Pleurisy is inflammation of the pleura, the thin layers of tissue that separate the lungs from the chest wall. This causes sharp chest pains that worsen with breathing. Pleurisy can be caused by pneumonia, tuberculosis, kidney failure, viruses, bacteria, chest trauma, or pulmonary embolism. Complications include a buildup of fluid in the lungs or collapsed lung. Diagnosis involves collecting a medical history, physical exam, blood tests, chest x-ray, ultrasound, and thoracentesis to remove fluid from the pleural cavity. Treatment consists of antibiotics, analgesics, anti-inflammatories, and pleural tapping. Nursing care focuses on rest, positioning for comfort, proper medication administration, hygiene,

1. PLEURISY
BY
MR.RAVISHANKAR
NURSING TUTOR

2. INTRODUCTION:-
it is a condition in which the pleura — two large, thin layers of
tissue that separate your lungs from your chest wall — becomes
inflamed. Also called pleuritis, pleurisy causes sharp chest pain
(pleuritic pain) that worsens during breathing.

3. DEFINITION:-
“Pleurisy or pleuritis is the inflammation of both
layers of lungs (i.e. partial pleura that is outer layer
and visceral pleura that is inner layer.)”

4. ETIOLOGY:-
Pneumonia
Tuberculosis
Uremia (presence of Uria in blood)
Virus, bacteria
Chest trauma
Pulmonary syndrome.

6. COMPLICATION:-
•Pleural effusion (fluid accumulation in lungs).
•Pneumothorax (air in the chest).

7. DIAGNOSIS:-
History collection
Physical examination.
CBC
Chest x ray
Ultrasonography
Thoracentesis

8. MEDICAL MANAGEMENT:-
•Antibiotics- Augmentin, amikacin
•Analgesic- tramadol.
•NSAID- ibuprofen.
•Pleural tapping- removes abnormal fluid from pleural
cavity.

9. NURSING MANAGEMENT:-
•Advise to take rest.
•Provide comfortable position.
•Advise to take medicine properly.
•Maintain hygiene.
•Take adequate diet as prescribed.