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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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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spokesperson for their unit to help increase compliance with the high reliability culture. We use bundles‚ such as ventilator bundles in our ICU to ensure that we do everything evidence based to prevent ventilator associated pneumonia. These steps have resulted in no ventilator acquired pneumonia for the last year. We also try to implement hourly rounding. This unfortunately has become an example of pencil whipping. Nurses have a sheet at the patients door where they are supposed to initial each hour that they
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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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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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effectiveness of the physician’s management of a patient’s cough is the response to specific treatment. Pratter et al. (2006) found with acute cough the most important first step is to decide whether the acute cough is potentially life threatening (Pneumonia‚ Severe Exacerbation of Chronic obstructive pulmonary disorder (COPD)‚ Pulmonary embolism (PE)‚ or Heart Failure) or not (Upper respiratory infection (URI)‚ Lower respiratory infection (LRI)‚ Asthma‚ Bronchiectasis‚ Upper Airway Cough Syndrome (UACS)
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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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Acute Respiratory Distress Syndrome In the field of respiratory therapy‚ we are the fighters that must preserve the breath of life. The battlefield we wage war on is riddled with many diseases and hardships for us to help our patients overcome by any means necessary. One of the main heavy hitters in this battle is acute respiratory distress syndrome (ARDS). This condition is very deadly and is a tough opponent that must be defeated. ARDS is a dangerous condition affecting a vast group of patients
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fungus was found in south-central Washington State (Center for Disease Control and Prevention‚ 2014). Valley Fever is most common in Arizona and California. In southern Arizona‚ valley fever causes an estimated 15-30 percent of all community-acquired pneumonias‚ however less than 15 percent of the patients are actually tested for valley fever‚ suggesting there may be more people with the disease than reported (Center for Disease Control and Prevention‚ 2014). The increase of risk for getting valley fever
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