Pneumonia Case Study

BY ADMIN DECEMBER 15, 2007

Nursing care plan
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INTRODUCTION
Pneumonia is an inflammation of the lungs caused by an infection. It is also called Pneumonitis or
Bronchopneumonia. Pneumonia can be a serious threat to our health. Although pneumonia is a
special concern for older adults and those with chronic illnesses, it can also strike young, healthy
people as well. It is a common illness that affects thousands of people each year in the Philippines,
thus, it remains an important cause of morbidity and mortality in the country.
There are many kinds of pneumonia that range in seriousness from mild to life-threatening. In
infectious pneumonia, bacteria, viruses, fungi or other organisms attack your lungs, leading to
inflammation that makes it hard to breathe. Pneumonia can affect one or both lungs. In the young and
healthy, early treatment with antibiotics can cure bacterial pneumonia. The drugs used to fight
pneumonia are determined by the germ causing the pneumonia and the judgment of the doctor. Its
best to do everything we can to prevent pneumonia, but if one do get sick, recognizing and treating
the disease early offers the best chance for a full recovery.
A case with a diagnosis of Pneumonia may catch ones attention, though the disease is just like an
ordinary cough and fever, it can lead to death especially when no intervention or care is done. Since
the case is a toddler, an appropriate care has to be done to make the patients recovery faster.
Treating patients with pneumonia is necessary to prevent its spread to others and make them as
another victim of this illness.
ANATOMY AND PHYSIOLOGY
The lungs constitute the largest organ in the respiratory system. They play an important role in
respiration, or the process of providing the body with oxygen and releasing carbon dioxide. The
lungs expand and contract up to 20 times per minute taking in and disposing of those gases.
Air that is breathed in is filled with oxygen and goes to the trachea, which branches off into one of
two bronchi. Each bronchus enters a lung. There are two lungs, one on each side of the breastbone
and protected by the ribs. Each lung is made up of lobes, or sections. There are three lobes in the
right lung and two lobes in the left one. The lungs are cone shaped and made of elastic, spongy
tissue. Within the lungs, the bronchi branch out into minute pathways that go through the lung tissue.
The pathways are called bronchioles, and they end at microscopic air sacs called alveoli. The alveoli
are surrounded by capillaries and provide oxygen for the blood in these vessels. The oxygenated
blood is then pumped by the heart throughout the body. The alveoli also take in carbon dioxide,
which is then exhaled from the body.
Inhaling is due to contractions of the diaphragm and of muscles between the ribs. Exhaling results
from relaxation of those muscles. Each lung is surrounded by a two-layered membrane, or the pleura,
that under normal circumstances has a very, very small amount of fluid between the layers. The fluid
allows the membranes to easily slide over each other during breathing.
PATHOPHYSIOLOGY

Pneumonia is a serious infection or inflammation of your lungs. The air sacs in the lungs fill with pus
and other liquid. Oxygen has trouble reaching your blood. If there is too little oxygen in your blood,
your body cells cant work properly. Because of this and spreading infection through the body
pneumonia can cause death. Pneumonia affects your lungs in two ways. Lobar pneumonia affects a
section (lobe) of a lung. Bronchial pneumonia (or bronchopneumonia) affects patches throughout
both lungs.

Bacteria are the most common cause of pneumonia. Of these, Streptococcus pneumoniae is the
most common. Other pathogens include anaerobic bacteria, Staphylococcus aureus, Haemophilus
influenzae, Chlamydia pneumoniae, C. psittaci, C. trachomatis, Moraxella (Branhamella) catarrhalis,
Legionella pneumophila, Klebsiella pneumoniae, and other gram-negative bacilli. Major pulmonary
pathogens in infants and children are viruses: respiratory syncytial virus, parainfluenza virus, and
influenza A and B viruses. Among other agents are higher bacteria including Nocardia and
Actinomyces sp; mycobacteria, including Mycobacterium tuberculosis and atypical strains; fungi,
including Histoplasma capsulatum, Coccidioides immitis, Blastomyces dermatitidis, Cryptococcus
neoformans, Aspergillus fumigatus, and Pneumocystis carinii; and rickettsiae, primarily Coxiella
burnetii (Q fever).

The usual mechanisms of spread are inhaling droplets small enough to reach the alveoli and
aspirating secretions from the upper airways. Other means include hematogenous or lymphatic
dissemination and direct spread from contiguous infections. Predisposing factors include upper
respiratory viral infections, alcoholism, institutionalization, cigarette smoking, heart failure, chronic
obstructive airway disease, age extremes, debility, immunocompromise (as in diabetes mellitus and
chronic renal failure), compromised consciousness, dysphagia, and exposure to transmissible agents.

Typical symptoms include cough, fever, and sputum production, usually developing over days and
sometimes accompanied by pleurisy. Physical examination may detect tachypnea and signs of
consolidation, such as crackles with bronchial breath sounds. This syndrome is commonly caused by
bacteria, such as S. pneumoniae and H. influenzae.

NURSING PROFILE
a. Patients Profile
Name: R.C.S.B.
Age: 1 yr,1 mo.
Weight:10 kgs
Religion: Roman Catholic
Mother: C.B.
Address: Valenzuela City
b. Chief Complaint: Fever
Date of Admission: 1st admission
Hospital Number: 060000086199
c. History of Present Illness
2 days PTA (+) cough
(+) nasal congestion, watery to greenish
(+) nasal discharge
Tx: Disudrin OD
Loviscol OD
Few hrs PTA (+) fever, Tmax= 39.3 C
 (+) difficulty of breathing
(+) vomiting, 1 episode
Tx: Paracetamol
Sought consultation at ER: Rx=BPN, Salbutamol neb.
IE: T = 38.3C, CR= 122s, RR= 30s
(+) TPC
SCE, (-) retractions, clear BS, (-) cyanosis, (-) edema
d. Past Illness
(-) asthma
(-) allergies

e. Family History
PMHx: (+) asthma (mother)

f. Activities of Daily Living

Sleeping mostly at night and during afternoon
Usually wakes up early in the morning (5AM) to be milkfed.
Eats a lot (hotdogs, chicken, crackers, any food given to her)
Active, responsive
BM (1-2 times a day)
Urinates in her diaper (more than 4 times a day)
Likes to play with those around her
g. Review of Systems
Neuromuscular: weakness of muscles
Integumentary: (-) cyanosis
Respiratory: tavhypnea; (+) DOB; (+) coarse crackles, (+) wheezes,
Digestive: food aversion, vomits ingested milk
DRUG STUDY
View NCP
NURSING ACTIONS
INDEPENDENT

positioning of the patient with head on mid line, with slight flexion
rationale: to provide patent, unobstructed airway , maximum lung excursion
auscultating patients chest
rationale: to monitor for the presence of abnormal breath sounds
provide chest and back clapping with vibration
rationale: chest physiotheraphy facilitates the loosening of secretions
 considering that the patient is an infant, and has developed a strong stranger anxiety
as manifested by white coat syndrome , it is a nursing action to play with the patient.
rationale: to establish rapport, and gain the patients trust
DEPENDENT

administer due medications as ordered by the physician, bronchodilators, anti pyretics and anti
biotics
rationale: bronchodilators decrease airway resistance, secondary to bronchoconstriction,
anti pyretics alleviate fever, antibiotics fight infection
placing patient on TPN prn
rationale: to compensate for fluid and nutritional losses during vomiting
COLLABORATIVE

assist respiratory therapist in performing nebulization of the patient

rationale: nebulization is a favourable route of administering bronchodilators
and aid in expectorating secretions, hence patients breathing
PHYSICIANS ORDER SHEET
11/19/06

Admit patient to ROC under the service of Dr. Vitan secure consent for admission and management,
TPR every shift then record. May have diet for age with strict aspiration precaution, IVF D5 0.3NaCl
500cc to run at 62-63mgtts/min.May give paracetamol 125mg 1supp/rectum if oral paracetamol is
not tolerated.

11/20/06

For urinalysis, IVF to follow D5 0.3 NaCl 500 at SR (62-63mgtt/m Use zinacef brand of cefuroxine
750mg- given vial 375mg every 8hours, nebulize (Ventolin 1 nebule) every 6 hours, paracetamol
drugs prn every 4hours (Temp 37.8).

11/21/06

Continue cefuroxine and nebulizer every 6 hours. May not reinsert IVF, revise Cefuroxine IV to
Cefuroxine 500mg via deep Intramuscular BID,continue management.

11/22/06
Continue management and refer.

DISCHARGE PLANNING
Take the entire course of any prescribed medications. After a patients temperature returns to
normal, medication must be continued according to the doctors instructions, otherwise the
pneumonia may recur. Relapses can be far more serious than the first attack.
Get plenty of rest. Adequate rest is important to maintain progress toward full recovery and to
avoid relapse.
Drink lots of fluids, especially water. Liquids will keep patient from becoming dehydrated and
help loosen mucus in the lungs.
Keep all of follow-up appointments. Even though the patient feels better, his lungs may still be
infected. Its important to have the doctor monitor his progress.
Encourage the guardians to wash patients hands. The hands come in daily contact with
germs that can cause pneumonia. These germs enter ones body when he touch his eyes or rub
his nose. Washing hands thoroughly and often can help reduce the risk.
Tell guardians to avoid exposing the patient to an environment with too much pollution
(e.g. smoke). Smoking damages ones lungs natural defenses against respiratory infections.
Give supportive treatment. Proper diet and oxygen to increase oxygen in the blood when
needed.
Protect others from infection. Try to stay away from anyone with a compromised immune
system. When that isnt possible, a person can help protect others by wearing a face mask and
always coughing into a tissue.