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PNEUMONIA-ASPIRATION IN A
SNAPBy: Daniel JeffreyJoseph StewardChris CapupusJennifer FordZeferino Tinajero
Inflamation of the lungs parenchym, associated with alveolar edema and congestion that impair gas exchange,
Sixth leading cause of death in the US
BUT WHAT IS PNEUMONIA Symptoms: Coughing Sputum Production Pleuritic (inflammation of the pleura) chest pain
Shaking Chills Rapid Shallow Breaths Fever SOBIf Not Treated It Can Lead Too Hypoxemia Respiratory failure Pleural effusion – lung build up around the lungs
PHYSICAL ASSESSMENTPhysical Findings On Assessment Adventitious breath sounds
Crackles Ronchi Wheezes
Whispering Dullness when percussing lungs Decrease Gag Reflex
NURSING PRIORITIES 1. Maintain or Improve the respiratory function
2. Prevent any complications 3. Support Recuperative Process 4. Provide information about disease process, prognosis and treatment.
MEDICATIONS Antibiotics: Macrolides Tetracyclines
Not used for children under 8 Can discolor teeth
Fluoroquinolones Cephalosporins Penicillins Vancomycin
Used to treat sever infections and when other antibiotics are not being effective
Goal of Antibiotics Ti kill or prevent bacteria from reproducing
GAS EXCHANGE CAD
Gas Exchange The process by which oxygen is transported to cells and carbon dioxide is transported from cells. (G)
Nursing Care Primary, Secondary,
Tertiary
Antecedents Adequate Functioning of Respiratory System Adequate Perfusion Adequate Neurologic Function Adequate Cardiovascular Function Efficient Cellular Metabolism
Attributes Respiratory Rate WNL Ph 7.35-7.45 Oxygen Saturation > 94% PaO2: 85-100 PaCO2: 35-45 mmHg EtCO2: 35-45 mmHg Age Appropriate Level of Consciousness Race-Appropriate Skin Color
Interrelated Concepts
Perfusion
Acid Base Balance
V/Q Mismatch
Mobility
Sub -Concepts
Circulation
Oxygen Carrying Capacity
Inhalation and Exhalation
Consequences (Outcomes)
Respiratory Compromise
Respiratory Distress Respiratory Failure
Altered Oxygen Carrying Capacity Hypoxemia, Altered Mental Status (Belligerent), Anoxia
Positive
Negative
Age Appropriate Mobility
Capillary Refill < 2 sec
Eupnea
Coping
Nutrition
Age Appropriate Response to Environment