Nursing Diagnosis: Hyperthermia related to the disease process of bacterial pneumonia as evidenced by temperature of 38.5 degrees Celsius, rapid and shallow breathing, flushed skin, and profuse sweating. Desired Outcome: Within 4 hours of nursing interventions, the patient will have a stabilized temperature within the normal range.
Full Answer
What is the nursing management of patients with pneumonia?
Nursing management of patients with pneumonia is dependent on the needs of the individual, the symptoms and the targeted treatment required. Comprehensive nursing assessment is critical to the diagnosis of pneumonia and the ongoing management of the pneumonia patient. Guidelines for your nursing assessment for pneumonia are as follows:
What is a comprehensive nursing assessment for pneumonia?
Comprehensive nursing assessment is critical to the diagnosis of pneumonia and the ongoing management of the pneumonia patient. Guidelines for your nursing assessment for pneumonia are as follows:
How do you diagnose pneumonia in a nursing home?
Here are 11 nursing diagnosis common to pneumonia nursing care plans (NCP), they are as follows: ADVERTISEMENTS. Ineffective Airway Clearance. Impaired Gas Exchange. Ineffective Breathing Pattern. Risk for Infection. Acute Pain. Activity Intolerance. Hyperthermia.
What Nursing Diagnoses can I use to craft another pneumonia care plan?
Other nursing diagnoses you can use to craft another pneumonia nursing care plan. Impaired Dentition. May be related to dietary habits, poor oral hygiene, chronic vomiting, possibly evidenced by erosion of tooth enamel, multiple carries, abraded teeth.
What is the nursing diagnosis of pneumonia?
Ineffective Airway Clearance is a common NANDA-I nursing diagnosis for pneumonia nursing care plans. This diagnosis is related to excessive secretions and ineffective cough or nonproductive coughing. Inflammation and increased secretions in pneumonia make it difficult to maintain a patent airway.
How do you document a patient with pneumonia?
To prove pneumonia is present, the physician writes a physical assessment and then requests a chest x-ray in an attempt to confirm pneumonia with imaging. In some cases, the chest x-ray may be negative and other diagnostics confirm the patient's pneumonia.
What are common assessment findings for a patient with pneumonia?
Assessment findings include:Inspectionincreased respiratory rate increased pulse rate guarding and lag on expansion on affected side children with pneumonia may have nasal flaring and/or intercostal and sternal retractionsPalpationchest expansion decreased on involved side tactile fremitus is increased2 more rows
How do you write a nursing care summary?
Writing a Nursing Care PlanStep 1: Data Collection or Assessment. ... Step 2: Data Analysis and Organization. ... Step 3: Formulating Your Nursing Diagnoses. ... Step 4: Setting Priorities. ... Step 5: Establishing Client Goals and Desired Outcomes. ... Step 6: Selecting Nursing Interventions. ... Step 7: Providing Rationale. ... Step 8: Evaluation.More items...•
Who pneumonia guidelines?
Pneumonia should be treated with antibiotics. The antibiotic of choice for first line treatment is amoxicillin dispersible tablets. Most cases of pneumonia require oral antibiotics, which are often prescribed at a health centre.
What is the protocol for pneumonia?
The recommended empirical regimen for inpatients diagnosed with severe pneumonia is combination therapy with a beta-lactam plus a macrolide or a beta-lactam plus a fluoroquinolone.
What are three 3 physical assessment findings that are noted with the development of pneumonia?
Fast, shallow breathing; difficulty breathing; and shortness of breath often are symptoms of pneumonia.
What lung sounds are heard with pneumonia?
If you have pneumonia, your lungs may make crackling, bubbling, and rumbling sounds when you inhale.
What are the 4 stages of pneumonia symptoms?
The 4 stages of untreated lobar pneumonia are:Stage 1: Congestion.Stage 2: Red hepatization.Stage 3: Grey hepatization.Stage 4: Resolution.
What are 5 nursing diagnosis?
Table of ContentsProblem-Focused Nursing Diagnosis.Risk Nursing Diagnosis.Health Promotion Diagnosis.Syndrome Diagnosis.Possible Nursing Diagnosis.
What do you write in a nursing evaluation?
Below are five things to include in your nursing self-evaluation along with some examples:Your best attributes.Hard evidence.Your extra job duties.Career goals.Progress you've made.
How do you write a nursing diagnosis?
A nursing diagnosis generally has three components: a diagnosis approved by NANDA-I, a related to statement which defines the cause of the NANDA-I diagnosis, and an as evidenced by statement that uses specific patient data to provide a reason for the NANDA-I diagnosis and related to statement.
When a patient has severe pneumonia What is the principal problem for the body?
The infection causes the lungs' air sacs (alveoli) to become inflamed and fill up with fluid or pus. That can make it hard for the oxygen you breathe in to get into your bloodstream.
How do you confirm pneumonia?
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.
Which of the following signs and symptoms are typically associated with pneumonia?
The signs and symptoms of pneumonia may include:Cough, which may produce greenish, yellow or even bloody mucus.Fever, sweating and shaking chills.Shortness of breath.Rapid, shallow breathing.Sharp or stabbing chest pain that gets worse when you breathe deeply or cough.Loss of appetite, low energy, and fatigue.More items...•
What is interprofessional care for pneumonia?
Interprofessional care is a collaborative practice approach for a harmonious process of patient care. Teamwork produces better patient outcomes and efficient healthcare delivery. Managing pneumonia is challenging, especially COVID-19 pneumonia.
What are the goals of nursing interventions for pneumonia?
Nursing interventions for pneumonia and care plan goals for patients with pneumonia include measures to assist in effective coughing, maintain a patent airway, decreasing viscosity and tenaciousness of secretions, and assist in suctioning.
What is Pneumonia?
Pneumonia is an inflammation of the lung parenchyma, associated with alveolar edema and congestion that impair gas exchange. Pneumonia is caused by a bacterial or viral infection spread by droplets or by contact and is the sixth leading cause of death in the United States.
What is ineffective airway clearance?
Ineffective Airway Clearance is a common NANDA nursing diagnosis for pneumonia nursing care plans. This diagnosis is related to excessive secretions and ineffective cough or nonproductive coughing. Inflammation and increased secretions in pneumonia make it difficult to maintain a patent airway.
What happens if you leave pneumonia untreated?
If left untreated, pneumonia could complicate to hypoxemia, respiratory failure, pleural effusion, empyema, lung abscess, and bacteremia. Nursing care plan (NCP) and care management for patients with pneumonia start with an assessment of the patient’ medical history, performing respiratory assessment every four (4) hours, physical examination, ...
What is the name of the condition that results from vomiting and aspiration of gastric contents into the trache?
Aspiration pneumonia , another type of pneumonia, results from vomiting and aspiration of gastric or oropharyngeal contents into the trachea and lungs.
Why do you give analgesics to help with cough?
Analgesics are given to improve cough effort by reducing discomfort, but should be used cautiously because they can decrease cough effort and depress respirations.
Is postural drainage effective in interstitial pneumonia?
5.2. Postural drainage may not be as effective in interstitial pneumonias or those causing alveolar exudate or destruction.
What is the common feature of all types of pneumonia?
The common feature of all types of pneumonia is an inflammatory pulmonary response to the offending organism or agent. Although most types of pneumonia have a sudden onset, a few (such as anaerobic bacterial pneumonia and mycoplasmal pneumonia) have an insidious onset.
What is pneumonia in the lungs?
Pneumonia is an infection of the pulmonary tissue, including the interstitial spaces, the alveoli, and the bronchioles. The edema associated with inflammation stiffens the lung, decreases lung compliance and vital capacity, and causes hypoxemia. Pneumonia can be community acquired or hospital acquired.
Why did Braguda bring her 5-month-old daughter to the nearest RHU?
Braguda brought her 5-month old daughter in the nearest RHU because her baby sleeps most of the time, with decreased appetite, has colds and fever for more than a week. The physician diagnosed pneumonia. Based on this data given by Braguda, you can classify Braguda’s daughter to have: A. Pneumonia: cough and colds.
What are the most common complications of the flu?
Pneumonia is the most common complication of influenza. It may be either primary influenza viral pneumonia or pneumonia secondary to a bacterial infection. Other complications of influenza include myositis, exacerbation of chronic obstructive pulmonary disease, and Reye’s syndrome.
What antibiotics are used for klebsiella?
Other antibiotics: Penicillin G for streptococcal pneumonia; nafcillin or oxacillin for staphylococcal pneumonia; aminoglycoside or a cephalosporin for klebsiella pneumonia; penicillin G or clindamycin for aspiration pneumonia .Alternatives: amoxicillin and clavulanate (Augmentin); doxycycline; trimethoprim and sulfamethoxazole (Bactrim DS, Septra); levofloxacin (Levaquin)
What are the two groups of bacteria that cause pneumonia?
Community-acquired pneumonia is caused by bacteria that are divided into two groups: typical and atypical. Organisms that cause typical pneumonia include Streptococcus pneumonia (pneumococcus) and Haemophilus and Staphylococcus species.
What causes aspiration pneumonia?
Aspiration pneumonia is caused by the patient’s inhaling foreign matter such as food or vomitus into the bronchi. Factors associated with aspiration pneumonia include old age, impaired gag reflex, surgical procedures, debilitating disease, and decreased level of consciousness.
How to prevent pneumonia?
Prevention is the key to protecting against infection. Good hygiene practices. Good hygiene practices, including following hand hygien e principles such as regular hand washing and the use of alcohol-based hand sanitizer, will help protect against respiratory infections that may lead to pneumonia. Smoking cessation.
What is hospital acquired pneumonia?
Hospital-Acquired Pneumonia (HAP) An acute lower respiratory tract infection that is acquired at least 48 hours after admission to the hospital and is not incubating at the time of admission (Forest 2020). Also referred to as nosocomial pneumonia.
What are the different types of pneumonia?
For example, community-acquired pneumonia, hospital-acquired pneumonia, and ventilator-associated pneumonia also known as aspiration pneumonia.
What is pneumonia in the air?
Pneumonia is defined as inflammation in one or both lungs, with the presence of consolidation and exudation. Inhaling infected droplets in the air from a cough or sneeze of an infected person is the mechanism in which pneumonia is commonly spread.
Why is a comprehensive nursing assessment important?
Comprehensive nursing assessment is critical to the diagnosis of pneumonia and the ongoing management of the pneumonia patient.
How long does it take to recover from pneumonia?
Once appropriate pharmacologic treatment is commenced patients will generally recover in around seven to 10 days.
Why is a thorough nursing assessment necessary?
A thorough nursing assessment is necessary to establish nursing diagnoses, plan nursing care, set realistic goals, implement nursing interventions and to enable the evaluation process . This article discusses the nursing management of pneumonia and the associated disease process.
Nursing Diagnosis
Impaired gas exchange related to alveolar-capillary membrane changes as evidenced by shortness of breath, low SPO2, and bacteria found in sputum culture.
Nursing Diagnosis
Ineffective airway clearance related to mucous production as evidenced by tachypnea, crackles, and consolidations on x-ray
Nursing Assessment
The patient reports feeling “very hot one minute and very cold the next minute.”
Nursing Diagnosis
Ineffective thermoregulation related to lung infection as evidenced by chills and fever
Nursing interventions with rationales for Ineffective thermoregulation
To conclude, we created scenario-based three sample nursing care plans for pneumonia. This nursing care plan includes nursing assessment, NANDA nursing diagnosis, expected outcome, and nursing interventions with rationales.
What are the symptoms of pneumonia?
The patient presented with symptoms of a cough with yellow sputum, shortness of breath, hypoxemia, low grade temperature, mild tachypnea, borderline tachycardia, and fatigue. Per Bartlett (2018), these symptoms are suggestive of pneumonia, and considering that the patient lives at home, this would be considered a community acquired pneumonia (CAP). Bartlett also states that additional typical findings of a CAP include pleuritic chest pain, as well as nausea, vomiting, diarrhea, chills, and rigors, so these items would be inquired about in the history of present illness, review of systems, and physical examination. I would also inquire if the patient were around any sick individuals or has had any issues swallowing (aspiration) that may point towards an etiology (Bartlett, 2018).
What are the symptoms of a CAP?
Bartlett also states that additional typical findings of a CAP include pleuritic chest pain, as well as nausea, vomiting, diarrhea, chills, and rigors, so these items would be inquired about in the history of present illness, review of systems, and physical examination.
What is the most common cause of respiratory alkalosis?
Theodore (2017) states that the most common cause of respiratory alkalosis is hyperventilation. Given that the patient is slightly tachypneic and likely compensating for being hypoxemic, he could be lowering his carbon dioxide level through overexcretion in the alveoli of the lungs (Theodore, 2017).
Can a CXR show pneumonia?
Bartlett also states that the radiograph should be a minimum of two views, and that a CXR is typically sufficient in diagnosing pneumonia without the need for a computed tomography (CT) scan , although such a test can clarify an ambiguous CXR image (Bartlett, 2018). According to Papadakis and McPhwee (2018), a pulmonary opacity is required to create a diagnosis of CAP on a CXR.
What Is Pneumonia?
Classification
Pathophysiology
Epidemiology
Causes
Clinical Manifestations
Prevention
Complications
- Pneumonia has several complications if left untreated or the interventions are inappropriate. These are the following complications that may develop in patients with pneumonia. 1. Shock and respiratory failure.These complications are encountered chiefly in patients who have received no specific treatment and inadequate or delayed treatment. 2. Pleu...
Assessment and Diagnostic Findings
Medical Management