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    APRIL DWIGHT EURAOBA CPAC SN-1
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    This document summarizes the pathophysiology of pediatric community-acquired pneumonia (PCAP). Predisposing factors include being 1 year old and having an incomplete BcG vaccination. Precipitating factors include exposure to pathogens from a nearby piggery, the presence of a coughing grandmother as the primary caregiver, and the child also having a cough. When pathogens are inhaled, they cause local and systemic inflammatory responses that disrupt thermoregulation and cause fluid buildup in the lungs, presenting as fever, cough, crackles, and difficulty breathing. Treatment includes antibiotics like cefrtiaxone and bronchodilators like salbutamol to reduce symptoms while monitoring for therapeutic response and adverse effects.

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    Pediatric Community Acquired Pneumonia

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    final_pathophysiology

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    This document summarizes the pathophysiology of pediatric community-acquired pneumonia (PCAP). Predisposing factors include being 1 year old and having an incomplete BcG vaccination. Precipitating factors include exposure to pathogens from a nearby piggery, the presence of a coughing grandmother as the primary caregiver, and the child also having a cough. When pathogens are inhaled, they cause local and systemic inflammatory responses that disrupt thermoregulation and cause fluid buildup in the lungs, presenting as fever, cough, crackles, and difficulty breathing. Treatment includes antibiotics like cefrtiaxone and bronchodilators like salbutamol to reduce symptoms while monitoring for therapeutic response and adverse effects.

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    5 views1 page

    Final Pathophysiology

    Uploaded by

    APRIL DWIGHT EURAOBA CPAC SN-1
    This document summarizes the pathophysiology of pediatric community-acquired pneumonia (PCAP). Predisposing factors include being 1 year old and having an incomplete BcG vaccination. Precipitating factors include exposure to pathogens from a nearby piggery, the presence of a coughing grandmother as the primary caregiver, and the child also having a cough. When pathogens are inhaled, they cause local and systemic inflammatory responses that disrupt thermoregulation and cause fluid buildup in the lungs, presenting as fever, cough, crackles, and difficulty breathing. Treatment includes antibiotics like cefrtiaxone and bronchodilators like salbutamol to reduce symptoms while monitoring for therapeutic response and adverse effects.

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    of 1

    PATHOPHYSIOLOGY OF PCAP

    PRECIPITATING FACTORS
    • ENVIRONMENTAL
    PREDISPOSING FACTORS • PRESENCE OF PIGGERY NEAR HOUSE
    • AGE : 1yr old • EXPOSE TO PATHOGEN
    • Vaccination: Incomplete BcG • PRESENCE OF COUGH AT HOME
    • GRANDMOTHER (DIRECTCAREGIVER) with cough + Pneumonia

    INHILATION OF PATHOGENS

    SYSTEMIC INFLAMMATORY RESPONSE LOCAL INFLAMMATORY RESPOSE

    DISTRUPTION OF HYPOTHALAMIC ACCUMULATION OF PLASMA EXUDATES FLUID BUILD UP IN THE ALVEOLI


    THERMOREGULATION ( Interstitial Pattern)

    IRRITATION OF AIRWAYS FLUID BUILD UP IN THE ALVEOLI


    FEVER (Lobar Pattern) HAZY BOTH LOWER LUNGS

    COUGH
    CORYZA
    CALPOL (PARACETAMOL) X-RAYS
    ALTERED GAS EXCHANGE
    CRACKLES
    ALNEX
    - Evaluate therapeutic response. CEFTRIAXONE
    DOB (DIFFICULT OF BREATHING)
    - Monitor the temperature q 3hrs WHEEZING
    Proper administration.
    Administer drug on an NASAL FLARING • Baseline assessment
    FLUMUCIL
    empty stomach, 1 hour • Assess oral cavity for white patches
    before or 2 hours after on mucous membranes, tongue
    meals, to increase the (thrush).
    absorption. • Perform a physical SALBUTAMOL
    • Monitor daily pattern of bowel
    examination to
    activity, stool consistency. Mild GI
    Increase fluid establish baseline effects may be tolerable (increasing
    LEGENDS data for assessing
    intake. Increase humidity • Assess lung sounds, PR and severity may indicate onset of
    and push fluids to the effectiveness BP before drug antibiotic-associated colitis).
    NURSING INTERVENTION of the drug and
    decrease the problem of administration and during • Monitor I&O, renal function tests for
    thickened secretions and the occurrence of peak of medication. nephrotoxicity, CBC. Be alert for
    PREDISPOSING FACTORS dry nasal mucosa. any adverse • If administering medication superinfection: fever, vomiting,
    effects associated through inhalation, allow diarrhea, anal/genital pruritus, oral
    PRECIPITATING FACTORS with the drug mucosal changes (ulceration, pain,
    Ensure voiding. Have at least 1 minute between
    patient void before each therapy. inhalation of aerosol erythema).
    DISEASE PROCESS dose to decrease urinary medication.
    retention if this is a • Educate the • Advise the patient to rinse
    SIGNS & SYMPTOMS problem. patient family to mouth with water after
    do handwashing q each inhalation to
    DRUGS ADMINISTERED playing or eating. minimize dry mouth.
    DIAGNOSTIC TEST

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