5. Pneumonia 2
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Respiratory Pneumonia II Patient care Discharge Teaching Diagnostics Risk Factors & Causes • Prolonged immobility - secretions are not mobilized & get stuck in body • Post-Operative - Anesthesia - the body is put to sleep which traps infection in the lungs • Elevated WBC - white blood cell count • Over 10,000 • Sputum Culture = Positive • Test tip - cultures are always taken first - BEFORE antibiotics • Think A - Antibiotics A - AFTER cultures, in order to identify the causative bacteria. Common NCLEX Queson Best indicator of venlator associated pneumonia (VAP) ? Posive sputum culture Best blood lab value shows effecve treatment of pneumonia aſter IV anbiocs? White blood Cell count HESI Encourage 3L of fluid intake per day to promote expectoraon 2 hrs >65 1st CULTURES ELEVATED 8 hrs IS INCENTIVE SPIROMETER IS INCREASE SIZE OF THE ALVEOLI OCOOver 65 years old #1 - Advanced AGE 1. Reposion side to side Q 2 hours 2. Oral Care & Suconing Q 2 hours Best indicators of VAP VAP - “Venlator Associated Pneumonia” posive sputum culture Fever Chest X-ray: new infiltrates 3. Chlorhexidine NCLEX TIP Mobilize secreons & Expand Lungs Chest physiotherapy Huff coughing technique HOB UP! High Fowler’s AVOID cough suppressants Posioning TCDB - turn cough & deep breath! Fluid 2 - 3 L per day Hypoxia in Unilateral Pneumonia? = Good Lung Down NCLEX TIP NCLEX TIP Early ambulaon Chlorhexidine swab Hand Washing Mouth Care Q 12 hour Incenve Spirometer Q Hour GIVE Pain Meds (within 8 hours aſter surgery) Cough with splin Common Exam Quesons Mobilize Secreons Re-expand Alveoli Antussives: Codeine Cool mist humidifier at night Increase Fluid Avoid cough suppressants IS - Incenve spirometer at home Prevent Reinfecon Fever Confusion SOB, cough, sputum Finish oral anbiocs at home Pneumonia vaccine (Every 5 years) Smoking cessaon Hand Washing Schedule follow up & Chest X-ray Report: increased or Worsening
Transcript of 5. Pneumonia 2
RespiratoryPneumonia II
Patient care
Discharge Teaching
DiagnosticsRisk Factors & Causes
• Prolonged immobility - secretions are not mobilized & get stuck in body • Post-Operative - Anesthesia - the body is put to sleep which traps infection in the lungs
• Elevated WBC - white blood cell count • Over 10,000 • Sputum Culture = Positive • Test tip - cultures are always taken first - BEFORE antibiotics • Think A - Antibiotics A - AFTER cultures, in order to identify the causative bacteria.
Common NCLEX QuestionBest indicator of ventilator associated pneumonia (VAP) ?
Positive sputum culture
Best blood lab value shows effective treatment of pneumonia after IV antibiotics?
White blood Cell count
HESIEncourage 3L of fluid intake per day to promote expectoration
2hrs
>65
1stCULTURES
ELEVATED
8hrs
ISINCENTIVE
SPIROMETER
ISINCREASE SIZE
OF THE ALVEOLI
O2in
CO2out
Over 65 years old #1 - Advanced AGE
1. Reposition side to side Q 2 hours2. Oral Care & Suctioning Q 2 hours
Best indicators of VAP
VAP - “Ventilator AssociatedPneumonia”
positive sputum cultureFeverChest X-ray: new infiltrates
3. Chlorhexidine
NCLEX TIP
Mobilize secretions & Expand Lungs
Chest physiotherapy
Huff coughing technique
HOB UP! High Fowler’s
AVOID cough suppressants
Positioning
TCDB - turn cough & deep breath!
Fluid 2 - 3 L per day
Hypoxia in Unilateral Pneumonia?= Good Lung Down
NCLEX TIP
NCLEX TIP
Early ambulation
Chlorhexidine swab
Hand Washing Mouth Care Q 12 hour
Incentive Spirometer Q Hour GIVE Pain Meds
(within 8 hours after surgery) Cough with splinti
Common Exam Questions
Mobilize Secretions
Re-expand Alveoli
Antitussives: CodeineCool mist humidifier at night Increase Fluid
Avoid cough suppressants
IS - Incentive spirometer at home
Prevent Reinfection
FeverConfusion SOB, cough, sputum
Finish oral antibiotics at home Pneumonia vaccine (Every 5 years) Smoking cessation Hand Washing Schedule follow up & Chest X-ray Report: increased or Worsening
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