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Monday, June 9, 2014

What is the treatment for VAP?

Question:  What is the treatment of ventilator associated pneumonia (VAP)?

Answer:  Treatment is usually a broad spectrum antibiotic until the specific bug and effective antibiotic is isolated. Other than that, treatment generally includes supportive, and may include oxygen therapy, beta adrenergic therapy, bed rest, etc.  An effort should be made to maintain adequate oxygen saturation.  If a patient cannot maintain an SpO2 of 92% or greater, or 88% or greater if the patient has a chronic lung disease, then BiPAP therapy, or intubation and mechanical ventilation, must be considered as options

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