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inflammation of the lung parenchyma
pneumonia
What should the nurse document about cough
Time
Amount
color
consistency
odor
lab testing for pneumonia
sputum gram stain
sputum C&S
CBC with WBC diff
serology testing
ABGs
The patient presents with acute rapid onset of shaking chills, fever, and cough. reports started with a dry cough, then rust-colored or purulent sputum. Auscultated fine crackles. Found in the lwer lobe. could develop pleuritis
Acute bacterial pneumonia- Streptococcus pneumoniae
what medications can be given to someone with pneumonia
antibiotics
bronchodialators
expectorants
increased fluid intake
oxygen
antipyretics (tylenol, aspirin, NSAIDs)
cough
excess mucous production
sob
dypnea
hypoxia green or bloody sputum
chest pain
atelectasis
local effect signs and symptoms of pneumonia
how often should you assess your patient
every 4 hours
listen to lungs
vitals
o2 sats
types of pneumonia
bacterial
viral
aspiration of gastric contents
inhalation of toxic substance
community acquired, healthcare acquired ,opportunistic
what symptoms should patient report to provider
increasing sob
dyspnea
fever
fatigue
HA
drowsy
confusion
Risk factors of apirating pneumonia
Emergency surgery when not NPO
older patients
dementia patients
Enteral nutrition
silent regurgitation when the level of consciousness is decreased
pt with lung abscesses, empyema, or plural effusion. The patient reports weight loss, malaise, night sweats, fever, and productive cough, with the sputum being foul-smelling/tasting. may have to have a thoracentesis or chest tube to relieve
Acute bacterial pneumonia- Staphylococcus aureus
pt presents with a headache, fever, fatigue, malaise, muscle aches, dry cough, and joing pain. pt reports possibly having herpes or measles
viral pneumonia (influenza symptoms)
fever (over 101.5)
increased RR/HR, decreased BP
diminished apetitie
malaise
cyanosis
risk for sepsis
wbc > 11,000
change in level of consciousness
systemic effects signs and symptons of pneumonia
Diagnostic testing for pneumonia (radiology)
chest xray
ct
fiberoptic bronchoscopy