Pneumonia ati

Pneumonia 8/29/2023 5:17:46 PM 36 min Strong Module Report Real Life PN Medical Surgical 4. Pneumonia Tutorial: Module: Reasoning Scenario Details Pneumonia - Use on 8/29/2023 5:04:06 PM Reasoning Scenario Performance Related to Outcomes: *See Score Explanation and Interpretation below for additional details. Body Function Strong Satisfactory ...

Community Acquired Pneumonia Pneumonia. High fowlers position Encourage coughing, deep breathing Administer breathing tx, 02, meds Monitor for skin breakdown around nose/mouth Promote increased fluid (2-3L), increased calories Provide reassurance. Chest X ray- shows consolidation. Good for OA since manifestations are often vague Pulse ox2. Cough, fever, chest pain, sputum production. 3. Sputum becomes rust colored from blood. 4. Severe chest pain, shallow, rapid breathing. How is Pneumococcal Pneumonia spread? -Encapsulated pneumococci inhaled into alveoli, and rapidly multiply causing inflammatory response. -Up to 30% of healthy people carry encapsulated pneumococci in throat.Learn about the important respiratory disorders, medications, nursing interventions and more. In this video you will learn how to answer nursing questions a...Community-acquired pneumonia is diagnosed by clinical features (e.g., cough, fever, pleuritic chest pain) and by lung imaging, usually an infiltrate seen on ...View basic concept pneumonia .pdf from PATHOPHYSI NR283 at Chamberlain College of Nursing. ACTINEARNINGIEMIIAIEI System Disorder STUDENT I AM DISORDERDISEASE PROCESS CL. AI Homework Help. ... NURS 283 WEEK 5 ATI System disorders _ 1.pdf. Chamberlain College of Nursing. NURS 283. Trigraph. Gastroesophageal reflux disease. …

“It’s easier for people to take a mental break and not feel as guilty.” By clicking "TRY IT", I agree to receive newsletters and promotions from Money and its partners. I agree to ...When pneumonia is complicated, meaning it is severe, the treatment may need to be longer. This is especially true if the patient is not responding well to the initial treatment or if the causative bacteria are harder to treat, such as Pseudomonas or S. aureus.. Additionally, the patient may need a longer treatment period if they have other …28 of 28. Quiz yourself with questions and answers for ATI alterations in gas exchange assessment , so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material.View basic concept pneumonia .pdf from PATHOPHYSI NR283 at Chamberlain College of Nursing. ACTINEARNINGIEMIIAIEI System Disorder STUDENT I AM DISORDERDISEASE PROCESS CL. AI Homework Help. ... NURS 283 WEEK 5 ATI System disorders _ 1.pdf. Chamberlain College of Nursing. NURS 283. Trigraph. Gastroesophageal reflux disease. …Question: please fill out therapeutic procedure for discharge teaching for a patient recovering from pneumonia ati remediation template. please fill out therapeutic procedure for discharge teaching for a patient recovering from pneumonia ati remediation template. Here’s the best way to solve it.28 of 28. Quiz yourself with questions and answers for ATI alterations in gas exchange assessment , so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material.Concept Map- pneumonia; Virtual Perioperative Sim Lab; PICO Lab Assignment - Nursing notes from Med Surg 1 & 2, electrolytes, Peds, and Maternity nursing. Concept Map- Asthma - Nursing notes from Med Surg 1 & 2, electrolytes, Peds, and Maternity nursing. 102 Electrolyte Imbalance Chart revised spr 22; Chronic Pancreatitis Concept Map PDF Timiya Caffey Pneumonia. Pneumonia. oxygen therapy, prevent further infection, encourage deep breathing. CBC, ABgs, blood cultures, sputum chest x-ray culture. infection in the airsacs of the lungs causing fluid buildup. Cough, SOB, weakness, fatigue,, discomfort from coughing. deep breathing, coughing, expansion of the lungs

A chest X-ray is often used to diagnose pneumonia. Blood tests, such as a complete blood count (CBC) see whether your immune system is fighting an infection. Pulse oximetry measures how much oxygen is in your blood. Pneumonia can keep your lungs from getting enough oxygen into your blood. To measure the levels, a small sensor called a pulse ... Learn about the nursing care of patients with pneumonia, the pathophysiology, pharmacology, and diagnostic tests in this online course from ATI Testing. Pneumonia. Is an acute infection of the lung usually caused by bacteria and viruses leading to consolidation of the involved lung tissue (usually a lobe [Lobar Pneumonia] or a more diffused area [Branchopneumonia] Pneumonia (Slide 2) Once the microorganism's are not expelled by the oral defensive mech (cough, mucocillary clearance, phagocytosis ... Oct 23, 2023 ... Pneumonia can be prevented. You can reduce your risk of getting pneumonia by following a few simple steps, such as getting a vaccine.

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Pneumonia is an infection in your lungs caused by bacteria, viruses or fungi. Pneumonia causes your lung tissue to swell (inflammation) and can cause fluid or pus in your lungs. …Aug 8, 2021 ... Respiratory Disorders for NCLEX, ATI and HESI. 85K ... NCLEX, HESI and ATI Practice. Nexus Nursing ... What is Pneumonia - Symptoms, Causes, Types.This fact sheet describes pneumonia, including how it affects breathing, what causes it, and how it's diagnosed and treated. Print Length: 2 pages. Publication Date: August 2023.Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an 89-year-old client admitted with pneumonia. He has an IV of normal saline running at 100 mL/hr and antibiotics that were initiated in the emergency department 3 hours ago. He has oxygen at 2 liters/nasal cannula. What assessment finding by the nurse indicates that goals for a priority diagnosis have been ...Endocarditis , peritonitis , pneumonia , unknown fever interpretation of findings if the blood culture is postive this means one. Upload your study docs or become a course. Web 1 pneumonia active learning template.pdf 1 care plan alzheimers.docx 6 end of preview. Web Use Ati Learning Template System Disorder For Pneumonia This Problem Has Been ...In this lesson on a pneumonia concept map, we will cover risk factors and education, labs and meds, along with nursing diagnoses, interventions, and evaluation. First, let’s review a quick patho on pneumonia. Pneumonia is where fluid or pus is trapped in the alveoli of the lungs. Bacteria is then able to multiply causing inflammation and ...

customizable quiz by topic (not adaptive). ATI recommends students begin by taking an adaptive quiz to identify knowledge strengths and weaknesses. The adaptive quizzes will provide the student with analytics that will focus study on the areas that need the most attention. 1. Review the How to Create Classes step-by-step instruction guide. 2.Symptoms of pneumonia include fever, wheezing, cough, chills, rapid breathing, chest pains, loss of appetite and malaise, or a general feeling of weakness or ill health. Pneumonia can have more than 30 different causes. Many germs, such as bacteria, viruses and fungi can cause pneumonia. Understanding the cause of pneumonia is …Pneumonia - Ati template. Ati template. Course. Medical-Surgical Nursing III (VOCN - 400) 94 Documents. Students shared 94 documents in this course. University American Career College. Academic year: 2023/2024. Uploaded by: Mike Winter. West Coast University. 0 followers. 14 Uploads 2 upvotes. Follow.Amanda Downing Evaluating Findings for a Client Who Has Pneumonia. An infection that inflames the air sacs in the lungs. High Fowler's, oxygen therapy, encourage deep breathing. CBC, ABGs, Blood Culture, Chest x-ray, pulse oximetry Electrolytes, sputum culture and sensitivity. Air sacs fill with fluid or pus causing coughAIDS activism defines the blueprint of how to hold the government accountable in the face of a health crisis. Larry Kramer, America’s most prominent AIDS activist, died yesterday ...The maximum dose of the acteaminophen is 4000 mg in 24 hours. Excessive use of acetaminophen places a client a risk for hepatotoxicity. Since the client is receiving acetaminophen for fever and hydrocodone with acetaminophen for pain the nurse should close monitor the total amount of acetaminophen administered during a 24 hour period …Study with Quizlet and memorize flashcards containing terms like An older adult client is admitted with pneumonia. Which manifestations would the nurse expect to find when assessing this client? Select all that apply. A) Hemoptysis B) Increased appetite C) Cough D) Tachypnea E) Fever, An older adult client asks the nurse what can be done to …The symptoms can vary for different groups. Newborns and infants may not show any signs of the infection. Others may vomit and have a fever and cough. They might seem sick, with no energy, or be restless. Older adults and people who have serious illnesses or weak immune systems may have fewer and milder symptoms.5. Summary of objectives: Use clinical reasoning to promote a positive outcome for the client hospitalized with pneumonia. Reinforce client teaching for clients who have respiratory complications. Perform focused respiratory assessments. 6. Care plan and Pathophysiology of Pneumonia: Pneumonia is an infection that causes inflammation of the small air sacs … Health Library / Diseases & Conditions / Pneumonia is inflammation and fluid in your lungs caused by a bacterial, viral or fungal infection. It makes it difficult to breathe and can cause a fever and cough with yellow, green or bloody mucus. The flu, COVID-19 and pneumococcal disease are common causes of pneumonia. Community Acquired Pneumonia Pneumonia. High fowlers position Encourage coughing, deep breathing Administer breathing tx, 02, meds Monitor for skin breakdown around nose/mouth Promote increased fluid (2-3L), increased calories Provide reassurance. Chest X ray- shows consolidation. Good for OA since manifestations are often vague Pulse ox

ATI Repiratory Questions - Answer Key - Free download as PDF File (.pdf), Text File (.txt) or read online for free.

ATI Fundamentals Online Practice 2023 A. 20 terms. rebtomkins. Preview. ABG final study guide. 69 terms. tallman64. Preview. 111 exam 3. 71 terms. Cody_Tidwell63. Preview. ... "You should receive a pneumonia vaccine every year." C. "You should stand 1 foot away from others when coughing." D.Jul 21, 2023 · Pneumococcal pneumonia is a potentially serious disease you shouldn't ignore. It can disrupt your life for weeks and even land you in the hospital. The immune system naturally weakens with age, so even if you're healthy and active, being 65 or older is a key risk factor for pneumococcal pneumonia. Other factors like certain chronic health ... Among the most common causes of U.S. adult hospitalizations, pneumonia accounted for nearly 50,000 deaths in the United States in 2017. This article provides nurses with a thorough update on pneumonia risk factors, signs and symptoms, and diagnostic criteria, as well as inpatient treatment recommendations and recommendations for discharge and prevention, including the nurse's role in patient ...Clinical manifestations of pulmonary embolism have a rapid onset. Dyspnea occurs due to reduced blood flow to the lungs. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has chronic obstructive pulmonary disease and pneumonia.A. A purple-colored stoma. The stoma should be reddish-pink and moist. A purple-colored stoma is an indication of poor circulation, and the nurse should report this finding to the provider immediately. A nurse is reinforcing teaching with a new parent who is concerned about sudden infant death syndrome (SIDS).ATI: Infection Control and Isolation. 25 terms. lo_16502. Preview. Chapter 7 Book Notes. 124 terms. s00138164. Preview. Sept 20th Removable Demo Lecture . 15 terms. JBadger4. ... The bacteria can sometimes cause infections such as boils or pneumonia. is resistant to antibacterial actions. nosocomial. an infection required within a healthcare ...B. difficulty swallowing. C. low grade fever. D. drooling. E. dry, barky cough. F. stridor. A, b, d, f, Study with Quizlet and memorize flashcards containing terms like Acute an infection respiratory illnesses prevalent in children include, Risk factors of tonsillitis, Physical assessment findings of tonsillitis and more.

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Symptoms of pneumonia include fever, wheezing, cough, chills, rapid breathing, chest pains, loss of appetite and malaise, or a general feeling of weakness or ill health. Pneumonia can have more than 30 different causes. Many germs, such as bacteria, viruses and fungi can cause pneumonia. Understanding the cause of pneumonia is important because ...Pneumonia usually results in a high fever and. shaking chills and commonly leads to the production. of yellow or brown sputum when coughing and chest. pain, which is usually worse with breathing or. coughing. The chest also may be sore when it is. touched or pressed.Aug 27, 2021 ... ... ATI, HESI, and NCLEX. Upper respiratory tract disorders (rhinitis, sinusitis, pharyngitis, laryngitis, tonsillitis). Upper respiratory tract ...5 days ago · Nursing Assessment. The main symptoms of pneumonia are coughing, sputum production, pleuritic chest pain, shaking chills, rapid shallow breathing, fever, and shortness of breath. If left untreated, pneumonia could complicate hypoxemia, respiratory failure, pleural effusion, empyema, lung abscess, and bacteremia. Terms in this set (10) - Assess for ventilator-associated events ; monitor CDC website for updates. - Sterile water in circuit ONLY! Study with Quizlet and memorize flashcards containing terms like Ventilator-Associated Pneumonia (VAP), Causes of VAP, Risk Factors of VAP and more. Study with Quizlet and memorize flashcards containing terms like Administering oxygen therapy with a nonrebreather mask has which of the following advantages? A. offers the highest O2 concentration of the low-flow systems B. provides oxygen concentrations of 40% to 60% C. incorporates a design that requires minimal monitoring of the client D. is designed for safety once the mask's valves and ...Much like adults, pneumonia in infants, toddlers, and young children may include fever, chills, or labored breathing. Signs of breathing problems for babies specifically include: Bluish skin and ...A filled in ATI Active learning template. active learning template: basic concept student based isolation precautions concept__transmission review module. Skip to document. ... pharyngitis or pneumonia, Haemophilus influenzae type B, scarlet fever, rubella, pertussis, mumps, mycoplasma pneumonia, meningococcal pneumonia and sepsis,Pneumocystis carinii pneumonia (PCP), now referred to as Pneumocystis jirovecii pneumonia, is a fungal infection that most commonly affects the immunocompromised and, in some cases, can be severely life-threatening. Typically, patients at risk are those with underlying disease states that alter host immunity, such as cancer, HIV, transplant recipients, or those taking immunosuppressive ...the client is at highest risk for developing wheezing as evidenced by the dyspnea ?? Study with Quizlet and memorize flashcards containing terms like a nurse is caring for the client who has pulmonary edema and a chronic condition known as renal vascular disease. clients with renal vascular disease have a higher risk of developing pulmonary ...Pneumonia is more common during the winter months. This article will focus on community-acquired pneumonia (CAP), which refers to pneumonia that develops in people in the community rather than in a hospital. About four million cases of CAP occur each year in the United States, and approximately 20 percent of people with CAP … ….

Bronchial pneumonia, also known as bronchopneumonia, is a lung disease affecting both lungs. Lobar pneumonia is a kind of pneumonia that affects one or more lobes (or regions) of the lungs and is classified into four phases based on how it develops. There are four stages of pneumonia, that are described below：. A. Lateral position. B. High fowler's with arms supported on the overbed table. C. Semi-fowler's position with pillows supporting both arms. D. Supine position with the head of the bed elevated to 15degrees. B. A nurse working in an emergency department is caring for a client following an acute chest trauma. Crisis after crisis—CBS botching its handling Les Moonves’ #MeToo troubles, Facebook's privacy failings, Wells Fargo's phony accounts scandal—point to a structural problem with how...ATI Fundamentals Online Practice 2023 A. 20 terms. rebtomkins. Preview. ABG final study guide. 69 terms. tallman64. Preview. 111 exam 3. 71 terms. Cody_Tidwell63. Preview. ... "You should receive a pneumonia vaccine every year." C. "You should stand 1 foot away from others when coughing." D.The Insider Trading Activity of Mick Gary on Markets Insider. Indices Commodities Currencies Stocks Terms in this set (10) - Assess for ventilator-associated events ; monitor CDC website for updates. - Sterile water in circuit ONLY! Study with Quizlet and memorize flashcards containing terms like Ventilator-Associated Pneumonia (VAP), Causes of VAP, Risk Factors of VAP and more. Pneumonia is a very common infection in the cognitively impaired adult population, often leading to long-term deterioration, in physical and cognitive performance. Evidence is lacking on whether chronic comorbidities and drug use are risk factors for pneumonia in persons with Alzheimer’s disease (AD). The objective of this study was to …for the management of severe community-acquired pneumonia. Eur Respir J 2023; 61: 2200735 [DOI: 10.1183/13993003.00735-2022]. Abstract Background Severe community-acquired pneumonia (sCAP) is associated with high morbidity and mortality, and while European and non-European guidelines are available for community-acquired Pneumonia ati, Jul 21, 2023 · Pneumococcal pneumonia is a potentially serious disease you shouldn't ignore. It can disrupt your life for weeks and even land you in the hospital. The immune system naturally weakens with age, so even if you're healthy and active, being 65 or older is a key risk factor for pneumococcal pneumonia. Other factors like certain chronic health ... , ATI pneumonia - ati notes. Students shared 157 documents in this course. Info More info. Download. AI Quiz. Save. Discover more from: Nursing Care Of Adults I0302 397. Adelphi University. , The most effective treatment for a cough caused by pneumonia is to treat the underlying cause of the pneumonia, according to Mayo Clinic. Cough syrup can be helpful in reducing the..., 2. Cough, fever, chest pain, sputum production. 3. Sputum becomes rust colored from blood. 4. Severe chest pain, shallow, rapid breathing. How is Pneumococcal Pneumonia spread? -Encapsulated pneumococci inhaled into alveoli, and rapidly multiply causing inflammatory response. -Up to 30% of healthy people carry encapsulated pneumococci in throat., The occurrence of aspiration pneumonitis may be prevented by correction of risk factors, careful monitoring, and appropriate airway management. The goal of aspiration pneumonitis prophylaxis is to minimize pulmonary complications by controlling risk factors for gastric regurgitation, which include gastric pH less than or equal to 2.5, gastric ..., Summary. Pneumonia is a lung infection caused by bacteria, viruses, or fungi. The immune system’s reaction to this infection causes the lung’s air sacs to fill with pus and fluids. This leads ..., Abstract. Pneumonia is very common and continues to exact a high burden on health. The Global Burden of Disease Study 2015 found lower respiratory infections (LRIs) were the leading infectious cause of death and the fifth leading cause of death overall. Pneumococcal pneumonia caused 55% of LRI deaths in all ages (1.5 million …, ATI pneumonia - ati notes. ati notes. Course. Nursing Care Of Adults I (0302 397) 157 Documents. Students shared 157 documents in this course. University Adelphi University. Info More info. Academic year: 2021/2022. Uploaded by: Anonymous Student. This document has been uploaded by a student, just like you, who decided to remain …, Terms in this set (10) What are the risk factors for developing pneumonia? - Age (older) - Immunocompromised - Debilitation (presence of weakness/illness) What are the four types of pneumonia? 1. Community-acquired 2. hospital-acquired 3. ventilator-associated 4. healthcare- associated. , Clinical manifestations of pulmonary embolism have a rapid onset. Dyspnea occurs due to reduced blood flow to the lungs. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has chronic obstructive pulmonary disease and pneumonia. , This fact sheet describes pneumonia, including how it affects breathing, what causes it, and how it's diagnosed and treated. Print Length: 2 pages. Publication Date: August 2023., Head to SimpleNursing’s OFFICIAL website here: https://bit.ly/3u3yXMgSimpleNursing memberships have 1,200+ animated videos, 900+ colorful study guides, 3,000..., Acute & Chronic Health Disruptions In Adults II100% (6) 23. NUR 425 Medsurg 2 Entrance Tickets. Acute & Chronic Health Disruptions In Adults II100% (5) 5. Exam 1 Study Guide. Acute & Chronic Health Disruptions In Adults II100% (4) 13. Lecture 1-18-23., Introduction. Pneumonia is an inflammation of the air sacs in the lungs ( alveoli) and the surrounding tissue. It often leads to a sudden high fever, the feeling that you are very unwell, a cough and shortness of breath. Because pneumonia is usually caused by bacteria, it can generally be treated effectively with antibiotics., Pneumonia is a form of acute respiratory infection that is most commonly caused by viruses or bacteria. It can cause mild to life-threatening illness in people of all ages, however it is the single largest infectious cause of death in children worldwide. Pneumonia killed more than 808 000 children under the age of 5 in 2017, accounting for …, Types of Pneumonia. There are two types of pneumonia: community-acquired pneumonia (CAP), or hospital- acquired pneumonia (HAP) or also known as nosocomial pneumonia. Pneumonia may also be classified depending on its location and radiologic appearance. Bronchopneumonia (bronchial pneumonia) involves the terminal bronchioles and alveoli., When pneumonia is complicated, meaning it is severe, the treatment may need to be longer. This is especially true if the patient is not responding well to the initial treatment or if the causative bacteria are harder to treat, such as Pseudomonas or S. aureus.. Additionally, the patient may need a longer treatment period if they have other …, Major prison update leaves Coronation Street favourites reeling – but it’s good news for Roy. Nathan makes a return to Weatherfield (Picture: ITV) Bethany Platt ( Lucy …, Pneumonia is usually caused by a bacterial or viral infection. You can catch it from someone who has it, or you can sometimes get it if you have another infection such as flu or coronavirus (COVID-19). It can be caused by a fungal infection but this is rare in healthy people in the UK. It may also be caused by something getting into your lungs ..., Also known as Pneumocystis, interstitial plasma cell pneumonia, or Pneumocystis carinii pneumonia (PCP) Overview-Pathophysiology. With defective cellular and humoral immunity, the infecting organism invades the lungs bilaterally, multiplies extracellularly, and fills alveoli with organisms and exudate. Alveolar capillary membrane permeability ..., Also known as Pneumocystis, interstitial plasma cell pneumonia, or Pneumocystis carinii pneumonia (PCP) Overview-Pathophysiology. With defective cellular and humoral immunity, the infecting organism invades the lungs bilaterally, multiplies extracellularly, and fills alveoli with organisms and exudate. Alveolar capillary membrane permeability ..., In this lesson we will discuss a concept map on our patient with pneumonia. In this lesson on a pneumonia concept map, we will cover risk factors and education, labs and meds, along with nursing diagnoses, interventions, and evaluation. First, let’s review a quick patho on pneumonia. Pneumonia is where fluid or pus is trapped in the alveoli ..., “It’s easier for people to take a mental break and not feel as guilty.” By clicking "TRY IT", I agree to receive newsletters and promotions from Money and its partners. I agree to ..., ATI pneumonia - ati notes. Students shared 157 documents in this course. Info More info. Download. AI Quiz. Save. Discover more from: Nursing Care Of Adults I0302 397. Adelphi University. , ATI has the product solution to help you become a successful nurse. Check out our tutorials and practice exams for topics like Pharmacology, Med-Surge, NCLEX Prep, and much more. View All Products., Terms in this set (10) What are the risk factors for developing pneumonia? - Age (older) - Immunocompromised - Debilitation (presence of weakness/illness) What are the four types of pneumonia? 1. Community-acquired 2. hospital-acquired 3. ventilator-associated 4. healthcare- associated. , Pneumonia is an infection in your lungs caused by bacteria, viruses or fungi. Pneumonia causes your lung tissue to swell (inflammation) and can cause fluid or pus in your lungs. …, Web ati pneumonia 4.7 (3 reviews) pneumonia is an inflammatory process in the lungs that produces _____ _____ click the card to flip 👆 excess fluid click the card to flip 👆 1 / 29. Web ati system disorder for pneumonia: Web use ati learning template system disorder for pneumonia this problem has been solved!, 5 days ago · Nursing Assessment. The main symptoms of pneumonia are coughing, sputum production, pleuritic chest pain, shaking chills, rapid shallow breathing, fever, and shortness of breath. If left untreated, pneumonia could complicate hypoxemia, respiratory failure, pleural effusion, empyema, lung abscess, and bacteremia. , SMBfission has launched a tool to help a small business manage its online reputation. SMBfission has announced the launch of its Review Barrier Assessment, a free online reputation..., Study with Quizlet and memorize flashcards containing terms like A nurse is caring for an older adult client who has pneumonia. Which of the following physiologic changes associated with aging places the client at a greater risk for pneumonia? A. Decreased anterior-posterior diameter B. Increased diameter of the small airways C. Decreased …, COPD. Overview. COPD encompasses two diseases: emphysema and chronic bronchitits. Most clients who have emphysema also have chronic bronchitis. COPD is irreversible. Emphysema is characterized by the loss of lung elasticity and hyperinflation of lung tissue. Emphysema causes destruction of the alveoli leading to a decreased surface area for gas ... , Get Vaccinated. Seasonal influenza, respiratory syncytial virus (RSV), and the virus that causes COVID-19 are common causes of pneumonia. Being up to date on your recommended vaccines like an annual flu shot can help prevent pneumonia. Certain people should get vaccinated against pneumococcal pneumonia, a common form of bacterial pneumonia ...