2. Out LineOut Line
What is PneumOniaPneumOnia?
PathOPhysiOLOgy
etiOLOgy & CLiniCaL PiCture
symPtOms
hOW tO diagnOsis
treatment
Case study
referenCes
3. Case study presentaionCase study presentaion
Bronchopneumonia is a severe type of
pneumonia that is characterized by multiple
areas of acute and isolated consolidation that
affect one or more pulmonary lobes. It is one
of the most serious infection in childrens.The
disease assumes alarming proportion if both
the lungs are affected. Great care has to be
taken if the patient suffers from
bronchopneumonia. If it is left untreated, the
outcome may be fatal.
4. CrOss seCtiOn Of BrOnChOPneumOniaCrOss seCtiOn Of BrOnChOPneumOnia
affeCted LungsaffeCted Lungs
5. PATHOPHYSIOLOGYPATHOPHYSIOLOGY
VIRUS ENTER THE RESPIRATORY TRACT
INFLAMMATIONINFLAMMATION
ACCUMULATION OF BRONCHIAL SECRETION
ALVEOLI COLLAPSE
NARROWING OF AIRWAYS
SOB & DOB
BRONCHOPNEUMONIA
6. etiOLOgyetiOLOgy
Bronchopneumonia is caused by viruses, bacteria , fungi protozoa
and myco plasma
Bacteria
Streptococcus
Staphylococcus
Hemophilus influenza
Klebsella
Virus
legionella pneumonia
Fungi
candida albicans
Other predisposing factors include:
common in hospitalized patients
its occur as a complication of some other diseases , eg: in children –
diphtheria, measles, and whooping cough
In adults- influenza, typhoid and paratyphoid fever
its caused by organism aspirated from mouth
7. SIGNS & SYMPTOMSSIGNS & SYMPTOMS
BOOK BASE PATIENT MANIFESTATION
HIGH GRADE FEVER FEVER 38.8° C
COUGH W/ MUCUS PRESENT
CHEST PAIN MILD CHEST PAIN PRESENT
FATIGUE PRESENT
IRRITABILITY NOT PRESENT
DECREASED APETITE PRESENT
DECREASED BREATH SOUND PRESENT
HEADACHE ABSENT
10. TREATMENTTREATMENT
Advise to drink plenty of fluid
Enough rest
Elevate the head of the bed to
minimize respiratory effort
Administer oxygen, if needed
Use antibiotics as prescribe
Antipyretics as ordered
11. NURSING CASE STUDY OF A PATIENT WITHNURSING CASE STUDY OF A PATIENT WITH
BRONCHOPNEUMONIABRONCHOPNEUMONIA
NAME : X
AGE : 70YEARS
SEX : fEMAlE
NATIONAlITY : SAUDI
DATE Of ADMISSION :12/10/2015
CHIEf COMPlAINTS : fEvER,COUGH ,
SOB.
DIAGNOSIS : BRONCHOPNEUMONIA
12. Current illnessCurrent illness
Dyspnea and orthopnea 3 day`s
Increase when she is move
Decreases when lyning on her back
Decreases when setting
GCS 10/15
15. MedicationMedication
Meropenem Antibiotic Action with
gram +and-
bacteria
1g IV BID
Clarithromycin Antibiotic Wide
spectrum
gram +and-
bacteriaof
500mg IV BID
Lasix Diuretic Congestive
H.F and
edema
40mg IV BID
Clexane Anticoagulant Prevent and
treat deep
vein
thrombosis
40mg S/C OD
Omeprazole Proton pump
inhibitor
Interaction
is high
40mg IV OD
19. CARE PLANCARE PLAN
NURSING DIAGNOSISNURSING DIAGNOSIS
1. INEFFECTIVE AIRWAY CLEARANCE
Related to increased sputum production .
Goal to improve airway clearance.
Objective breathing normally without effort
within 3 hours.
NURSING INTERVENTION
Assess rate and depth of breathing and chest
movement.
Frequent suction.
EVALUATION
No sing of diffcaluty breathing.
No abnormal lung sound.
20. CARE PLANCARE PLAN
NURSING DIAGNOSISNURSING DIAGNOSIS
2- RISK FOR INFECTION
Related to chest infection.
Goal to reduces risk of infection.
Objective no sing of infection during
hospitalization.
NURSING INTERVENTIONNURSING INTERVENTION
Monitor V/S .
Limit visitor.
Isolation precautions as needed.
EVALUATIONEVALUATION
Achieve timely resolution of current infection
without compliction.