PNEUMONIA

Pneumonia is an inflammation of the lung parenchyma, usually associated with the filling
of the alveoli with fluid. Likely causes include various infectious agent, chemical irritants, and
radiation therapy . The care plan deals with bacterial and viral pneumonia e.g. pneumococcal
pneumonia, pneumocysnscarinni, haemophilus influenza, mycoplasma, gram negative.

Especial Sigh
Especial Sigh which often become the reason of client of pneumonia to ask help of
health is out of breath, cough and improvement of body temperature / fever

History of Health Now

This study is shellac to support especial sigh. Conduct the question having the character of
summary and answer is only given by a client yes or not or only the nod lead.

If especial sigh is coughing hence the important nurse to ask have how long the sigh cough to
emerge ( onset). Initially the sigh cough unproductive but hereinafter will round into to cough
productive by mucus [is] purulence, yellowish, green ship, chocolate or squeezing and
oftentimes stink.

Generally client got by sigh of high fever and tremble ( awitan maybe sudden and
dangerous). existence of Sigh of pain in bone of chest pleuritic, out of breath and improvement
of exhalation frequency, feel weakness, pain in bone lead.

At the study of other treatment at client of pneumonia of a more regular met at

1. the children of pneumonia of a more regular from adult
2. Client generally reside in environment by sanitation is ugly
3. Client suffering from weakening ( AIDS, cancer), client with existence of history breath in or
aspiration can be looking vitamin irritant
4. Client by Imobilisasi is old physical with degradation of ability to cough effective
5. Client with existence of gift of food [of] through pipe continuously
6. Client accepting immunosuppressive of drugs( chemotherapy, corticosteroid), client getting
therapy of anti wide microbial spectrum
7. Client with degradation mount awareness ( stupor, lethargy, pra-koma, comma).

History of Former Health

Study in aiming at some times previously whether/what experiencing of infection of
channel of exhalation for ( red lane hurt, kingesti nasal, sneezing, light fever)

Study of Psychosocial And Spiritual

Psychological Study of client cover some dimension enabling nurse to obtain; get clear
perception hit status emotion, cognate, and behavior of client. Nurse collect early inspection of
client about physical capacities and intellectual in this time, determining storey level the
importance of study psychosocial spiritual which careful. Pneumonia client clinic condition often
experience of dread as according to natural sigh of.
 Asking settlement condition where client reside, pneumonia client often met when residing
environment by ugly sanitation
.

A. Assessment
1. Activity / rest
May report : Fatigue, weakness, insomnia
May exhibit : Lethargy, decreased tolerance to activity

2. Circulation
May report : History of recent / chronic CHF
May exhibit :Tachycardia, cyanosis, flushed appearance of pallor.

3. Ego integrity
May report : Multiple stressors, financial concern

4. Food / fluid
May report : Loss of appetite, nausea vomiting, history of diabetes mellitus
Ma exhibit : Distended abdomen, hyperactive bowel sound, dry skin with poor turgor,
cache tic appearance (malnutrition)

5. Neurosensory
May report : frontal headache ( influenza)
May exhibit : changes in mentation ( confusion, somnolence)

6. Pain / comfort
May report : Headache, chest pain (pleuritic), aggravated by cough, subternal chest
pain (influenza), myalgia, arthragia.
May exhibit : Splinting / guarding over affected area ( patient commonly lies on
effected side to restrict movement.

7. Respiration
May report : History of recurrent / chronic URI, COPP, cigarette smoking, tachypnea,
progressive dyspnea, shallow grunting respirations, use of accessory
muscle, nasal plaring.
May exhibit : Sputum, rusty, or purulent.
Percussion : pull over consolidated area
Fremitus : tactile and vocal gradually increases with consolidation
pleural friction rub.
 Breath sound : diminished or absent over involved area, or bronchial
breath sounds over area of consolidation. Coarse
ispiratory crackles,
Color : pallor or cyanosis of lips / nailbeds.
8. Safety
May report : Fever (e.g..38,5 – 39,6 C0)
May exhibit : Diaphoresis, shaking / recurrent chills , rash may be noted in cases of
rubeola or varicella.