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Respiratory System

Respiratory System

Nursing diagnosis pneumonia. Pneumonia, acute infection of the lung parenchyma that often impairs gas exchange. Pneumonia is an inflammatory condition of the interstitial lung tissue in which fluid and blood cells escape into the alveoli. The inflammatory process causes the lung tissue to stiffen, thus resulting in a decrease in lung compliance and an increase in the work of breathing. The fluid-filled alveoli cause a physiological shunt, and venous blood passes  unventilated portions of lung tissue and returns to the left atrium unoxygenated, patient begins to exhibit the signs and symptoms of hypoxemi

Focused Nursing assessment in  pneumonia care plans

  • Vital sign: blood pressure,  body temperature, the pulse or rate of heartbeats, the respiration or rate of breathing
  • Crackles, wheezing, or rhonchi over the affected lung area
  • Dullness when you percuss
  • Presence of cyanosis, and presence of dyspnea or tachypnea

Common nursing diagnosis found in pneumonia

Impaired gas exchange, Ineffective coping, Risk for deficient fluid Volume, Risk for infection Ineffective airway clearance, Acute pain, Anxiety, Hyperthermia, Imbalanced nutrition: Less than body requirements,

Nursing diagnosis for pneumonia base in nursing priority

  1. Ineffective airway clearance
  2. Impaired gas exchange
  3. Imbalanced nutrition: Less than body requirements
  4. Acute pain
  5. Hyperthermia
  6. Anxiety
  7. Ineffective coping
  8. Risk for deficient fluid volume
  9. Risk for infection

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