial infection in lung
tissue. The infection causes lung tissue to die. Pus
collects in the resulting space.
• A lung abscess can be challenging to treat, and it
can also be life threatening.
• If a lung abscess lasts for under 4 to 6 weeks, it’s
considered acute. A lung abscess that lasts for
longer than that is considered chronic.
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 Types of lung abscess

Primary lung abscess

• Primary abscesses are caused by an infection within
the lung.
• Alcohol use disorder is the condition most likely to
make a person susceptible to developing a lung
abscess.
• People with alcohol use disorder often
experience bouts of vomiting and altered levels of
consciousness. These complications increase the
likelihood of a person inhaling stomach contents and
bacteria into the lungs, which can cause an infection. ●●●
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 Types of lung abscess

Secondary lung abscess

• Secondary abscesses are caused by anything
other than an infection that starts in the lung.
Examples include:
• An obstruction of the large airways in the lung
• Coexisting disease in the lungs
• Infections from other parts of the body that
spread to the lung
• Secondary lung abscesses are less common than
primary lung abscesses. 10
 Causes of lung abscess
A number of things can cause a lung abscess, including:
• Not being able to cough:
This often happens as a result of:
 Anesthesia
 Alcohol or drug use
 Nervous system diseases
 Sedation
• Your immune system isn’t working well: This can let
in germs that aren’t usually found in your mouth or
throat, like fungi or the bacteria that
cause tuberculosis, strep throat.
●●●
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 Causes of lung abscess
• Poor oral health: People with gum disease are more
likely to get an abscess.
• Blocked airway: Mucus can form behind a tumor or
foreign object in your windpipe and lead to an
abscess. If bacteria get into the mucus, the blockage
stops you from coughing it out.
• Blood-borne causes: It’s rare, but bacteria or
infected blood clots from an infected part of your
body can travel through your bloodstream and into
your lung, where they cause an abscess.

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Symptoms of lung abscess

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 Diagnosis of lung abscess

A lung abscess is typically diagnosed in two ways:

• Chest X-ray: This shows your doctor where the
abscess is.
• CT scan of the chest: Your doctor is looking for an
air- and fluid-filled cavity in the middle of your
lung.
The doctor might also use a device called a
bronchoscope, a thin tube with a light and a
camera on the end, to get samples of sputum or
lung tissue for more tests
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Differentiate diagnosis
• Lung infarction
• Malignance
• Vasculititides (eg granulomatosis with polyangitis)
• Lung cyst or bullae containing fluids
 Complications of lung abscess
• Chronic abscess: That’s what it’s called if it lingers
for more than 6 weeks.
• Empyema: This is when an abscess breaks into
the space between your lungs and chest wall and
fills the space with pus.
• Bleeding: It’s rare, but sometimes an abscess can
destroy a blood vessel and cause serious
bleeding.
• Bronchopleural fistula: This is an opening
between the tubes in your lungs and layers that
cover them. 25
 Treatment of lung abscess
There are several ways to treat a lung abscess:

Antibiotics: Most people get antibiotics into a vein for

up to 3-8 weeks. You might switch to oral antibiotics
after that. You’ll take them until a chest X-ray shows
the abscess is gone.
Drainage: You may need this if your abscess is 6
centimeters or more in diameter. Your doctor will use a
CT scan to guide them as they insert the drain through
your chest wall into the abscess.
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 Treatment of lung abscess
Surgery:
• It’s rare, but some people need surgery to
remove the part of the lung with the abscess
Sometimes the entire lung has to come out to
get rid of the infection.
• Surgery can also help remove a foreign object.

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 Conclusion
• Antibiotic treatments will help most people
make a full recovery.
• And the earlier you get treatment, the better.
It may be harder to bounce back if you’re
weak, ill, have an impaired immune system, or
have a tumor that blocks your airways.

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References
• Google.com
• Team member (from reading)
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HORAA BULAA
DEEBANA !