This is the case of patient MCS, a 62 year old female who came to Ospital ng Guiginto with a chief complaint of productive cough with associated difficulty of breathing & intermittent fever. She was admitted on July 16, 2012. She was diagnosed with Pneumonia with manifestations of Asthma. Pneumonia is an inflammation of the lung parenchyma commonly caused by microbial agents. Classically, pneumonia has been categorized as being bacterial or typical, atypical, anaerobic/cavitary, or opportunistic. Another classification scheme categorizes pneumonias as community-acquired (CAP), hospital-acquired (HAP or nosocomial), pneumonia in the immunocompromised host, and aspiration pneumonia. Those at risk for pneumonia often have chronic underlying disorders, severe acute illness, a suppressed immune system from disease or medications, immobility, and other factors that interfere with normal lung protective mechanisms. The organisms that cause Pneumonia may vary. Community-acquired pneumonia may be caused by Streptococcuspneumoniae, Haemophilus influenzae, Legionella pneumophila, Mycoplasma pneumonia, Influenza viruses types A, B adenovirus, parainfluenza, cytomegalovirus and coronavirus, and C. pneumoniae. Hospital-acquired pneumonia could be caused by Psedomonas aeruginosa, Staphylococcus aureus, and Klebsiella pneumoniae. Pneumonia in the Immunocompromised host maybe caused by Pneumocystis carinii, Aspergillus fumigates, and Mycobacterium tuberculosis.Clients at risk of Pneumonia are the elderly, infants, substance abusers, cigarette smokers, postoperative clients or those on prolonged bed rest, clients with chronic illnesses such as Chronic Obstructive Pulmonary Disease, clients with Acquired Immune Deficiency Syndrome, and immunosuppressed clients.
Pneumonia is manifested by sudden onset of fever with chills, shortness of breath and chest pain, signs of respiratory distress, cyanosis, fatigability, increased WBC level, and cough with
Bibliography: Suzanne C. Smeltzer & Brenda G. Bare (2004). Brunner & Suddarth’sTextbook of Medical-Surgical Nursing. (10th edition, pp. 520-532, Volume 1) Joyce Young Johnson () Sandra M. Nettina, RN, C, MSN, ANP (1997). Lippincott’s Pocket Manual of Nursing Practice. (pp. 669-675) Nester Anderson Roberts