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Pneumonia & Bronchitis
From Medical-Surgical Nursing (Ignatavicius)
17
Nursing
Undergraduate 3
02/07/2011

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Term
Pneumonia
Definition
Excess of fluid in the lungs resulting from an inflammatory process
Term
Pneumonia cause
Definition
Infectious or noninfectious irritating agents
*noninfectious- smoke, aspirated content
Term
Pneumonia classification
Definition
Community Acquired (CAP)
Hospital Acquires (Nosocomial)
Term
Pathophys of Pneumonia
Definition
Inflammation in interstitial spaces
Pathogens in airway multiply in alveoli
Fluid and exudate going to site
Surfactant decreases
Hypoxemia
Consolidation
Term
Types of pneumonia
Definition
Lobar pneumonia
Bronchopneumonia
Bilateral Pneumonia
Segmental Pneumonia
Term
Infectious causes of pneumonia
Definition
Bacteria, viruses, fungi, protozoas, mycoplasmas, and rickettsiae
Term
Noninfectious causes of pneumonia
Definition
Aspiration
*Vomitus, fluid, water
Inhalation
*Smoke, gases, chemicals
Term
Risk factors for pneumonia
Definition
Age, chronic diseases, tobacco, hospitalization, medications, nutrition
Term
Manifestations of pneumonia
Definition
Fever, chills, pleuritic chest pain
Excess sputum production
Hemoptysis
Tachycardia, tachypnea
H/A, fatigue
Dyspnea, asymmetrical breathing patterns
Flushed cheeks
BP drops in late stage
Term
Lung sounds
Definition
Bronchial breath sounds heard over consolidation
Percussion is dull over consolidation
Term
Diagnostic data
Definition
Sputum culture, CBC, ABGs
Electrolytes, BUN
Urinalysis
Chest X-ray
Bronchoscopy
Pulse oximetry
Term
Diagnostic results for pneumonia
Definition
Decreased PaO2
Increased WBC, Sodium, BUN
*Indicated dehydration
Hematuria, pus, or protein on UA
**Can mean sepsis
Term
Pneumonia Tx
Definition
Abx
Analgesics
Antipyretics
Vaccines
Incentive Spirometry
Coughing and deep breathing
I&O, O2 therapy
Bronchodilators PRN
Term
Nsg care for Pneumonia
Definition
8-10 deep breaths/hour
Use in incentive spirometry
O2 therapy
Suctioning PRN
I&O, IV fluids, meds
Term
Pneumonia Complications
Definition
Hypoxemia
Ventilatory failure
Atelectasis
Pleural effusion
Pleurisy
Sepsis
Term
Nsg DX for pneumonia
Definition
Impaired gas exchange
ineffective airway clearance
Acute pain
Hyperthermia
Potential for sepsis
Term
Health promo and prevention
Definition
Vaccines
Smoking Cessation
Adequate rest and sleep
Healthy eating
Drink 3L of fluid
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