1. Nursing Diagnosis Knowledge Deficit: about the condition and the need for action
Related to:
- Less exposed to information
- Less to remember
- Misinterpretation
- Requests for information
- Statement of misconception
- Repeat mistakes
- Stated understanding of disease processes and treatment conditions
- Do changes in lifestyle
- Review of normal lung function
- Discuss aspects of the inability of the disease, duration of healing and hope of recovery
- Provide written and verbal form
- Emphasize the importance of continuing effective cough
- Emphasize the need to continue antibiotic therapy for the recommended period.
2. Nursing Diagnosis for Pneumonia : Risk for Fluid Volume Deficit
Risk factors:
- Excessive loss of fluids (fever, sweating, hyperventilation, vomiting)
- Balance of fluid balance
- Moist mucous membranes, normal turgor, capillary filling fast.
- Assess changes in vital signs
- Assess skin turgor, mucous membrane moisture
- Note the report nausea / vomiting
- Monitor input and output, note the color, character of urine
- Calculate the fluid balance
- Fluid intake of at least 2500 / day
- Give the drug as an indication: antipyretic, antiemetic
- Provide additional IV fluids as necessary
3. Nursing Diagnosis : Pain (Acute / Chronic)
Related to:
- Inflammatory lung parenchyma
- Cellular reactions against circulating toxins
- Persistent cough
- Chest pain
- Headache, joint pain
- Protect an area hospital
- Distraction behaviors, restlessness
- Cause the pain is gone / controlled
- Show relaxed, rest / sleep and increased activity quickly.
- Determine the characteristics of pain
- Vital Signs Monitor
- Teach relaxation techniques
- Advise and assist the patient in the technique of chest compressions during episodes of coughing.