Expected Goal/Outcome | Nursing Interventions | Rationale | Evaluation of Goal/Outcome Attainment | Subjective:Unobservable subjective data due to patient unresponsive. Objective:- Adventitious lung sounds (rhonchi)- Excessive sputum- History of pneumonia - Presence of Tracheostomy tube- Absent of cough- Respiratory rate of 19 - O2 Sat of 98%- On ventilator machine.Cluster Data:- Was treated for a stage III pressure ulcer that has now healed. - Patient is colonized with Klebsiella in urine.- Has a
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decreased breath sounds‚ and disturbed airflow. Sometimes persons with asthma will also have pneumonia (infection of lung)‚ a cold‚ bronchitis‚ or other lung problems that make their asthma symptoms worse. Tests — Following tests may help to help diagnose the problem: Blood test can help in identifying anaemia- a condition that affects the blood’s ability to carry oxygen. Chest x-ray can help in identifying pneumonia‚ or lung inflammation or
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CASE STUDY A 49years old white male present to the emergency room complained of choking while eating dinner at the nursing home he resides. He has a significant past medical history of traumatic brain injury‚ Asthma‚ Pneumonia‚ seizure disorder and Spasm quadriparesis. Patient denies shortness of breath‚ chest pain and fever‚ family history is noncontributory. On Physical examination patient is well nourished‚ no signs of distress‚ alert and awake and the vital signs reveal * Blood pressure
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affect other parts of the body‚ that includes the liver‚ the reproductive system‚ the sweat glands and the sinuses. Symptoms and complications related to the lungs and sinuses can include‚ increased mucus in the sinuses or lungs‚ coughing‚ and pneumonia. Severe sinus pain or pressure can be caused by infection or nasal polyps. Symptoms and
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resistant to many classes of antibiotics. The most frequent are resistance to aminoglycosides‚ fluoroquinolones‚ tetracyclines‚ chloramphenicol andtrimethoprim/sulfamethoxazole.(3)Infection with carbapenem-resistant klebsiella pneumonia (CRKP) or carbapenemase-producing klebsiella pneumonia is emerging as an important challenge in health-care settings(4) In the USA‚ it was first described in North Carolina in 1996:(5) since then CRKP has been identified in 41 states;(6)and is recovered routinely in certain
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Breathlessness 1. Presenting condition (PC) = Increase SOB 2. History of presenting condition (HPC) = Gradual decline or sudden. Any changes or normal exercise tolerance. Sleep at night‚ does lying flat make it worse? What makes it better/worse? 3. Past Medical History (PMH) 4. Drug History 5. Social History – include smoking‚ family history ect. 6. Examination of patient O – onset L – Location D – Duration C – Character A – Aggrevating R – Relieving T - Treatment TAKING A HISTORY Started
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others don’t‚ but it’s probably due to a combination of environmental and genetic (inherited) factors. Wheezing‚ shortness of breath‚ chest tightness‚ and coughing. Prescribed medication such as inhalers identify and avoid asthma triggers Pneumonia Bacteria present in the atmosphere is taken in by your body and if not treated it may attack the lungs causing Fever‚ sweating and shaking chills
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at the morning rounds by the doctors if she needed to be transferred to an isolation room because of the query of swine flu. The doctors replied that she might only be a severe case of pneumonia as can be seen on the Chest X-ray. They also explained to the patient’s family that she is being treated for pneumonia and is also receiving antibiotics. Staff nurses who come in contact with the patient wore no protective equipment other than regular aprons and clean gloves‚ including myself and my mentor
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Pertussis is a highly contagious bacterial disease that causes uncontrollable‚ violent coughing. The coughing can make it hard to breathe. A deep "whooping" sound is often heard when the patient tries to take a breath Cause. Pertussis‚ or whooping cough‚ is an upper respiratory infection caused by the Bordetella pertussis or Bordetella parapertussis bacteria. It is a serious disease that can cause permanent disability in infants‚ and even death. When an infected person sneezes or coughs‚ tiny
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temperature of 102. The patient was expectoration‚ and hemoptysis. The patient was also bradypnen. The breathing was seven breaths pre minute. Laboratory Data- The patient was given an x-ray and an CT scan. Impression- Lung Cancer and Pneumonia Discussion-
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