NURSING CARE PLAN FOR BRONCHOPNEUMONIA

Patients Name Diagnosis Assessment : Jhonalyn Matias : Bronchopneumonia Nursing Planning/Goal Diagnosis
Short term: Ineffective After 2 to airway 4 hours of clearance nursing related to interventio n, the retained client will secretions. be able to stabilize his/her breathing.

Age Hospital Intervention

Establish rapport

: 1year&7/12months : Guimba District Hospital Rationale Evaluation

To gain the clients trust

Subjective: n/a Objective: Difficulty of breathing noted Irritable and restless Nasal flaring Productive cough V/S taken as follows: T > 37.8C CR > 85 bpm RR > 20 br/m

Monitor V/S

To obtain data for comparison To maintain patent airway

The client shall have stabilized his/her breathing.

Long term: After 1 to 3 days of nursing interventio ns, the client will be able to expectorat e retained secretions and maintain

Place on an orthopneic position

Elevate HOB

To

Encourage deep breathing exercises and

take advantage of gravity decreased pressure on the diaphragm. To mobilize

The client shall have expectorat ed retained secretions and maintained normal breathing pattern.

normal breathing pattern.

coughing exercises Encourage increase fluid intake

secretion

To

Give bronchodilator s as ordered

moisten secretions for easy expectoratio n

To

pharmacolo gically manage clients condition

DRUG STUDY FOR BRONCHOPNEUMONIA

Patients Name : Jhonalyn Matias Diagnosis : Bronchopneumonia Generic Brand Name Indication Name Paracetam ol Tempre;Bioges > Commonly ic used for relief of fever, headaches, and other minor pains and aches. Age Hospital Action : 1year&7/12months : Guimba District Hospital Side Effects Nursing Management > Check that the patient is not taking any other medication containing paracetamol. > Advise the patient not to drink excessive quantities of alcohol while taking paracetamol.

> Paracetamol is a > Nausea and vomiting, hives, non-opioid rash, short breath analgesic. and GI > It inhibits disturbances prostaglandin synthesis. > Paracetamol is effective at reducing pain and fever.

DRUG STUDY FOR BRONCHOPNEUMONIA

Patients Name : Jhonalyn Matias Diagnosis : Bronchopneumonia Generic Brand Name Indication Name Salbutamol Albuterol > To relieve bronchospasm associated with acute or chronic asthma,bronchit is, or other reversible obstructive airway diseases. Also used toprevent exerciseinduced bronch ospasm. Age Hospital Action : 1year&7/12months : Guimba District Hospital Side Effects Nursing Management > Monitor therapeutic effectiveness which is indicated by significant subjective improvement in pulmonary function within 6090 min after drug administration.

> Albuterol may reduce chemical mediator release from pulmonary mast cells and improve ability of cilia to clear mucus and is a directacting agent that relaxes smooth muscle walls of the bronchi, uterus, and skeletal muscle vascular bed.

> Muscle tremors, bad taste, blurred vision, urinary retention, palpitation and ankle edema

DRUG STUDY FOR BRONCHOPNEUMONIA

Patients Name : Jhonalyn Matias Diagnosis : Bronchopneumonia Generic Brand Name Indication Name Gentamicin Garamycin Age Hospital Action : 1year&7/12months : Guimba District Hospital Side Effects Nursing Management > Monitor renal function tests, CBCs, serum drug levels during longterm therapy. Consult with prescriber to adjust dosage. > Ensure adequate hydration of patient before and during therapy.

> Parenteral use > Broad-spectrum restricted to aminoglycoside treatment of derived serious infections antibiotic of GI, respiratory, from Micromonospo and urinary tracts, ra purpurea. Action CNS, bone, skin, usually and soft tissue is (including burns) bacteriocidal.
when other less toxic antimicrobial agents are ineffective or are contraindicated. Has been used in combination wit h other antibiotics. Also used topically for primary and secondary skin infections and for superficial infections of external eye and its adnexa.

> Upset stomach, vomiting, nausea, fatigue and pale skin