SlideShare a Scribd company logo
CLINICAL SPECIALITY – II CARDIOVASCULAR & THORACIC
NURSING
UNIT V CARDIAC DISORDERS AND NURSING MANAGEMENT
PNEUMONIA
General objective:
 At the end of this class students will be acquainted with
Pneumonia.
Specific objective:
 Define Pneumonia.
 Mention the causes of Pneumonia
 Discuss the types of Pneumonia
 Describe clinical manifestation of Pneumonia.
 Discuss management of Pneumonia.
 Pneumonia is an infection in one or both lungs. It can be
caused by bacteria, viruses, or fungi.
 Pneumonia causes inflammation in the air sacs in your
lungs, which are called alveoli. The alveoli fill with fluid
or pus, making it difficult to breathe.
PNEUMONIA
 Cigarette smoking
 Recent viral respiratory infection (common cold,
laryngitis, influenza)
 Difficulty swallowing (due to stroke, dementia,
Parkinson’s disease, or other neurological conditions)
 Chronic lung disease (COPD, bronchiectasis, cystic
fibrosis)
RISK FACTORS
 Cerebral palsy
 Other serious illnesses, such as heart disease, liver
cirrhosis, or diabetes mellitus
 Impaired consciousness (loss of brain function due to
dementia, stroke, or other neurologic conditions)
 Recent surgery or trauma
 Immune system problem
 Bacterial pneumonia :
 Pneumococcal pneumonia :
 Staphylococcal pneumonia :
 Streptococcal pneumonia :
 Viral and mycoplasma pneumonia :
 Pneumocytitis carinii pneumonia
TYPES
 Legionella pneumonia
 Aspiration pneumonia
 Hypostatic pneumonia
 Lobar pneumonia
 broncopneumonia
 Community-acquired pneumonia
 Hospital- acquired pneumonia
PATHOPHYSIOLOGY
Inflammatory pulmonary response to
organism
Defense mechanism affected and organism penetrate the
lower airway
Alveolar sacs are affected fluid filled and gas exchange is
affected
Alveolar exudates tends to consolidate and difficult to expectorate
Engorgement of alveolar space with fluid & hemorrhagic exudates
Coagulation of exudates occurs resulting in the red appearance of affected lung
Neutrophils infiltrates the alveoli making the lung tissue to be solid and gray
 CLINICAL MANIFESTATIONS :
Complications:
 Pleurisy
 Atelectasis
 Lung abscess
 Pericarditis
 Endocarditic.
 Pleural effusion
 Bactremia.
 Antibiotics are prescribed based on gram strain results and
antibiotic guidelines.
 The management of pneumonia centers is a step-by-step
process that zeroes on the treatment of the infection
through identification of the causative agent.
 Administration of macrolides. Macrolides are
recommended for people with drug-resistant S.
pneumoniae.
MEDICAL MANAGEMENT
 Hydration is an important part of the regimen because fever
and tachypnea may result in insensible fluid losses.
 Administration of antipyretics. Antipyretics are used to
treat fever and headache.
 Administration of antitussives. Antitussives are used for
treatment of the associated cough.
 Bed rest. Complete rest is prescribed until signs of infection
are diminished.
 Oxygen administration. Oxygen can be given if hypoxemia
develops.
 Pulse oximetry. Pulse oximetry is used to determine the
need for oxygen and to evaluate the effectiveness of the
therapy.
 Aggressive respiratory measures. Other measures
include administration of high concentrations of oxygen,
endotracheal intubation, and mechanical ventilation.
Nursing Assessment
 Nursing assessment is critical in detecting pneumonia.
Assess respiratory symptoms.
 Symptoms of fever, chills, or night sweats in a patient
should be reported immediately to the nurse as these can
be signs of bacterial pneumonia.
Assess clinical manifestations.
Respiratory assessment should further identify clinical
manifestations such as pleuritic pain, bradycardia,
tachypnea, and fatigue, use of accessory muscles for
breathing, coughing, and purulent sputum.
NURSING MANAGEMENT
 Physical assessment.
 Assess the changes in temperature and pulse; amount,
odor, and color of secretions; frequency and severity
of cough; degree of tachypnea or shortness of breath; and
changes in the chest x-ray findings.
 Assessment in elderly patients. Assess elderly patients
for altered mental status, dehydration, unusual behavior,
excessive fatigue, and concomitant heart failure.
o Ineffective airway clearance related to copious
tracheobronchial secretions.
 Activity intolerance related to impaired respiratory
function.
 Risk for deficient fluid volume related to fever and a
rapid respiratory rate.
Nursing diagnosis
To improve airway patency:
 Removal of secretions.
 Adequate hydration of 2 to 3 liters per day thins and loosens
pulmonary secretions.
 Humidification may loosen secretions and improve ventilation.
 Coughing exercises. An effective, directed cough can also
improve airway patency.
 Chest physiotherapy. Chest physiotherapy is important
because it loosens and mobilizes secretions.
To promote rest and conserve energy:
 Encourage avoidance of overexertion and possible
exacerbation of symptoms.
 Semi-Fowler’s position.
To promote fluid intake:
 Fluid intake. Increase in fluid intake to at least 2L per day
to replace insensible fluid losses.
To maintain nutrition:
 Fluids with electrolytes. This may help provide fluid,
calories, and electrolytes.
 Nutrition-enriched beverages. Nutritionally enhanced
drinks and shakes can also help restore proper nutrition.

More Related Content

What's hot

Lungs abscess
Lungs abscessLungs abscess
Lungs abscess
OM VERMA
 
Upper respiratory tract infections ppt
Upper respiratory tract infections pptUpper respiratory tract infections ppt
Upper respiratory tract infections ppt
Mahesh Chand
 
Empyema
EmpyemaEmpyema
Empyema
salman habeeb
 
PNEUMONIA
PNEUMONIAPNEUMONIA
PNEUMONIA
ANILKUMAR BR
 
Chest Infections
Chest InfectionsChest Infections
Chest Infectionsshabeel pn
 
Upper and lower respiratory disease usmle
Upper and lower respiratory disease usmleUpper and lower respiratory disease usmle
Upper and lower respiratory disease usmle
Zhi Tian Chen
 
Bronchoscopy ppt
Bronchoscopy ppt Bronchoscopy ppt
Bronchoscopy ppt
preethiecharles
 
Infective endocarditis
Infective endocarditisInfective endocarditis
Infective endocarditis
Prof Vijayraddi
 
Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
SUDESHNA BANERJEE
 
Pneumonia and it's management
Pneumonia and it's managementPneumonia and it's management
Pneumonia and it's management
RakhiYadav53
 
Dyspnea
DyspneaDyspnea
Anatomy of adenoid
Anatomy of adenoidAnatomy of adenoid
Anatomy of adenoid
Gitanjali Kumari
 
Pharyngitis converted
Pharyngitis convertedPharyngitis converted
Pharyngitis converted
saheli chakraborty
 
Atelectasis & nursing care
Atelectasis & nursing care Atelectasis & nursing care
Atelectasis & nursing care
V4Veeru25
 
Cardiomyopathy
Cardiomyopathy Cardiomyopathy
Cardiomyopathy
SUDESHNA BANERJEE
 
Infective endocarditis
Infective endocarditisInfective endocarditis
Infective endocarditis
Suprakash Das
 
Lower respiratory disorders (pneumonia & tuberculosis,pertussis,influenza)- d...
Lower respiratory disorders (pneumonia & tuberculosis,pertussis,influenza)- d...Lower respiratory disorders (pneumonia & tuberculosis,pertussis,influenza)- d...
Lower respiratory disorders (pneumonia & tuberculosis,pertussis,influenza)- d...
martinshaji
 
Lung abscess
Lung abscessLung abscess
Lung abscess
passant dorgham
 

What's hot (20)

Lungs abscess
Lungs abscessLungs abscess
Lungs abscess
 
Upper respiratory tract infections ppt
Upper respiratory tract infections pptUpper respiratory tract infections ppt
Upper respiratory tract infections ppt
 
Empyema
EmpyemaEmpyema
Empyema
 
PNEUMONIA
PNEUMONIAPNEUMONIA
PNEUMONIA
 
Chest Infections
Chest InfectionsChest Infections
Chest Infections
 
Upper and lower respiratory disease usmle
Upper and lower respiratory disease usmleUpper and lower respiratory disease usmle
Upper and lower respiratory disease usmle
 
Pneumonia
PneumoniaPneumonia
Pneumonia
 
Bronchoscopy ppt
Bronchoscopy ppt Bronchoscopy ppt
Bronchoscopy ppt
 
Infective endocarditis
Infective endocarditisInfective endocarditis
Infective endocarditis
 
Rheumatic heart disease
Rheumatic heart diseaseRheumatic heart disease
Rheumatic heart disease
 
Pneumonia and it's management
Pneumonia and it's managementPneumonia and it's management
Pneumonia and it's management
 
Dyspnea
DyspneaDyspnea
Dyspnea
 
Anatomy of adenoid
Anatomy of adenoidAnatomy of adenoid
Anatomy of adenoid
 
Pharyngitis converted
Pharyngitis convertedPharyngitis converted
Pharyngitis converted
 
Atelectasis & nursing care
Atelectasis & nursing care Atelectasis & nursing care
Atelectasis & nursing care
 
Cardiomyopathy
Cardiomyopathy Cardiomyopathy
Cardiomyopathy
 
Bronchitis
BronchitisBronchitis
Bronchitis
 
Infective endocarditis
Infective endocarditisInfective endocarditis
Infective endocarditis
 
Lower respiratory disorders (pneumonia & tuberculosis,pertussis,influenza)- d...
Lower respiratory disorders (pneumonia & tuberculosis,pertussis,influenza)- d...Lower respiratory disorders (pneumonia & tuberculosis,pertussis,influenza)- d...
Lower respiratory disorders (pneumonia & tuberculosis,pertussis,influenza)- d...
 
Lung abscess
Lung abscessLung abscess
Lung abscess
 

Similar to 2 pnuemonia

COUGH AND DYSPNEA.pptx
COUGH   AND  DYSPNEA.pptxCOUGH   AND  DYSPNEA.pptx
COUGH AND DYSPNEA.pptx
vinnukalyan1
 
mechanical ventilation in restrictive lung disease.pptx
mechanical ventilation in restrictive lung disease.pptxmechanical ventilation in restrictive lung disease.pptx
mechanical ventilation in restrictive lung disease.pptx
nigatendalamaw2
 
Pneumonia overview and ncp
Pneumonia  overview and ncpPneumonia  overview and ncp
Pneumonia overview and ncp
Reynel Dan
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
Kanchan Devi
 
Pulmonary 1ok;;;;;;;;;;ljopppppppppppppppp.pptx
Pulmonary  1ok;;;;;;;;;;ljopppppppppppppppp.pptxPulmonary  1ok;;;;;;;;;;ljopppppppppppppppp.pptx
Pulmonary 1ok;;;;;;;;;;ljopppppppppppppppp.pptx
mousaderhem1
 
ARDS
ARDSARDS
ACUTE RESPIRATORY DISTRESS SYNDROME#MEDICAL-SURGICAL NURSING
ACUTE  RESPIRATORY DISTRESS SYNDROME#MEDICAL-SURGICAL NURSINGACUTE  RESPIRATORY DISTRESS SYNDROME#MEDICAL-SURGICAL NURSING
ACUTE RESPIRATORY DISTRESS SYNDROME#MEDICAL-SURGICAL NURSING
GAUTAMI TIRPUDE
 
clinical features of tb.ppt
clinical features of tb.pptclinical features of tb.ppt
clinical features of tb.ppt
ShakibSheikh5
 
Pneumonia respiratory system disorder
Pneumonia respiratory system disorderPneumonia respiratory system disorder
Pneumonia respiratory system disorder
Shyam Bhatewara
 
Respiratory Disorders ىاغفقثصضهععا(1).pdf
Respiratory Disorders ىاغفقثصضهععا(1).pdfRespiratory Disorders ىاغفقثصضهععا(1).pdf
Respiratory Disorders ىاغفقثصضهععا(1).pdf
ssuser0b28a72
 
Ckd chief (2)
Ckd chief (2)Ckd chief (2)
Ckd chief (2)
Rajiv Lal
 
Asthma
AsthmaAsthma
Adult respiratory distress syndrome & nursing care
Adult respiratory distress syndrome & nursing careAdult respiratory distress syndrome & nursing care
Adult respiratory distress syndrome & nursing care
V4Veeru25
 
Chronic Obstructive Pulmonary Disease[ COPD].pptx
Chronic Obstructive Pulmonary Disease[ COPD].pptxChronic Obstructive Pulmonary Disease[ COPD].pptx
Chronic Obstructive Pulmonary Disease[ COPD].pptx
akoeljames8543
 
Acute respiratory Distress Syndrome - Medical and Nursing management
Acute respiratory Distress Syndrome - Medical and Nursing managementAcute respiratory Distress Syndrome - Medical and Nursing management
Acute respiratory Distress Syndrome - Medical and Nursing management
VarunMahajani
 
Pulmonary-Failure-.pptx
Pulmonary-Failure-.pptxPulmonary-Failure-.pptx
Pulmonary-Failure-.pptx
WengelRedkiss
 
COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam
COPD  (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslamCOPD  (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam
COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam
Dr.Aslam calicut
 
Pneumonia, causes, risk factors, treatment.pdf
Pneumonia, causes, risk factors, treatment.pdfPneumonia, causes, risk factors, treatment.pdf
Pneumonia, causes, risk factors, treatment.pdf
LankeSuneetha
 
copdaslam-160531103105.pdf
copdaslam-160531103105.pdfcopdaslam-160531103105.pdf
copdaslam-160531103105.pdf
AbdrahmanDOKMAK1
 

Similar to 2 pnuemonia (20)

COUGH AND DYSPNEA.pptx
COUGH   AND  DYSPNEA.pptxCOUGH   AND  DYSPNEA.pptx
COUGH AND DYSPNEA.pptx
 
mechanical ventilation in restrictive lung disease.pptx
mechanical ventilation in restrictive lung disease.pptxmechanical ventilation in restrictive lung disease.pptx
mechanical ventilation in restrictive lung disease.pptx
 
Pneumonia overview and ncp
Pneumonia  overview and ncpPneumonia  overview and ncp
Pneumonia overview and ncp
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
 
Pulmonary 1ok;;;;;;;;;;ljopppppppppppppppp.pptx
Pulmonary  1ok;;;;;;;;;;ljopppppppppppppppp.pptxPulmonary  1ok;;;;;;;;;;ljopppppppppppppppp.pptx
Pulmonary 1ok;;;;;;;;;;ljopppppppppppppppp.pptx
 
ARDS
ARDSARDS
ARDS
 
ACUTE RESPIRATORY DISTRESS SYNDROME#MEDICAL-SURGICAL NURSING
ACUTE  RESPIRATORY DISTRESS SYNDROME#MEDICAL-SURGICAL NURSINGACUTE  RESPIRATORY DISTRESS SYNDROME#MEDICAL-SURGICAL NURSING
ACUTE RESPIRATORY DISTRESS SYNDROME#MEDICAL-SURGICAL NURSING
 
clinical features of tb.ppt
clinical features of tb.pptclinical features of tb.ppt
clinical features of tb.ppt
 
Pneumonia respiratory system disorder
Pneumonia respiratory system disorderPneumonia respiratory system disorder
Pneumonia respiratory system disorder
 
Respiratory Disorders ىاغفقثصضهععا(1).pdf
Respiratory Disorders ىاغفقثصضهععا(1).pdfRespiratory Disorders ىاغفقثصضهععا(1).pdf
Respiratory Disorders ىاغفقثصضهععا(1).pdf
 
Ckd chief (2)
Ckd chief (2)Ckd chief (2)
Ckd chief (2)
 
Asthma
AsthmaAsthma
Asthma
 
Adult respiratory distress syndrome & nursing care
Adult respiratory distress syndrome & nursing careAdult respiratory distress syndrome & nursing care
Adult respiratory distress syndrome & nursing care
 
Peumonia
PeumoniaPeumonia
Peumonia
 
Chronic Obstructive Pulmonary Disease[ COPD].pptx
Chronic Obstructive Pulmonary Disease[ COPD].pptxChronic Obstructive Pulmonary Disease[ COPD].pptx
Chronic Obstructive Pulmonary Disease[ COPD].pptx
 
Acute respiratory Distress Syndrome - Medical and Nursing management
Acute respiratory Distress Syndrome - Medical and Nursing managementAcute respiratory Distress Syndrome - Medical and Nursing management
Acute respiratory Distress Syndrome - Medical and Nursing management
 
Pulmonary-Failure-.pptx
Pulmonary-Failure-.pptxPulmonary-Failure-.pptx
Pulmonary-Failure-.pptx
 
COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam
COPD  (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslamCOPD  (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam
COPD (Chronic obstructive Pulmonary Disease) PowerPoint Presentation -aslam
 
Pneumonia, causes, risk factors, treatment.pdf
Pneumonia, causes, risk factors, treatment.pdfPneumonia, causes, risk factors, treatment.pdf
Pneumonia, causes, risk factors, treatment.pdf
 
copdaslam-160531103105.pdf
copdaslam-160531103105.pdfcopdaslam-160531103105.pdf
copdaslam-160531103105.pdf
 

Recently uploaded

Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
Ashokrao Mane college of Pharmacy Peth-Vadgaon
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
Sandy Millin
 
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdfAdversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Po-Chuan Chen
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
Vivekanand Anglo Vedic Academy
 
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
Jisc
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
JosvitaDsouza2
 
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup   New Member Orientation and Q&A (May 2024).pdfWelcome to TechSoup   New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
TechSoup
 
Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
Jean Carlos Nunes Paixão
 
Polish students' mobility in the Czech Republic
Polish students' mobility in the Czech RepublicPolish students' mobility in the Czech Republic
Polish students' mobility in the Czech Republic
Anna Sz.
 
Acetabularia Information For Class 9 .docx
Acetabularia Information For Class 9  .docxAcetabularia Information For Class 9  .docx
Acetabularia Information For Class 9 .docx
vaibhavrinwa19
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
EugeneSaldivar
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
heathfieldcps1
 
Operation Blue Star - Saka Neela Tara
Operation Blue Star   -  Saka Neela TaraOperation Blue Star   -  Saka Neela Tara
Operation Blue Star - Saka Neela Tara
Balvir Singh
 
Thesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.pptThesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.ppt
EverAndrsGuerraGuerr
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
RaedMohamed3
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
Celine George
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
BhavyaRajput3
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
Delapenabediema
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
Jisc
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
Celine George
 

Recently uploaded (20)

Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.Biological Screening of Herbal Drugs in detailed.
Biological Screening of Herbal Drugs in detailed.
 
2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...2024.06.01 Introducing a competency framework for languag learning materials ...
2024.06.01 Introducing a competency framework for languag learning materials ...
 
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdfAdversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
Adversarial Attention Modeling for Multi-dimensional Emotion Regression.pdf
 
The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
 
How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...How libraries can support authors with open access requirements for UKRI fund...
How libraries can support authors with open access requirements for UKRI fund...
 
1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx1.4 modern child centered education - mahatma gandhi-2.pptx
1.4 modern child centered education - mahatma gandhi-2.pptx
 
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup   New Member Orientation and Q&A (May 2024).pdfWelcome to TechSoup   New Member Orientation and Q&A (May 2024).pdf
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
 
Lapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdfLapbook sobre os Regimes Totalitários.pdf
Lapbook sobre os Regimes Totalitários.pdf
 
Polish students' mobility in the Czech Republic
Polish students' mobility in the Czech RepublicPolish students' mobility in the Czech Republic
Polish students' mobility in the Czech Republic
 
Acetabularia Information For Class 9 .docx
Acetabularia Information For Class 9  .docxAcetabularia Information For Class 9  .docx
Acetabularia Information For Class 9 .docx
 
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...TESDA TM1 REVIEWER  FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
TESDA TM1 REVIEWER FOR NATIONAL ASSESSMENT WRITTEN AND ORAL QUESTIONS WITH A...
 
The basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptxThe basics of sentences session 5pptx.pptx
The basics of sentences session 5pptx.pptx
 
Operation Blue Star - Saka Neela Tara
Operation Blue Star   -  Saka Neela TaraOperation Blue Star   -  Saka Neela Tara
Operation Blue Star - Saka Neela Tara
 
Thesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.pptThesis Statement for students diagnonsed withADHD.ppt
Thesis Statement for students diagnonsed withADHD.ppt
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
 
The Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official PublicationThe Challenger.pdf DNHS Official Publication
The Challenger.pdf DNHS Official Publication
 
The approach at University of Liverpool.pptx
The approach at University of Liverpool.pptxThe approach at University of Liverpool.pptx
The approach at University of Liverpool.pptx
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
 

2 pnuemonia

  • 1. CLINICAL SPECIALITY – II CARDIOVASCULAR & THORACIC NURSING UNIT V CARDIAC DISORDERS AND NURSING MANAGEMENT PNEUMONIA
  • 2. General objective:  At the end of this class students will be acquainted with Pneumonia. Specific objective:  Define Pneumonia.  Mention the causes of Pneumonia  Discuss the types of Pneumonia  Describe clinical manifestation of Pneumonia.  Discuss management of Pneumonia.
  • 3.
  • 4.  Pneumonia is an infection in one or both lungs. It can be caused by bacteria, viruses, or fungi.  Pneumonia causes inflammation in the air sacs in your lungs, which are called alveoli. The alveoli fill with fluid or pus, making it difficult to breathe. PNEUMONIA
  • 5.  Cigarette smoking  Recent viral respiratory infection (common cold, laryngitis, influenza)  Difficulty swallowing (due to stroke, dementia, Parkinson’s disease, or other neurological conditions)  Chronic lung disease (COPD, bronchiectasis, cystic fibrosis) RISK FACTORS
  • 6.  Cerebral palsy  Other serious illnesses, such as heart disease, liver cirrhosis, or diabetes mellitus  Impaired consciousness (loss of brain function due to dementia, stroke, or other neurologic conditions)  Recent surgery or trauma  Immune system problem
  • 7.  Bacterial pneumonia :  Pneumococcal pneumonia :  Staphylococcal pneumonia :  Streptococcal pneumonia :  Viral and mycoplasma pneumonia :  Pneumocytitis carinii pneumonia TYPES
  • 8.  Legionella pneumonia  Aspiration pneumonia  Hypostatic pneumonia  Lobar pneumonia  broncopneumonia  Community-acquired pneumonia  Hospital- acquired pneumonia
  • 9. PATHOPHYSIOLOGY Inflammatory pulmonary response to organism Defense mechanism affected and organism penetrate the lower airway Alveolar sacs are affected fluid filled and gas exchange is affected Alveolar exudates tends to consolidate and difficult to expectorate Engorgement of alveolar space with fluid & hemorrhagic exudates Coagulation of exudates occurs resulting in the red appearance of affected lung Neutrophils infiltrates the alveoli making the lung tissue to be solid and gray
  • 11. Complications:  Pleurisy  Atelectasis  Lung abscess  Pericarditis  Endocarditic.  Pleural effusion  Bactremia.
  • 12.
  • 13.  Antibiotics are prescribed based on gram strain results and antibiotic guidelines.  The management of pneumonia centers is a step-by-step process that zeroes on the treatment of the infection through identification of the causative agent.  Administration of macrolides. Macrolides are recommended for people with drug-resistant S. pneumoniae. MEDICAL MANAGEMENT
  • 14.  Hydration is an important part of the regimen because fever and tachypnea may result in insensible fluid losses.  Administration of antipyretics. Antipyretics are used to treat fever and headache.  Administration of antitussives. Antitussives are used for treatment of the associated cough.  Bed rest. Complete rest is prescribed until signs of infection are diminished.  Oxygen administration. Oxygen can be given if hypoxemia develops.
  • 15.  Pulse oximetry. Pulse oximetry is used to determine the need for oxygen and to evaluate the effectiveness of the therapy.  Aggressive respiratory measures. Other measures include administration of high concentrations of oxygen, endotracheal intubation, and mechanical ventilation.
  • 16. Nursing Assessment  Nursing assessment is critical in detecting pneumonia. Assess respiratory symptoms.  Symptoms of fever, chills, or night sweats in a patient should be reported immediately to the nurse as these can be signs of bacterial pneumonia. Assess clinical manifestations. Respiratory assessment should further identify clinical manifestations such as pleuritic pain, bradycardia, tachypnea, and fatigue, use of accessory muscles for breathing, coughing, and purulent sputum. NURSING MANAGEMENT
  • 17.  Physical assessment.  Assess the changes in temperature and pulse; amount, odor, and color of secretions; frequency and severity of cough; degree of tachypnea or shortness of breath; and changes in the chest x-ray findings.  Assessment in elderly patients. Assess elderly patients for altered mental status, dehydration, unusual behavior, excessive fatigue, and concomitant heart failure.
  • 18. o Ineffective airway clearance related to copious tracheobronchial secretions.  Activity intolerance related to impaired respiratory function.  Risk for deficient fluid volume related to fever and a rapid respiratory rate. Nursing diagnosis
  • 19. To improve airway patency:  Removal of secretions.  Adequate hydration of 2 to 3 liters per day thins and loosens pulmonary secretions.  Humidification may loosen secretions and improve ventilation.  Coughing exercises. An effective, directed cough can also improve airway patency.  Chest physiotherapy. Chest physiotherapy is important because it loosens and mobilizes secretions.
  • 20. To promote rest and conserve energy:  Encourage avoidance of overexertion and possible exacerbation of symptoms.  Semi-Fowler’s position. To promote fluid intake:  Fluid intake. Increase in fluid intake to at least 2L per day to replace insensible fluid losses.
  • 21. To maintain nutrition:  Fluids with electrolytes. This may help provide fluid, calories, and electrolytes.  Nutrition-enriched beverages. Nutritionally enhanced drinks and shakes can also help restore proper nutrition.