Pathophysiology/Clinical Manifestations
acute inflammation of the lung parenchyma caused by a microbial agent
What is pneumonia?
Upon assessment nurse notes include T 38.6C, productive cough with yellow sputum, resp rate of 20/min
hyperthermia related to infectious illness
Valuable information about patient's acid-base status, origin of imbalance
What are arterial blood gases (ABGs)?
These four nursing interventions provide good care for someone with pneumonia.
What is adequate fluid intake, splint chest when coughing, maintain a high Fowler's position, instruct client to cough at end of exhalation
Pneumococcal & flu vaccine
What is an older adult with COPD and pneumonia?
recurrent episodes of wheezing, breathlessness, sensation of chest tightness, cough...
What is asthma?
This physical assessment confirms a nursing diagnosis of ineffective airway clearance.
Basilar crackles in lower lobes present after a coughing.
Ph is 7.36, CO2 is 35, HCO3 is 21 & PaO2 is 90
What are the ABG normal values?
These four risk factors may contribute to a pulmonary embolism.
What are obesity, hypertension, smoking, prolonged air travel.
What is discharge teaching?
Subjective perception of SOB
What is dyspnea?
This nursing intervention of increasing fluid intake to 3L/day as tolerated addresses a clinical symptom.
What is thick lung secretions by a patient with pneumonia?
PH 7.30, PCO2 is 50 mmHg,
PO2 is 90 mm HG
Respirations 24/minute,
what is respiratory acidosis?
Accumulation of capillary-alveolar exudate, decreased breath sounds, abnormal ABGs, abnormal CXR, restlessness, confusion
What is impaired gas exchange?
delivers O2 quickly for short periods, O2 concentrations of 35-50% with flow rates 6-12L/min,
What is a simple face mask?
page 673
What are the nursing interventions for a simple face mask?
Dyspnea, SOB, limited ability to walk very far, long history of smoking
What is COPD?
Before starting the MD order for the antibiotic this nursing intervention has been completed.
What is sputum for culture and sensitivity?
What is metabolic acidosis with partial compensation? page 374
Patient is experiencing fatigue, respiratory muscle fatigue, dyspnea, tachypnea, nasal flaring & altered chest excursion
What is ineffective breathing pattern?
it is lightweight and easy to use, )2 conserved by reservoir bag, concentrations of 40-60% with flow rates at 6-10L/min
What is a partial rebreathing mask?
what are the nursing interventions? page 673
Onset in community, lower respiratory tract infection, with temperature of 39C, occurs mostly in winter months,
What is community acquired pneumonia?
How do you define Hospital acquired pneumonia?
Nurse positions a client with a unilateral lung disease.
What is the position for "good lung down" ?
In respiratory conditions two factors of the ABGs go in opposite directions.
What is pH and PaCO2?
page 374
Ineffective cough, excessive sputum, adventitious breath sounds & dyspnea
What is ineffective airway clearance?
Patients with COPD - monitor these lab values ensure adequate nutritional intake.
What is serum albumin, protein levels
What other nursing interventions to assist patient with imbalanced nutrition?
page 681.