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Showing posts with label Pneumonia. Show all posts
Showing posts with label Pneumonia. Show all posts

3 Nursing Diagnosis Interventions for Pneumonia

Nursing Diagnosis for Pneumonia and Nursing Interventions for Pneumonia

1. Nursing Diagnosis Knowledge Deficit: about the condition and the need for action

Related to:
  • Less exposed to information
  • Less to remember
  • Misinterpretation
Possible evidenced by:
  • Requests for information
  • Statement of misconception
  • Repeat mistakes
Expected outcomes are:
  • Stated understanding of disease processes and treatment conditions
  • Do changes in lifestyle
Nursing Interventions for Pneumonia :
  • 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)
Expected outcomes are:
  • Balance of fluid balance
  • Moist mucous membranes, normal turgor, capillary filling fast.
Nursing Interventions:
  • 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
Possible evidenced by:
  • Chest pain
  • Headache, joint pain
  • Protect an area hospital
  • Distraction behaviors, restlessness
Expected outcomes are:
  • Cause the pain is gone / controlled
  • Show relaxed, rest / sleep and increased activity quickly.
Nursing Interventions:
  • 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.

Pneumonia

NANDA Pneumonia

Pneumonia
is an illness that affects one or both lungs and that used to be one of the main causes of death 2 centuries ago. It is caused by microorganisms that attack the tissue from the lungs, causing it to inflammate and leading to a severe condition if the infection is not treated in time.

Pneumonia can be caused by bacteria, a virus or fungi and leads to an infection in either one or both of the lungs. In the United States, Approximately three million people will develop pneumonia each year, with about a half million having to be admitted to a hospital for treatment. Five percent of those who contract pneumonia die from it, making the illness the sixth principal cause of death in the United States. In this article, we look at how nutrition, protein and a well-balanced diet can help in preventing pneumonia infections.

Viral pneumonia is very common form of pneumonia affecting children, teenagers and the elderly. It can sometimes be mistaken for either the flu or a cold. Viral pneumonia presents the following symptoms: inflammation of the throat, productive or non-productive cough, a swelling in the lymph nodes, chest discomfort during breathing, mild to severe headache and a generalized feeling of fatigue. The cough may or may not produce varying amounts of mucus. You may also experience a mild fever and chills.

Some pneumonia is diagnosed only after an examination by a doctor reveals crackling sounds or coarse breathing in the chest. There may also be breathlessness, wheezing or the breathing sounds may be diminished in certain parts of the chest. A chest x-ray is the definitive way to diagnose the pneumonia, however sputum samples, blood tests and bronchoscopies can typically be ordered as well. The sputum samples can determine what the exact cause of the pneumonia is and determine the course of medical treatment. The blood work can help to determine how serious the infection is and may also provide a clue as to whether it is caused by a virus, bacteria or fungi.

NANDA Pneumonia

Nursing Diagnosis for Pneumonia
  1. Impaired Gas Exchange related to impaired oxygen delivery.

  2. Risk for Infection related to inadequate primary defenses.

  3. Ineffective airway clearance related to the formation of edema.

  4. Activity Intolerance related to insufficiency of oxygen for everyday activities.

Nursing Assessment Nursing Care Plan for Pneumonia

Nursing Care Plan for Pneumonia



Pneumonia

Pneumonia is an infection of one or both lungs which is usually caused by bacteria, viruses, or fungi. Prior to the discovery of antibiotics, one-third of all people who developed pneumonia subsequently died from the infection. Currently, over 3 million people develop pneumonia each year in the United States. Over a half a million of these people are admitted to a hospital for treatment. Although most of these people recover, approximately 5% will die from pneumonia. Pneumonia is the sixth leading cause of death in the United States.

Nursing Care Plan for Pneumonia




Nursing Assessment for Pneumonia
  1. Health History :
    • A history of previous respiratory tract infection / cough, runny nose, takhipnea, fever.
    • Anorexia, difficulty swallowing, vomiting.
    • History of disease associated with immunity, such as; morbili, pertussis, malnutrition, immunosuppression.
    • Other family members who suffered respiratory illness.
    • Productive cough, breathing nostrils, rapid and shallow breathing, restlessness, cyanosis.

  2. Physical Examination :
    • Fever, takhipnea, cyanosis, nostrils.
    • Auscultation of lung: wet ronchi, stridor.
    • Laboratory: leukocytosis, AGD abnormal, the LED increases.
    • Chest X-rays: abnormal (scattered patches of consolidation in both lungs).

  3. Psychosocial Factors :
    • Age, growth.
    • Tolerance / ability to understand the action.
    • Coping.
    • The experience of parting with the family / parents.
    • The experience of previous respiratory tract infections.

  4. Family Knowledge, Psychosocial :
    • The level family knowledge about the disease bronchopneumonia.
    • Experience in dealing with the family of respiratory disease.
    • Readiness / willingness of families to learn to care for her child.
    • Family Coping
    • The level of anxiety.

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