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Pediatric Pneumonia Nursing Assessment

The mother reported that her baby was having difficulty breathing due to coughing. On examination, the baby had tachycardia, dyspnea, and a temperature of 37.7°C. The diagnosis was impaired gas exchange due to secretions affecting oxygen exchange in the lungs. The planned nursing interventions were to monitor vital signs, elevate the head of the bed and change positions frequently, limit visitors, and assess the lungs every 4 hours to ensure timely resolution of the current infection without complications.

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2K views2 pages

Pediatric Pneumonia Nursing Assessment

The mother reported that her baby was having difficulty breathing due to coughing. On examination, the baby had tachycardia, dyspnea, and a temperature of 37.7°C. The diagnosis was impaired gas exchange due to secretions affecting oxygen exchange in the lungs. The planned nursing interventions were to monitor vital signs, elevate the head of the bed and change positions frequently, limit visitors, and assess the lungs every 4 hours to ensure timely resolution of the current infection without complications.

Uploaded by

_garon
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
  • Rationale: Provides reasoning behind each planned intervention, linking actions to expected outcomes.
  • Diagnosis: Presents the clinical diagnosis based on assessment findings, focusing on respiratory conditions.
  • Evaluation: Discusses criteria and results for assessing the effectiveness of interventions and patient outcomes.
  • Planning: Outlines planned interventions, goals, and timeliness to address patient diagnosis.
  • Intervention: Lists actions and measures to be taken to achieve the planned outcomes, such as monitoring and evaluating progression.
  • Assessment: Details subjective and objective assessment findings including patient symptoms and vital signs.
  • Scientific Explanation: Explains the scientific rationale for the observed symptoms and diagnosis, emphasizing pathophysiology.

Assessment Subjective: Nahihirapan huminga ang baby ko dahil sa ubo as verbalized by the mother Objective: Dyspnea Tachycardia V/S

V/S taken as follows: T: 37.7 P:125 R:50

Diagnosis Impaired gas exchange r/t collection of secretions affecting oxygen exchange across alveolar membrane.

Scientific Planning Intervention Explanation Pneumonia is an After 4 hours of Independent: excess of fluid in nursing Assess the lungs intervention respiratory resulting from an the patient will rate, depth and inflammatory achieve timely ease process. The resolution of inflammation is current triggered by infection many infectious without any organisms and by complications. inhaling of irritating agents. Monitor body Infectious temperature. pneumonias are categorized as community acquired or hospital acquired depending on where the patients was exposed to the Elevate head of infectious agents. the bed and change position frequently. Limit visitors as indicated.

Rationale

Evaluation

Manifestation of After 4 hours respiratory of nursing distress is interventions, dependent on the patient indicative of will achieve degree of lung timely involvement and resolution of underlying current general status. infection without complications. High fever greatly increases metabolic demands and oxygen consumption and alters cellular oxygenation. Promotes expectoration, clearing of infection. Reduces likelihood of exposure to other infectious pathogens.

Institute isolation precaution.

Isolation technique may be desired to prevent spread and protect client from other infectious prose. Stimulates cough or mechanically clears airway in patient who is unable to cough effectively. Facilitates liquefaction and removal of secretions. Signs of improvement in condition should occur within 2448 hours. These drugs are used to combat most of the microbial pneumonias.

Suction as indicated.

Assist with nebulizer treatments. Monitor effectiveness of antimicrobial therapy. Collaborative Administer antimicrobials as prescribed.

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