PNEUMONIA PATHOPHYSIOLOGY (PATIENT BASED)
Non-modifiable: Modifiable:
Age (2 yrs old below and 65 yrs old above) Environment
Weather Low socio-economic status
Poor oral hygiene
Aspiration/inspiration of microbes
Failure of defenses
Invasion in the lower respiratory tract
Activation of B-cells
Release of antibodies
Antigen-antibody reaction (occurs in alveoli)
Release of chemical mediators
Vasodilation
Increased blood flow
Increased blood flow
Vasocongestion
Increased plasma hydrostatic pressure
Increased capillary permeability
Accumulation of fluid in the alveoli
Alveolar edema/Exudate formation
Consolidation of the lungs
Decreased lung inflation
Ineffective breathing pattern/DOB
Pneumonia
Nursing Intervention: Medical management:
Signs and symptoms:
Assess VS specially Penicillin G 500,000 units
Difficulty of
respiratory status q6h breathing
Monitor breath Paracetamol 100 mg Cough and
sounds, note TIV q4h prn for fever colds
changes in sputum
Salbutamol neb, 1 neb
production
q4h
Maintain adequate
fluid intake Cetirizine 5mg/5ml
Coughing and deep 2.5ml per orem OD
Diagnostic Test:
breathing exercise Erythromycin ointment
Chest bid Chest x-ray
physiotheraphy O2 support @ 2L/pm Babygram
using nasal cannula Blood test