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Case Study Pneumonia)

Case Study Pneumonia)

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Published by Jai - Ho

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Published by: Jai - Ho on Feb 25, 2010
Copyright:Attribution Non-commercial


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I. Introduction:
This is a case of a 1 year old child who was diagnosed
Pneumonia withBronchial Asthma.
Pneumonia is an inflammation or infection of the lungs most commonly causedby a bacteria or virus. Pneumonia can also be caused by inhaling vomit or other foreignsubstances. In all cases, the lungs' air sacs fill with pus , mucous, and other liquids andcannot function properly. This means oxygen cannot reach the blood and the cells of the body.Most pneumonias are caused by bacterial infections.The most commoninfectious cause of pneumonia in the United States is the bacteria Streptococcuspneumoniae. Bacterial pneumonia can attack anyone. The most common cause of bacterial pneumonia in adults is a bacteria called Streptococcus pneumonia or Pneumococcus. Pneumococcal pneumonia occurs only in the lobar form. An increasingnumber of viruses are being identified as the cause of respiratory infection. Half of allpneumonias are believed to be of viral origin. Most viral pneumonias are patchy and thebody usually fights them off without help from medications or other treatments.Pneumococcus can affect more than the lungs. The bacteria can also causeserious infections of the covering of the brain (meningitis), the bloodstream, and other parts of the body.Asthma is a chronic, reversible, obstructive airway disease, characterized bywheezing. It is caused by a spasm of the bronchial tubes, or the swelling of thebronchial mucosa, after exposure to various stimuli.Asthma is the most common chronic disease in childhood. Most childrenexperience their first symptoms by 5 years of age.Asthma commonly results from hyperresponsiveness of the trachea and bronchito irritants. Allergy influences both the persistence and the severity of asthma, andatopy or the genetic predisposition for the development of an IgE-mediated response tocommon airborne allergens is the most predisposing factor for the development of asthma.
II. Goals and Objectives:GOAL:
We, the student nurses of Capitol University, aim to develop essential as well asskillful pediatric nursing care which is based on the better and effective approach ----that will serve as a catalyst to promote health, reduce illness and/or completelyeliminate such diseases. We are also up to in knowing the nature of the disease and onhow to manage it in such a way that it would be therapeutic to both mother and child.
By the end of this whole rotation, we, the student nurses of Capitol University, willbe able to:
Enhance our ability to manage the said disease in regards to their cultural beliefsand lifestyle.
Develop an independent and collaborative work together with the medical healthteam members.3.Prioritize things which are essential in assessing and developing proper interventions in treating or alleviating the illness.4.Improve the use of the nursing process that would include assessment,diagnosis, planning, implementation and evaluation into a more useful and moreeffective in doing the patient’s care.5.Apply the core and fundamental systematic approach of the nursing profession inpromoting health unto the clients.
III. Client’s Profile
Socio-demographic data
Patient X is a 1- year old Filipina female who is living with her family at Zone 1Agusan, Cagayan de Oro City. Her religion is Roman Catholic. She has no allergiesreported. Patient has a Pneumonia, Bronchial Asthma.Patient X was admitted last February 9, 2010 at NMMC-P3F3 Pediatric RespiratoryWard because of having an onset productive cough associated with fever. With that,patient X was admitted.
B.Vital signs
The patient vital signs are one of the most important data that should be given adirect attention because it will serve as basis in determining any risk factors towards thepatient. The increase and decreased of the vital sign of the patient must be monitored inorder to determined whether the patient is at risk or not.The patient had the following vital signs upon admission: PR- 165 bpm ; RR- 68cpm; and temp- 36.5°C .

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