Parapneumonia vs. Pulmunary Tuberculosis
A Case Analysis Presented to the Faculty of
College of Nursing
St. Dominic College of Asia
In partial Fulfillment of the Requirement in NCM 106
Prepared by:
Tugbo, Jona Q.
BSN 4 B
August 2013
Introduction Our body is like a machine. Several parts work together in order to function properly and an alteration to any of its parts will cause an impaired over all functioning. Our lung is an organ for respiration which is necessary for the transport of oxygen and excretion of carbon dioxide. A change on its anatomic properties would surely impair a person’s respiration. A pleural effusion is a collection of fluid in the space between the two linings (pleura) of the lung. Normally, the pleural space contains a small amount of fluid which is 5-15 ml which acts as a lubricant that allows the pleural surfaces to move without friction. When we breathe, it is like a bellows. We inhale air into our lungs and the ribs move out and the diaphragm moves down. For the lung to expand, its lining has to slide along with the chest wall movement. For this to happen, both the lungs and the ribs are covered with a slippery lining called the pleura. Too much fluid impairs the ability of the lung to expand and move.
A pleural effusion is not normal. It is not a disease but rather a complication of an underlying illness. Extra fluid (effusion) can occur for a variety of reasons. Common classification systems divide pleural effusions based on the chemistry composition of the fluid and what causes the effusion to be formed.
Two classifications:
Transudate Pleural Effusions are formed when fluid leaks from blood vessels into the pleural space. Chemically, transudate pleural effusions contain less protein and LDH (lactate dehydrogenase) than exudate pleural effusions. If both the pleural fluid–to–serum total protein ratio is less than or equal to 0.50 and the pleural fluid–to–serum LDH