Scribd Logo
Upload

Welcome to Scribd!

  • Santillaruby NCP

    Uploaded by

    Ruby Santillan
    44 views3 pages
    The nursing care plan is for a 4 month old infant diagnosed with pneumonia. The plan includes 3 nursing diagnoses: ineffective airway clearance related to increased respiratory secretions, dependent needs for medication administration and oxygen therapy, and collaborative needs for continued antimicrobial treatment. The plan outlines nursing interventions like deep breathing exercises, medication administration, monitoring of symptoms, and respiratory therapy. The expected outcome is resolution of the current infection without complications within 4 hours of nursing interventions.

    Original Description:

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The nursing care plan is for a 4 month old infant diagnosed with pneumonia. The plan includes 3 nursing diagnoses: ineffective airway clearance related to increased respiratory secretions, dependent needs for medication administration and oxygen therapy, and collaborative needs for continued antimicrobial treatment. The plan outlines nursing interventions like deep breathing exercises, medication administration, monitoring of symptoms, and respiratory therapy. The expected outcome is resolution of the current infection without complications within 4 hours of nursing interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    44 views3 pages

    Santillaruby NCP

    Uploaded by

    Ruby Santillan
    The nursing care plan is for a 4 month old infant diagnosed with pneumonia. The plan includes 3 nursing diagnoses: ineffective airway clearance related to increased respiratory secretions, dependent needs for medication administration and oxygen therapy, and collaborative needs for continued antimicrobial treatment. The plan outlines nursing interventions like deep breathing exercises, medication administration, monitoring of symptoms, and respiratory therapy. The expected outcome is resolution of the current infection without complications within 4 hours of nursing interventions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    St.

    Anthony’s College
    Nursing Department

    NURSING CARE PLAN

    Name of Patient: Amparado Amarah Francine Bacaoco Attending Physician:


    Age:4 moss Impression/Diagnosis: Pneumonia MR

    Clustered Cues Nursing Rationale Outcome Criteria Nursing Rationale evaluation


    Diagnosi Interventions
    s
     Deep breathing After 4
    Subjective Data: Ineffecti  Pneumoni  After 4 Independent: promotes hours of
    Cough for 4 days ve a is an hours of  Assess oxygenation nursing
    (DOB) said by the Airway excess of nursing respiratory before interventio
    mother. Clearanc fluid in the interventio rate, depth controlled n, goal
    e related lungs ns, the and ease. coughing partially
    to resulting patient will met.
    increased achieve  Monitor  To improve
    from an
    productio timely body productivity of
    inflammati
    n of resolution temperatur the cough. Clients
    on
    respirator of current e respiratory
    y process. rate is
    infection  High fever
    secretion The without within
     Assist greatly
    s. inflammati complicati normal
    patient into increases
    on is ons bed rest metabolic range (RR
    Objective Data: triggered demands and - 45)
     Rapid by many  Monitor oxygen
    breathing/tachyp infectious effectivene consumption Inspiratory
    nea organisms ss of and alters crackles
     Cough with and by antimicrobi cellular can still be
    yellow sputum inhalation al therapy oxygenation. heard at
    production of the right
     Diminished and irritating  To promote lower lobe
    adventitious agents. drainage of
    breath sounds Infectious secretions and Cough
    (crackles) pneumoni better lung continues
     Dyspnea a are expansion to be
     VS taken as categorize productive.
    follows: d as
    Dependent:  Decreased
    communit
    T – 36.7  Administer airflow occurs
    y acquired
    P – 149 ordered in areas
    (CAP) or
    RR – 45 medication consolidate
    hospital s with fluid.
    acquired  Administer Bronchial
    (nosocomi nebulizatio breath sounds
    al) n as needed (normal over
    depending bronchus) can
    on where also occur in
    the patient consolidated
    was areas. Crackles,
    exposed to Collaborative: rhonchi, and
    infectious wheezes are
    agent.  Administer heard on
    antimicrobi inspiration
    als as and/or
    prescribed. expiration in
    response to
    fluid
    accumulation,
    thick
    secretions, and
    airway
    spasm/obstructi
    on.

     A variety of
    respiratory
    therapy
    treatments may
    be used to open
    constricted
    airways and
    liquefy
    secretions.

     These drugs are


    used to combat
    most of the
    microbial
    pneumonias.

    Student’s Name: Ruby R. Santillan


    Clinical Instructor: Mrs. Luznel J. Pabelico , RN

    You might also like