PNEUMONIA-ASPIRATION IN A

SNAPBy: Daniel JeffreyJoseph StewardChris CapupusJennifer FordZeferino TinajeroRoberto Miranda

Inflamation of the lungs parenchym, associated with alveolar edema and congestion that impair gas exchange,

Sixth leading cause of death in the US

BUT WHAT IS PNEUMONIA Symptoms: Coughing Sputum Production Pleuritic (inflammation of the pleura) chest pain

Shaking Chills Rapid Shallow Breaths Fever SOBIf Not Treated It Can Lead Too Hypoxemia Respiratory failure Pleural effusion – lung build up around the lungs

PHYSICAL ASSESSMENTPhysical Findings On Assessment Adventitious breath sounds

Crackles Ronchi Wheezes

Whispering Dullness when percussing lungs Decrease Gag Reflex

NURSING PRIORITIES 1. Maintain or Improve the respiratory function

2. Prevent any complications 3. Support Recuperative Process 4. Provide information about disease process, prognosis and treatment.

MEDICATIONS Antibiotics: Macrolides Tetracyclines

Not used for children under 8 Can discolor teeth

Fluoroquinolones Cephalosporins Penicillins Vancomycin

Used to treat sever infections and when other antibiotics are not being effective

Goal of Antibiotics Ti kill or prevent bacteria from reproducing

GAS EXCHANGE CAD

Gas Exchange The process by which oxygen is transported to cells and carbon dioxide is transported from cells. (G)

Nursing Care Primary, Secondary,

Tertiary

Antecedents Adequate Functioning of Respiratory System Adequate Perfusion Adequate Neurologic Function Adequate Cardiovascular Function Efficient Cellular Metabolism

Attributes Respiratory Rate WNL Ph 7.35-7.45 Oxygen Saturation > 94% PaO2: 85-100 PaCO2: 35-45 mmHg EtCO2: 35-45 mmHg Age Appropriate Level of Consciousness Race-Appropriate Skin Color

Interrelated Concepts

Perfusion

Acid Base Balance

V/Q Mismatch

Mobility

Sub -Concepts

Circulation

Oxygen Carrying Capacity

Inhalation and Exhalation

Consequences (Outcomes)

Respiratory Compromise

Respiratory Distress Respiratory Failure

Altered Oxygen Carrying Capacity Hypoxemia, Altered Mental Status (Belligerent), Anoxia

Positive

Negative

Age Appropriate Mobility

Capillary Refill < 2 sec

Eupnea

Coping

Nutrition

Age Appropriate Response to Environment