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Severe Pneumoni-WPS Office

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Esayas Nasha
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7 views

Severe Pneumoni-WPS Office

Uploaded by

Esayas Nasha
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Severe pneumonia is a serious and potentially life-threatening condition that requires prompt and

aggressive treatment. Here are some nursing management interventions for a patient with severe
pneumonia:

Assessment:

- Assess the patient's vital signs, including temperature, heart rate, respiratory rate, and blood pressure.

- Assess the patient's oxygen saturation level and respiratory status, including lung sounds and
respiratory effort.

- Assess the patient's mental status and level of consciousness.

- Obtain a sputum sample for culture and sensitivity testing.

Nursing diagnoses:

- Impaired Gas Exchange related to decreased lung function.

- Ineffective Airway Clearance related to thick secretions, increased mucus production, or decreased
cough reflex.

- Risk for Infection related to the presence of a bacterial or viral pathogen.

- Acute Pain related to chest discomfort, coughing, or breathing difficulty.

Nursing interventions:

1. Oxygen therapy

- Administer oxygen therapy as prescribed to maintain adequate oxygen saturation levels.

- Monitor the patient's respiratory status and adjust oxygen flow rate as needed.

- Educate the patient and family about the importance of oxygen therapy and the use of oxygen
equipment.

2. Airway management
- Encourage the patient to cough and deep breathe to help clear secretions and maintain airway
patency.

- Administer nebulized bronchodilators or mucolytics as prescribed to help loosen and clear secretions.

- Provide chest physiotherapy or postural drainage as ordered to help mobilize secretions.

- Monitor the patient's cough reflex and provide suctioning as needed to clear secretions.

3. Infection control

- Use standard precautions to prevent the spread of infection.

- Administer antibiotics or antiviral medications as prescribed to treat the underlying infection.

- Monitor the patient's temperature and WBC count to assess for response to treatment.

- Educate the patient and family about the importance of hand hygiene and infection prevention
measures.

4. Pain management

- Administer pain medications as prescribed to manage chest discomfort, coughing, or breathing


difficulty.

- Provide a comfortable environment and position the patient in a way that promotes optimal breathing.

5. Emotional support

- Provide emotional support and reassurance to the patient and family.

- Encourage the patient to express their concerns and fears.

- Provide information on support groups and other resources for patients with severe pneumonia.

Evaluation:

- The patient's oxygen saturation levels and respiratory status are improved.

- The patient has no signs of respiratory distress or increased work of breathing.

- The patient's infection is resolved or is responding to treatment.


- The patient's pain is managed effectively.

- The patient and family receive appropriate emotional support and education.

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