Administer Accurate and Appropriate Antibiotics:
Appropriate antibiotics to which organism isolated from sputum or bonchoscopic aspirate, is sensitive are administered for 4-6 weeks. Usually pencillin is the drug of choice and is given in dosage of 50,000 to 1 lakh units per kg body weight. In absence of identification of causative organism, a combination of two antibiotics usually gentamicin in the dose of 5 mg to 7 mg per kg every 8 hourly and pencillin is administered. Your responsibility is to administer the drug accurately and watch for any untoward reaction. Chest physiotherapy is given for effective drainage of the pus.
Provide Preoperative and Postoperative Nursing Care If medical therapy is not effective, surgical resection of involved area of lung is indicated. Child may require closed chest drainage to drain air and blood that may accumulate in the pleural space. For details of preoperative and postoperative care see Appendix 3.