PNEUMONIA PATHOCHART
PATHOPHYSIOLOGY Main symptoms of infectious
Pneumonia
Systemic:
Pneumonia is an inflammatory condition of the lungs - High fever Central:
primarily affecting the alveoli which may fill with fluid or - Chills - Headaches
- Loss of appetite
pus. It is either infectious (bacterial or viral) or Skin: - Mood swings
noninfectious (aspiration, community acquired, or - Clamminess
- Blueness
opportunistic). Vascular
- Low blood pressure
Lungs:
- Cough with
sputum or Heart:
ASSESSMENT FINDINGS phlegm - High heart rate
- Shortness
of breath
Febrile, crackles, wheezes, increased sputum - Pleuritic Gastric:
production, tachypnea, dyspnea, pleuritic chest pain, chest pain - Nausea
- Hemoptysis - Vomiting
low oxygen saturation, coughing
Muscular:
- Fatigue Joints:
DIAGNOSTICS - Aches - Pain
Chest x-ray
Pulse ox
CBC (white count, specifically)
ABG's
Sputum culture
NURSING PRIORITIES
Optimize activity tolerance
Ensure adequate airway clearance
Promote sufficient gas exchange
THERAPEUTIC MANAGEMENT
Administer oxygen Promote energy conservation
Position patient in High-Fowler's Promote nutrition
Coughing and deep breathing Obtain appropriate labs (blood cultures BEFORE
antibiotics initiated)
Administer meds
MEDICATION THERAPY
Antibiotics
Bronchodilators
Corticosteriods
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