6 More Bronchopneumonia Nursing Care Plans
Pneumonia is the inflammation of the lung caused by bacteria in which the air sacs become filled with inflammatory cells and the lung becomes solid. The symptoms include those of any infection (fever, malaise, headache, etc.,) together with cough and chest pain.
It is estimated that, worldwide, some 4 million children under five years of age, die each year from acute respiratory infection (ARI) with the most of these deaths caused by pneumonia in developing countries.
In 1989, when the program for Control Acute Respiratory Infections (CARI) of the Philippines was launched, the death toll from pneumonia among children under the age of five years was 25,000. The latest statistics (2006) disclosed that almost 60 out of 1000 children under five children suffer from pneumonia and five in every 11,000 die from the disease. The Department of Health believes that if health workers used a standard method of detecting and managing ARI’s specially pneumonia, infant deaths could be cut by half, saving 50,000 lives a year. Pneumonia can be categorized by type of infiltrate: lobar pneumonia and bronchopneumonia.
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1 Ineffective Airway Clearnace
Mucus is produced at all times by the membranes lining the air passages. When the membranes are irritated or inflamed, excess mucus is produced and it will retain in tracheobronchial tree. The inflammation and increased in secretions block the airways making it difficult for the person to maintain a patent airway. In order to expel excessive secretions, cough reflex will be stimulated. An increased in RR will also be expected as a compensatory mechanism of the body due to obstructed airways.
| Assessment | Nursing Diagnosis | Planning | Nursing Interventions | Rationale | Expected Outcome |
| S>(none) O> >Restlessness with nasal flaring > With rales on both lung fields > warm, flushed skin >minimal colorless nasal secretions >tachypnea AEB RR=53bpm >DOB >tachycardia >irritability >chest indrawing >cough >cyanosis >noisy breathing >pallor >changes in RR and rhythm >risk for infection >orthopnea >tachypnea | Ineffective airway clearance r/t accumulation of tracheobronchial secretions | SHORT TERM: After 3-4 hours of NI, pt.’s SO will be able to demonstrate improve airway clearance AEB reduction of congestion with breath sounds clear and RR improve LONG TERM: After 2-3 days of NI, pt. will be able to establish and maintain airway patency. | > Monitor and record vital signs > Assess patient’s condition. > Elevate head of bed and encourage frequent position changes. > Keep back dry and loosen clothing >Auscultate breath sounds and assess air movement >Monitor child for feeding intolerance and abdominal distention > Instruct the SO to provide an increased fluid intake for the child > Instruct the SO to provide adequate rest periods for the child > Give expectorants and bronchodilators as ordered. > Administer oxygen therapy and other medications as ordered. | > To obtain baseline data > To know the patient’s general condition > To promote maximal inspiration, enhance expectoration of secretions in order to improve ventilation > To promote comfort and adequate ventilation > To ascertain status and to note progress > To avoid compromising the airway > To help liquefy the secretions > Rest will prevent fatigue and decrease oxygen demands for metabolic demands > To further mobilize secretions > To clear airway when secretions are blocking the airway indicated to increase oxygen saturation. | SHORT TERM: After 3-4 hours of NI, pt. shall have demonstrated improve airway clearance AEB reduction of congestion with breath sounds clear and RR improve LONG TERM: After 2-3 days of NI, pt. shall have established and maintained airway patency. |
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This a very educative website for peadiatrics. thanx so much for providing us with this information and continue researching.am a BNS student.wish all the best always
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LikeThank you AGIE for your comment! Its very inspiring!
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