Professional Documents
Culture Documents
ON VIRAL PNEUMONIA
PRESENTED BY:-
VIRAL PNEUMONIA
PNEUMONIA AND ITS TYPES
(2)
V
A
R
L
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DRUGS
BACTERIAL
common)
(Most
diseases
immune
Auto-
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Pneumonia is an infammatory condition of
the Lungs,
afecting mainly the air- sacs or Alveoli
Containment of the
PATHOPHYSIOLO Alteration in net
bacteria/ virus within the
lobes thereby causing
bacterial/ consolidation of
Viral lung resistance leucocytes/ fibrin within
the affected area
Stage of Congestion:-
Engorgement of alveolar
Acute inflammation
spaces with fluid and
occurs that causes water
hemorrhagic exudates
& plasma proteins go to
which causes spread of
the lower lobes
pathogens through the
lobe
Stage of Red
RBCs, fibrin & poly- Hepatization:-
morpho nuclear
GY
PNEUMONI
A
Y
RISK
FACTORS
CLINICAL MANIFESTATIONS OF PNEUMONIA
Fever
Rapid or difficult breathing
Non- productive Cough
Loss of appetite
Chills
Wheezing
(more common in Viral ones)
Headache
Myalgia
Running nose
Fatigue
Sharp or stabbing chest pain
which increases on breathing
Excessive sweating or clammy skin
SYMPTOMS
(in my patient)
Various Blood
investigations
Sputum: Gram staining
and Culture.
Blood & Urine cultures.
Thoraco-centesis.
Chest X-Rays
SGOT-420
Hb- 8.4 SGPT-247
TC- 6,600 CRP- 74
(18.11.12) (9.11.12)
Hb-5.9
(15.11.12
) Hb-8.8
SGPT-112 TC- 3,400
SGOT- (10.11.12)
134 Blood
(16.11.12
)
picture
Hb- 9.0
Hb- 7.4
INR-1.70
SGOT- 453 CRP- 196.8
SGPT- 270 TRIGLYCERIDES-
(14.11.12) Hb-7.8 514
SGOT- 427 SGPT-270, SGOT-
SGPT- 236 453
(13.11.12) (12.11.12)
BLOOD C/S-
No Growth
(10.11.12) URINE C/S-
No Growth
(12.11.12)
CULTURE
REPORTS
REVEALED
Patter
Establish n
Dx
Co-existing
Evaluation of
conditions:-
severity-
Bronchitis,
Multilobar or
Bronchial
bilateral,
Obstruction,
Patchy, Pleural
Abscess
Effusion
She developed shock and her chest X-Ray
revealed B/L Pleural Effusion ;
so, Therapeutic Thoraco-centesis
was done on 13.11.12
She was being tried to get managed with NIV but was
finally put on
mechanical ventilation due to Desaturation, Severe
Hypoxaemia
with metabolic acidosis on 14.11.12.
STEROIDS
SKILLED
NURSING HEMODYNAMIC
CARE THERAPY MONITORING
REGULA
O2 R
THERAPY INVESTIGATIONS
PACKED
CHEST RBC
MECH. PHYSIO. TRANSFUSION
VENTILATION
Anemia R/t
Relevant disease
Nursing progression
Diagnosis
Self care
deficit R/t
Disease
condition and
Anxiety Bed-ridden
R/t Status
Disease Impaired
condition Nutritional
status R/t
disease
Impaired gas condition
exchange R/t
Disease process
Ineffective Risk of infection R/t
airway disease process,
clearance & Invasive lines and
chances of Low TC, Hb level
E.T Tube
Blockage
Severe Tachycardia,
Restless,
Shortness of Tachypnoea
Confusion
Breath SPO2
IMPAIRED GAS
NURSING CARE
EXCHANGE R/T
POOR LUNG
COMPLIANCE
Propped up
position
Oxygen therapy
Nebulisation
therapy
Hemodynamic
monitoring
Mech.
PLAN
Ventilation
Auscultation
Suctioning
ABG analysis
Chest Physio &
Spirometry
Hemoglobin
- Respiratory
5.9gm / dl Pallor ++
Distress
NURSING CARE
Anemia R/T
Disease
Progression
monitoring
Blood transfusion
Diet
Blood for Hb%
Anxious ,
Restless Depressed Lots of queries
NURSING CARE
Anxiety R/T
Fear of
Unknown
Outcome
Re-assurance
Counseling
PLAN
Good IPR
Proper
explanation
Participation in
care
NURSING CARE PLAN Presence of
Fever Congested
Effusion Lung
Activity Intolerance
& Self Care Deficit
R/T Disease
condition