NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.
-
Upload
phebe-tyler -
Category
Documents
-
view
214 -
download
0
Transcript of NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.
![Page 1: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/1.jpg)
NURS 171RESPIRATORY SYSTEM:
PNEUMONIADarlene LoPresto, Graduate Student FSU
![Page 2: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/2.jpg)
Pathophysiology
Bacterial or viral Infection/Inflammation Exudate Lobar or diffuse Streptococcus Klebsiella
![Page 3: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/3.jpg)
Etiology
Incompetent distal
airway defense mechanisms
![Page 4: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/4.jpg)
Prevention
Pneumococcal vaccine Avoid smoking Avoid allergens, indoor pollutant
exposure
![Page 5: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/5.jpg)
Symptoms
Nausea/vomiting/diarrhea Dyspnea Productive cough Pleuritic pain Confusion
![Page 6: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/6.jpg)
Diagnosis & Complications
Multi drug resistance Allergic reaction Food/drug interaction
![Page 7: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/7.jpg)
Medical Management
Limited activity Antipyretics Analgesics Oxygen therapy I.S. Bronchodilators
Increase fluid intake
Antibiotic therapy Rest Modify r/t patient
response
![Page 8: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/8.jpg)
Pneumonia Review Question
What is one of the most common bacterial organisms that cause pneumonia?
a) Staph Aureus b) Streptococcus c) Both a & b d) All of the above
![Page 9: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/9.jpg)
Pneumonia Review Question
Symptoms of pneumonia include all of the following except:
a) Productive cough b) Dyspnea c) Hemoptysis d) Pleuritic pain
![Page 10: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/10.jpg)
Pneumonia Review Question
Nursing Interventions for the pneumonia patient include all of the following except:
a) Blood culture interpretation b) Incentive spirometry c) Increase fluid intake d) None of the above
![Page 11: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/11.jpg)
Nurse Diagnosis: Case Study
![Page 12: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/12.jpg)
Bronchiectasis
Supportive Educative Nursing 171Darlene LoPresto, BSN, RN,C
http://www.youtube.com/watch?v=zMKaJEgmTT4
![Page 13: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/13.jpg)
Inflammation
Airway damage
Remodeling
Continuing cycle d/t Infection
![Page 14: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/14.jpg)
Symptoms
Persistent/recurrent cough Dyspnea Crackles Pleuritic chest pain Hemoptysis Purulent sputum
![Page 15: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/15.jpg)
Medical Management
Dx: HRCT Sputum cultures Tx: Treat acute flare-ups Maintain lung function Antibiotics Bronchodilators Mucolytic agents Anti-inflammatory agents
http://www.youtube.com/watch?v=JmRt9rFmVu4&feature=related
![Page 16: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/16.jpg)
Nursing Diagnosis
• Ineffective airway clearance r/t increased secretions
-Chest physiotherapy & Postural drainage -No smoking -Vaccinations -Good oral hygiene -Infection control
![Page 17: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/17.jpg)
Supportive Educative Nursing 171 Lung CancerD.LoPresto, BSN, RN,C
![Page 18: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/18.jpg)
Types Primary Lung Cancer
Small cell Adenocarcinoma Squamous Large cell neoplasm
![Page 19: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/19.jpg)
Lung Cancer Etiology: Smoking
![Page 20: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/20.jpg)
Incidence of Lung Cancer
Leading cause of Cancer deaths 28% of all cancer deaths 172,570 new cases annually 58% death rate men African Americans Hispanics 5 year survival rate 15%
![Page 21: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/21.jpg)
Risk Assessment
Memorial Sloan-Kettering Cancer Center Lung cancer prediction tool
www.mskcc.org/PredictionTools/LungCancer
![Page 22: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/22.jpg)
Which are Symptoms of lung cancer?
Select all that apply:1) Persistent cough2) Hemoptysis3) Bradypnea4) Hematemesis5) Anorexia
![Page 23: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/23.jpg)
Patient Symptoms Nonspecific Occur late in
disease Type of cancer &
location Dyspnea Persistent cough Persistent
pneumonitis
Hemoptysis Ausculatory
wheeze Weight loss Fever
![Page 24: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/24.jpg)
Diagnosis
10% with routine CXR PET scan CT scan Bone scan Lung biopsy 20-30% (+) sputum cytology
![Page 25: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/25.jpg)
Ectopic hormone syndromes
ACTH ADH PTH
![Page 26: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/26.jpg)
Prevention
Smoking cessation Screening CXR Sputum cytology The U.S. Preventive Service Task
Force The American College of Chest
Physicians
![Page 27: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/27.jpg)
Collaborative Care
Surgical Treatment -resection Radiation Chemotherapy Targeted Therapy
![Page 28: NURS 171 RESPIRATORY SYSTEM: PNEUMONIA Darlene LoPresto, Graduate Student FSU.](https://reader035.fdocuments.in/reader035/viewer/2022062720/56649efa5503460f94c0c141/html5/thumbnails/28.jpg)
Nursing Diagnosis: Group Activity