Chemical pneumonitis
| Chemical pneumonitis | ||
| ICD-10 | J12, J13, J14, J15, J16, J17, J18, P23 | |
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| ICD-9 | 480-486, 770.0 | |
| DiseasesDB | 10166 | |
| MeSH | pneumonitis&field=entry#TreeC08.381.677 C08.381.677 | |
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Chemical pneumonitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Chemical pneumonitis On the Web |
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American Roentgen Ray Society Images of Chemical pneumonitis |
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Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Associate Editor(s)-In-Chief: Priyamvada Singh, M.D. [2]; Philip Marcus, M.D., M.P.H.[3]
Overview
Historical Perspective
Pathophysiology
Causes
Differentiating Chemical pneumonitis from other Diseases
Epidemiology and Demographics
Risk factors
Natural History, Complications and Prognosis
Prognosis predictor scores: CURB-65 | Chemical pneumonitis severity index | Criteria for severe community acquired Chemical pneumonitis
Diagnosis
Diagnostic criteria | History and Symptoms | Physical Examination | Laboratory Findings | Chest X Ray
Treatment
Site of care decision | Medical Therapy | Other treatments consideration | Prevention | Management of non-responding Chemical pneumonitis
Bronchoscopy
- Erythema of the bronchi
Medical therapy
- Tracheal suction (observed aspiration). However, the initial lung injury can't be prevented as it occurs rapidly
Supportive Pulmonary therapy
- Positive pressure ventilation
- Intravenous fluids (high molecular weight colloid)
- Sodium nitroprusside infusion in the pulmonary artery
- Mechanical ventilation (if respiratory failure)
- Antimicrobial agents prophylactically for superimposed bacterial infection
- Use of steroids is controversial