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    Nursing Care Plan For Pneumonia NCP PDF

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    FARAH MAE MEDINA
    This nursing care plan summarizes the assessment, diagnosis, planning, intervention, and evaluation for a patient with pneumonia. The patient presents with difficulty breathing, cough with yellow sputum, and diminished breath sounds. The diagnosis is ineffective airway clearance related to increased respiratory secretions from bacterial or viral invasion of the lungs. The short-term goal is to mobilize secretions and maintain an open airway after 8 hours of interventions including deep breathing exercises, coughing, increased fluids, and medication administration. Evaluation shows partially met goals, with improved cough productivity and breath sounds but crackles still present after one day.

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    Nursing Care Plan For Pneumonia NCP PDF

    Uploaded by

    FARAH MAE MEDINA
    1K views3 pages
    This nursing care plan summarizes the assessment, diagnosis, planning, intervention, and evaluation for a patient with pneumonia. The patient presents with difficulty breathing, cough with yellow sputum, and diminished breath sounds. The diagnosis is ineffective airway clearance related to increased respiratory secretions from bacterial or viral invasion of the lungs. The short-term goal is to mobilize secretions and maintain an open airway after 8 hours of interventions including deep breathing exercises, coughing, increased fluids, and medication administration. Evaluation shows partially met goals, with improved cough productivity and breath sounds but crackles still present after one day.

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    298071105-Nursing-Care-Plan-for-Pneumonia-NCP.pdf

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    This nursing care plan summarizes the assessment, diagnosis, planning, intervention, and evaluation for a patient with pneumonia. The patient presents with difficulty breathing, cough with yellow sputum, and diminished breath sounds. The diagnosis is ineffective airway clearance related to increased respiratory secretions from bacterial or viral invasion of the lungs. The short-term goal is to mobilize secretions and maintain an open airway after 8 hours of interventions including deep breathing exercises, coughing, increased fluids, and medication administration. Evaluation shows partially met goals, with improved cough productivity and breath sounds but crackles still present after one day.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1K views3 pages

    Nursing Care Plan For Pneumonia NCP PDF

    Uploaded by

    FARAH MAE MEDINA
    This nursing care plan summarizes the assessment, diagnosis, planning, intervention, and evaluation for a patient with pneumonia. The patient presents with difficulty breathing, cough with yellow sputum, and diminished breath sounds. The diagnosis is ineffective airway clearance related to increased respiratory secretions from bacterial or viral invasion of the lungs. The short-term goal is to mobilize secretions and maintain an open airway after 8 hours of interventions including deep breathing exercises, coughing, increased fluids, and medication administration. Evaluation shows partially met goals, with improved cough productivity and breath sounds but crackles still present after one day.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    The key takeaways are that the patient has pneumonia with symptoms of rapid breathing, cough with yellow sputum, and diminished breath sounds. The nursing care plan involves assessing the patient, making a diagnosis, planning interventions to clear secretions and improve breathing, and evaluating the effectiveness of the interventions.

    Based on the assessment findings of rapid breathing, cough with yellow sputum production, diminished breath sounds, and vital sign abnormalities, the patient's diagnosis is pneumonia likely caused by a bacterial or viral infection.

    Nursing interventions to help improve the patient's condition include encouraging deep breathing and coughing exercises, increasing fluid intake, positioning the patient in high back rest position, auscultating lung sounds, and monitoring respiratory status.

    Student Nurses Community

    NURSING CARE PLAN Pneumonia


    Assessment Diagnosis Inference Planning Intervention Rationale Evaluation

    Subjective: Ineffective Ariway Bacterial/ Viral Short term goal: Independent:


    Nahihirapan akong Clearance related to Invasion Deep breathing After 8 hours of
    humingi (Its difficult the increased After 8 hours of Encourage deep promotes nursing
    to breathe) as production of nursing breathing oxygenation intervention, goal
    verbalized by the respiratory secretions intervention, exercises before controlled partially met.
    patient. secretions will be Assist patient in coughing The patient was
    Multiplication of mobilized, airway coughing To improve able to >
    Objective: bacteria /virus; patency will be exercises productivity of demonstrate
    Rapid breathing/ enters the luns maintained free of Increase fluid the cough. coughing and
    tachypnea secretions, as intake, as Adequate fluid deep breathing
    Cough with yellow evidenced patients appropriate intake enhances exercise every 1-2
    sputum production ability to effectively Monitor rate, liquefaction of hours during the
    Diminished and Cells of the immune cough out rhythm, depth, pulmonary day
    adventitious breath system gathers in secretions, clear and effort of secretions and
    sounds (crackles) lungs to stop lung sounds, and respirations. facilitates > Clients
    Dyspnea infection uncompromised Assist patient expectoration of respiratory rate is
    VS taken as respiratory rate. into moderate mucus. within normal
    follows: high back rest Provides a basis range (RR 19)
    position for evaluating
    T 36.9 C Auscultate lung adequacy of > Inspiratory
    P 89 bpm fields, noting ventilation crackles can still
    RR 36 br/min
    Inflammation & areas of To promote be heard at the
    BP 130/80 mmHg
    production of decreased of drainage of right lower lobe
    secretions increase absent airflow secretions and
    and adventitious better lung > cough
    breath sounds expansion continues to be
    Student Nurses Community
    Decreased airflow productive.
    Pulmonary infection occurs in areas
    Dependent: consolidated with
    Administer fluid. Bronchial
    sputum production; ordered breath sounds
    excess, medications (normal over
    accumulated such as bronchus) can
    secretion in the mucolytic also occur in
    airways agents, consolidated
    bronchodilators, areas. Crackles,
    expectorants rhonchi, and
    Administer wheezes are
    airway blockage nebulizations as heard on
    needed inspiration and/or
    expiration in
    response to fluid
    accumulation,
    thick secretions,
    and airway
    spasm/obstructio
    n.
    To help loosen
    and clear the
    mucus from the
    airways
    (mucolytics);
    decrease
    resistance in the
    respiratory airway
    and increase
    airflow to the
    Student Nurses Community
    lungs
    (bronchodilators)
    and to loosen and
    clear mucus and
    phlegm from the
    respiratory tract
    (expectorants)
    A variety of
    respiratory
    therapy
    treatments may
    be used to open
    constricted
    airways and
    liquefy secretions.

    Sources:

    http://wps.prenhall.com/wps/media/objects/3918/4012970/NursingTools/ch50_NCP_IneffAirClear_1395-1396.pdf

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