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    SAMPLE NCP For Pneumonia

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    kana_mercado
    This nursing care plan is for a child with pneumonia. The child presents with fever, increased respiratory rate and use of accessory muscles for breathing. A chest x-ray shows patchy infiltrates in the right upper and middle lobes. The plan involves positioning the child in a semi-Fowler's position, frequent repositioning, monitoring vital signs, encouraging oral fluids and maintaining a quiet environment. Medications including antibiotics, bronchodilators and mucolytics will be administered. Supplemental oxygen and airway clearance techniques will also be used. The parents will be educated on infection control measures. Serial diagnostic tests and monitoring of treatment effects will be performed.

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    SAMPLE NCP For Pneumonia

    Uploaded by

    kana_mercado
    7K views3 pages
    This nursing care plan is for a child with pneumonia. The child presents with fever, increased respiratory rate and use of accessory muscles for breathing. A chest x-ray shows patchy infiltrates in the right upper and middle lobes. The plan involves positioning the child in a semi-Fowler's position, frequent repositioning, monitoring vital signs, encouraging oral fluids and maintaining a quiet environment. Medications including antibiotics, bronchodilators and mucolytics will be administered. Supplemental oxygen and airway clearance techniques will also be used. The parents will be educated on infection control measures. Serial diagnostic tests and monitoring of treatment effects will be performed.

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    SAMPLE NCP for Pneumonia

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    This nursing care plan is for a child with pneumonia. The child presents with fever, increased respiratory rate and use of accessory muscles for breathing. A chest x-ray shows patchy infiltrates in the right upper and middle lobes. The plan involves positioning the child in a semi-Fowler's position, frequent repositioning, monitoring vital signs, encouraging oral fluids and maintaining a quiet environment. Medications including antibiotics, bronchodilators and mucolytics will be administered. Supplemental oxygen and airway clearance techniques will also be used. The parents will be educated on infection control measures. Serial diagnostic tests and monitoring of treatment effects will be performed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7K views3 pages

    SAMPLE NCP For Pneumonia

    Uploaded by

    kana_mercado
    This nursing care plan is for a child with pneumonia. The child presents with fever, increased respiratory rate and use of accessory muscles for breathing. A chest x-ray shows patchy infiltrates in the right upper and middle lobes. The plan involves positioning the child in a semi-Fowler's position, frequent repositioning, monitoring vital signs, encouraging oral fluids and maintaining a quiet environment. Medications including antibiotics, bronchodilators and mucolytics will be administered. Supplemental oxygen and airway clearance techniques will also be used. The parents will be educated on infection control measures. Serial diagnostic tests and monitoring of treatment effects will be performed.

    Copyright:

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    NURSING CARE PLAN

    ASSESSMENT
    Subjective Cues: > Child states, Mom, my chest feels heavy when I breathe. Ineffective breathing pattern related to inflammatory effects of pneumonia Within 8 hours, patient will exhibit normal and effective respiratory pattern as evidenced by: > respirations within acceptable range Objective Cues: > T= 39.2C, P= 150, RR= 46 (A state in which an individuals inhalation and/or exhalation pattern does not enable adequate pulmonary inflation or emptying.) > absence of signs and symptoms of cyanosis > normal ABG and O2 saturation levels

    NURSING DIAGNOSIS

    PLANNING

    NURSING INTERVENTION
    Independent: Established rapport

    RATIONALE

    EVALUATION / OUTCOME
    Goal met. Patient exhibits a normal and effective respiratory pattern as evidenced by: > respirations within N range > absence of signs and symptoms of cyanosis > normal ABG and O2 saturation levels

    > Rapport is important to gain patients cooperation and reduce anxiety. > Baseline data is important to help determine patients current health status and evaluate efficacy of nursing interventions rendered. > An upright position promotes lung expansion and mobilization of secretions. > Frequent repositioning prevents pooling and stasis for secretions. > Frequent assessment provides information about any improvement or deterioration in patients condition. > Warm liquids aid in mobilization of secretions.

    Obtained resting vital signs

    > nasal flaring with shallow breathing > use of accessory muscles > crackles auscultated in upper lobe > productive cough with thick purulent sputum > diaphoresis & pallor > increased WBC count > CXR= patchy diffusion in upper and middle lobes

    Placed patient in a semi-Fowlers to highFowlers position

    Repositioned patient q 2h

    Assessed patients vital signs and observed for signs and symptoms of cyanosis q2h

    Encouraged increase in oral fluid intake; offered warm liquids

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    Maintained a quiet, comfortable environment

    > Promotes rest and sleep and prevents anxiety thereby decreasing the patients oxygen demands > Bronchodilators aid in reduction of bronchospasm. Mucolytics and expectorants mobilize secretions. Antibiotic therapy is prescribed for pneumonia (except lipid and viral pneumonia). > Supplemental oxygen aids in ventilation and minimizes the risk for hypoxemia. > Play enhances participation. Coughing and deep breathing promotes maximum ventilation. Involving parents promotes active participation. > The patient and parents should be taught the basics of infection control to prevent transmission of microorganisms.

    Dependent: Administered medications as ordered: antibiotics, mucolytics, expectorants, and bronchodilators

    Administered supplemental oxygen via face mask as ordered Used play to encourage child to cough and deep breathe; involved parents in said activities

    Provided parents and patient with health teachings on : a. care of used tissues b. proper handwashing techniques c. covering of mouth and nose when coughing or blowing nose

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    Collaborative: Monitored serial xrays, ABGs, and pulse oximetry readings > Serial diagnostic studies follow the progress and effects of disease process/therapeutic regimen, and facilitates necessary alterations in therapy. > Facilitates removal of secretions to promote a normal and effective respiratory pattern.

    Assisted with/monitored effects of nebulizer treatments, chest physiotherapy, and incentive spirometry

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    http://wardclass.blogspot.com

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