ASIA PACIFIC COLLEGE OF ADVANCED STUDIES

A.H. Banzon St., Ibayo, Balanga City, Bataan

COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

Instruction: Please do create a case study about the following diseases with atleast  3 priority nursing
care plans .You can utilize the google docs in doing the weekly output. This will be submitted on August
29 at exactly 5:00PM.Use the format below.

1.Chronic Bronchitis

CASE STUDY FORMAT:

Disease Pathophysiology Clinical Diagnostic Exam Nursing Rationale
Manifestations Interventions

Excessive mucus Coughing that  Physical Teach proper To remove

production with Cigarette Smoking
produces a lot examinati coughing. excess
productive cough RTI(Respiratory Tract mucus on. secretions.
for at least 3  Chest X-
Infection)
months a year for
Wheezing ray
2 successive Environmental
years.
Bronchodilator Bronchodilator
Only a minority
Pollutants Shortness of s such as is prescribed
of patients with breath especially aminophylline by the
the clinical with physical to reverse physician to
syndrome of Inflammation activity bronchospasm control
chronic and promote bronchospasm
bronchitis Tightness in conciliar and chronic
develop your chest clearance as cough.
significant Hypersecretion of
prescribed by
airway mucous the physician.
obstruction.

Capillary Antibiotics to Antibiotics is

Permeability treat respiratory prescribed by
infection as the physician
prescribed. to treat
Edema of mucous infections .
membrane

Chronic
Bronchitis

ASTHMA
 Disease Pathophysiology Clinical Diagnostic Nursing Rationale
Manifestation Exam Interventions
s

Increased bronchial Shortness of Physical Aerosol It is

reactivity to a variety of Allergies, dust and Breath examination containing beta prescribed by
stimuli which produces pollutants adrenergic the physician
episodic bronchospasm Chest Spirometry agents such as to treat cough
and airway obstruction
tightness or meta protogenoi wheezing and
Asthma with onset in
Airway pain Lung function or albuterol also shortness of
adulthood in most cases Inflammation test oral beta breath
without distinct allergies. Wheezing adrenergic
Status asthmaticus is an agents and oral
acute asthma attack with bronchospasm methylxanthine
severe bronchospasm s occasionally
that fails to clear with inhaled oral I.V Improve
bronchodilator therapy. corticosteroid as airway
Narrow Breathing
prescribed. patency
Passages
Oxygen therapy

Wheezing Cough
Shortness of
Breath Tightness
in Chest

Asthma

PLEURAL EFFUSION
 Disease Pathophysiology Clinical Diagnostic Nursing Rationale
Manifestations Exam Interventions

is an excess of fluid Dyspnea Chest X ray Monitor fluid To observed

in the pleural space Live cirrhosis
intake. the fluid inta
Normally this space renal failure lung
Pleural friction Biopsy in the body
contains a small cancer smoking
rub since we are
amount of and dust removing
extracellular fluid
Tachycardia excess water
that lubricates the
pleural surfaces. from the
Transudative pleural
Hydrostatic Dullness of patient .
effusion results when pressure/ oncotic percussion
excessive amounts of pressure
fluid to pass across Hemothorax To removed
intact capillaries requires drainage to excess fluid i
prevent fibrothorax the lungs.
Unable to
formation .
remain the fluid
with in a
intravascular
space

Fluid shift
interstitials
space

Pleural effusion

BRONCHOGENIC CARCINOMA
 Disease Pathophysiology Clinical Diagnostic Nursing Rationale
Manifestations Exam Interventions

is a malignant Tobacco Persistent or Act Monitor To prevent further complicatio

neoplasm of the Smoking, Age worsening wheezing
lung arising cough Chest X- Chest pain
from the ray Hoarseness
epithelium of the Inhaled Shortness of
bronchus or
carcinogen breath Sputum Monitor To determine patient status
bronchiole .
Cytology Vital Sign
Weakness,
Tracheobron Fatigue
chial airway Observe To observe patient and
Coughing determine has developed pleur
effusion
Cellular
changes

Malignant
cell

Further
Changes in
DNA

Bronchogeni
c CA