nurse's notes

BACTERIAL PNEUMONIA - most common when upper respiratory infection during rainy season or winter or spring.

CAUSATIVE AGENT:

• pneumococci
• staphylococcus aureus
• klebsiella pneumonea
• streptococcus hemolyticus
• hemophilus influenzae

SIGNS AND SYMPTOMS:

• sharp pain in the chest and prevent him from deep breath
  
• severe chilling
• high grade fever
• rapid respiration
• expiration punctuated with grunt
• dyspnea- difficulty of breathing
• initially, sputum clear but eventually rusty in color and tenacious
• 
  

TREATMENT AND NURSING MANAGEMENT: As Per doctor's order

• Oxygen Inhalation Therapy-indicated if patient is cyanotic, dyspneic or complain of pain when breathing
• analgesic, antitussive medication - alleviate the harassing cough, reduce the pain of pleurisy
• Antipyretic Drugs- control fever and general malaise and muscular pains
• Anti distension therapy- for severe toxic patient and abdominal distension which impairs the efficiency of respiration
• Nutrition- soft solid food with high caloric value
• Increase fluid intake - milk will do because highly nutritious which is needed by his body. Fluids can liquefy tenacious secretions. Congestive heart failure demands careful supervision of fluid intake because of the danger of excess accumulation of fluid in the tissue and lungs producing pulmonary edema and death
• Elimination- avoid fecal retention by giving low saline enema
• Mouth care- assist to cleanse the mouth and lips
• Communicable disease prevention- observed medical asepsis in handling patient . and proper disposal of used mouth wipes and paper bags
• Monitor vital signs, Blood pressure and daily fluid intake and output and number of stool
  

reference: medical nursing book and my nursing notes