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Respiratory System Disorders and Therapy From a New - Louis Bolk ...

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Table 3.8. The characteristics of awareness in pneumonia<br />

Reaction to<br />

stimuli<br />

Consolidating<br />

tendency<br />

Dissolving<br />

tendency<br />

Awareness Breathing Muscle tension Metabolic<br />

changes<br />

Need to rest Decreased Diminished Decreased<br />

reaction reaction to appetite<br />

to cough<br />

stimulus<br />

motor stimuli<br />

Decreased Abrogated Hypotonic The typical<br />

concentration inhalation movements lung shape<br />

disappears<br />

with exudate<br />

Deliriousness Tachypnea Involuntary Infection <strong>and</strong><br />

<strong>and</strong><br />

tachycardia<br />

musculature fever<br />

3.2.5. Summary <strong>and</strong> Conclusion Pneumonia<br />

The pneumonia patient has a completely different dynamic than the asthma patient.<br />

There is an acceleration of the metabolism, awareness is diminished, the concentrating<br />

ability declines, the muscles are hypotonic.<br />

The pathological process of pneumonia generally goes through a complete cycle in a limited<br />

period of time: acute beginning, quickly progressing development of infiltrate <strong>and</strong> infection,<br />

resolution of the infiltrate <strong>and</strong> complete recovery of the normal structure <strong>and</strong> function of the<br />

tissues. <strong>From</strong> the days before penicillin, we know that lobar pneumonia had an acute phase<br />

of approximately nine days, after which convalescence set in which took about five weeks.<br />

Pneumonia is a diversion of the normal healing process, since the infection induces an<br />

enhanced inflammatory phase with an increased dissolution process. However, eventually<br />

the dissolution will be curbed in <strong>and</strong> the healing process will be completed (fig.2.6.). This<br />

is in contrast to what happens in asthma, in which the disease process tends to remain<br />

stuck in a more or less pronounced consolidating tendency of the inflammatory phase<br />

<strong>Bolk</strong>’s Companions RespiRatoRy system DisoRDeRs anD theRapy - 45

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