NAº OF ÑATI NT: ºr. A. G. c !

c AG : 3 years old

c

  
 
      


   
 


 
     


 
 Ineffective Bronchopneumonia After 4 hours ¦YAssess respiratory ¦Y ºanifestation of After 4 hours
respiratory distress of nursing
˜

 airway is an acute of nursing rate, depth and ease.
is dependent on interventions,


 clearance inflammation of interventions,
indicative of the

 
 related to the walls of the the patient the patient
degree of lung
will achieve
 

 inflamed smaller bronchial will achieve involvement and
timely

 bronchial tubes, with varying timely underlying general
status. resolution of

  tree amounts of resolution of current
  secondary pulmonary current ¦Yºonitor body infection
¦Y -igh fever greatly


 to consolidation due infection temperature. increases without

  bronchopne to spread of the without metabolic complications
 umonia inflammation into complications demands and and exhibit
¦Y›
 peribronchiolar and exhibit oxygen signs and
consumption and
 alveoli and the signs and symptoms of
alters cellular

 
 alveolar ducts. It is symptoms of adequate
oxygenation.
¦YÔ
  suspected in any adequate ventilation as
¦YÑlace the child in evidenced by

 patient who has ventilation. ¦Y An upright
semi-Fowler͛s to high respiratory
fever, cough, chest position
¦YÔ
 Fowler͛s position and rate, oxygen
pain, shortness of facilitates

  reposition saturation,
breath, and breathing and
and arterial

  frequently. promotes
increased blood gas
 optimal lung
respiration levels within
¦Y Crackles (+) expansion by
(number of breaths age-
upon relieving
per minute). Severe acceptable
 auscultation pneumonia results diaphragmatic parameters
in the sign of pressure. without the
¦Y›ullness to oxygen Frequent use of
percussion deprivation. repositioning supplemental
in right prevents pooling oxygen, lungs
upper and and stasis of clear to
secretions. auscultation,
middle
and child
lobes. ¦YÑerform chest
¦Y -elps to mobilize states
physiotherapy as secretions to breathing
¦YÔith ordered. prevent mucous easier and
productive
plugging and aids demonstrates
cough and improved
in expectoration.
thick ventilation
purulent ¦Y Coughing, deep measures.
¦YÎse play to
sputum encourage the child
breathing, and
incentive
to cough, deep spirometry help to
¦YChest x-ray
breathe, and use maximize
reveals
incentive spirometry ventilation. Ñlay
patchy helps to enhance
every 1 to 2 hours.
diffusion the child͛s
Involve the parents
participation.
in these activities. Involving the
¦Yital signs:
RR: 146 bpm parents promotes
active participation
ÑR: 40 cpm
in the child͛s care.
T: 39ȗC
¦Yåimit visitors and
¦Y åimiting visitors
institute isolation reduces likelihood
precaution as of exposure to
 indicated. other infectious
pathogens while
isolation technique
may be desired to
prevent spread of
infection.

¦YSuction as indicated. ¦Y Facilitates

removal of
secretions.

¦Yºonitor
¦YSign of
effectiveness of
improvement in
antimicrobial
condition
therapy.
should occur
within 24-48

hours.

¦YAssist the child and ¦Y Anxiety and
parents with stress increase
measures to relax the child͛s
such as reassuring oxygen demands.
them that Assisting the
appropriate parents to relax
interventions are also helps to
already done. minimize the
effect of the
  parents͛ anxiety
 on the child.

¦Y Administer ¦Y These drugs are
antibiotics as used to fight most
of the microbial
ordered.
pneumonias.


¦YAssist with nebulizer ¦Y Stimulates cough
or mechanically
treatments (with
clears airway in
bronchodilator).
patient who is
unable to cough
effectively.

¦YAdminister ¦Y Supplemental,
supplemental, humidified oxygen
humidified oxygen aids in improving
ventilation without
via face mask at
drying the mucous
prescribed rate. membranes and
Obtain arterial blood minimizing the risk
gases (ABG͛s) as for hypoxemia.
ordered and monitor ABG͛s and pulse
oximetry provide
oxygen levels via
objective evidence
pulse oximetry. of the child͛s tissue
oxygenation.

Y
Y