If you do, you’ll retain a great deal for current use, as well as, for the exam. Hospital-acquired pneumonia (HAP) is an acute lower respiratory tract infection that is by definition acquired at least 48 hours after admission to the hospital and is not incubating at the time of admission. A nurse is caring for a client who is admitted for pneumonia and sepsis. 1.1.1.1. The most common cause of community acquired pneumonia is the aspiration of oral contents during sleep, as well as inhalation of droplets, another main cause would be bloodstream infections 37. NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way. The most common cause is the flu, but you can also get viral pneumonia from the … All references to such names or trademarks not owned by NRSNG, LLC or TazKai, LLC are solely for identification purposes and not an indication of affiliation. Most of the time, the alveolar macrophage phagocytizes and kills the microorganisms that reach the alveolar space. Becoming ill led this patient to be inactive and take less strong breaths, which lead to pneumonia. Also, the writing of questions sets up a perfect stage for exam-studying later. The client with scleroderma in the vagina is admitted to the hospital for pneumonia. Our desired outcome for evaluation is that the patient’s gas exchange will improve as evidenced by normal pulse ox levels. Here are some factors that may be related to Impaired Gas Exchange: 1. During the 10 days of treatment the patient's fever abated and he felt somewhat better. Start studying Pneumonia Concept Map. You can edit this template and create your own diagram.Creately diagrams can be exported and added to Word, PPT (powerpoint), Excel, Visio or any other document. Review: Spend at least ten minutes every week reviewing all your previous notes. Pneumonia Pathochart The sputum culture is pending, but if a specific bacteria is grown, the doctor will be able to prescribe a specific antibiotic to treat it. Streptococcus pneumoniae– the most common cause of bacterial pneumonia in children; 2. The last nursing diagnosis is ineffective airway clearance. Ventilator-associated pneumonia (VAP) is a significant nosocomial infection that is associated with endotracheal intubation and mechanical ventilation. Viral pneumonia is an infection of your lungs caused by a virus. The Good Egg Presents: The Great Eggscape! This concept map not only encourages clinical judgment but is designed to fit the client needs categories using one of the major integrated processes … This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Facial, oral, or neck surgery or trauma 8. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Patients who acquire VAP have higher mortality rates and longer ICU and hospital stays. Diagnosis Sputum Culture to determine type of infection Chest X-Ray Community Aquired Pneumonia Acute infection in the lungs in patients who have not been Hospital In this lesson we will discuss a concept map on our patient with pneumonia. Presence of gastrointestinal tubes 11. The doctor ordered azithromycin 500 mg IV and ceftriaxone 1 gm IV. Common Age Related Changes. We will educate our patient to practice good hand hygiene and avoid sick people. Our desired outcome for evaluation is that the patient will show no signs of worsening infection. The most common are: 1. Increased gastric residual 10. The blood cultures were drawn before the patient started on the antibiotics, and they are currently pending. Method for Mastering Nursing Pharmacology, 39 Things Every Nursing Student Needs Before Starting School, Blood cultures -> if positive, sepsis precautions, Risk of infection -> no signs of worsening infection, Impaired gas exchange -> normal pulse oximetry levels, Ineffective airway clearance -> effective airway clearance, Gas exchange -> impaired by the fluid/pus in alveoli, Oxygenation -> decreased due to the impaired gas exchange, Infection control -> to prevent further infections such as worsening pneumonia or sepsis. The nurse is caring for an 85-year-old adult admitted to the hospital for pneumonia. First, let’s review a quick patho on pneumonia. Which of the following is a desired outcome of this intervention? These are both antibiotics to fight the infection in the lungs. Our nursing interventions include monitoring temperature for fevers, encouraging deep breathing, and assisting with oral hygiene. 1. Assigment #1: Concept Map for the Older Adult by Brooke Welsch 1. Altered oxygen-carrying capacity of blood 3. Hospital-acquired pneumonia (HAP) or nosocomial pneumonia refers to any pneumonia contracted by a patient in a hospital at least 48–72 hours after being admitted. The client appears breathless and asks if his oxygen is turned on. : Why Now Is the Time to Cash in on Your Passion, Rich Dad's Cashflow Quadrant: Guide to Financial Freedom. Pneumonia. Let’s take a look at the concept map for our patient with pneumonia. Concept Map: The Client with Excess Fluid Volume. Rich Dad Poor Dad: What The Rich Teach Their Kids About Money - That the Poor and Middle Class Do Not! Patient presented with decreased LOC, shortness of breath and dyspnea Patient presented with tachypnea. Antibiotics Bacteria Pneumonia • Antibiotics Can cause History of Concept Mapping • Developed by Joseph D. Novak at Study on the go. The endogenous sources of microorganisms are nasal carriers, sinusitis, oropharynx, gastric, … We love you guys! The patient’s white blood cells are high because their body is trying to fight infection. The next nursing diagnosis is an impaired gas exchange from the fluid in the alveoli.