1.  Definition An inflammation of lung parenchyma caused by various microorganisms, including bacteria, mycobacteria, fungi and viruses

2.  Community acquired pneumonia  Hospital acquired pneumonia  Pneumonia in the immunocompromised host  Aspiration pneumonia

3.  Low immunity  Affect both ventilation and perfusion

4.  CHF  DM  Alcoholism  COPD  AIDS

5.  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

6.  Chest X-ray.  Blood culture  Sputum examination

7.  Pneumococcal vaccine  People at risk

8.  Pharmacologic therapy

9.  ASSESSMENT  DIAGNOSIS  PLANNING  INTERVENTION  EVALUATION