An intubated, mechanically ventilated patient is suspected of developing nosocomial pneumonia. The pulmonologist decides to perform a bronchoscopy. Which bronchoscopy findings would be consistent with pneumonia?
1) Alveolar collapse
2) Distal purulent secretions
3) Persistent secretions surging from distal bronchi during exhalation
4) P/F ratio less than 50

Question

Quizplus · Accepted Answer

1) Alveolar collapse is not a specific finding for pneumonia and can be seen in a variety of conditions.
2) Distal purulent secretions are consistent with pneumonia as they suggest the presence of infected material in the lower respiratory tract.
3) Persistent secretions surging from distal bronchi during exhalation are also consistent with pneumonia, as they indicate the presence of infected material that is difficult to clear.
4) A P/F ratio less than 50 indicates severe hypoxemia, which may be seen with pneumonia.

An Intubated, Mechanically Ventilated Patient Is Suspected of Developing Nosocomial