Nursing Clinical Pathway

NURSING SERVICE DEPARTMENT

Nursing Intervention Checklist (Nic) And Algorithm for Pneumonia
Name of Patient: - Date: January 27
Attending Physician: - Room: -
Staff Nurse in-charge:

PRIORITY NURSING DIAGNOSIS: Impaired Spontaneous Ventilation related to hypermetabolic state

infection, as manifested by dyspnea, decreased oxygen saturation, and the detection of Influenza B viral RNA
& Streptococcus pneumoniae DNA
PERTINENT DATA SPECIFIC IMPLEMENTATION REMARKS AND
Patient-cen Nurse-cente INTERVENTIONS Performed Not SPECIAL
tered red Performed ENDORSEMENTS
(Subjective) (Objective) (EVALUATION)

Subjective: -Patient •Assisted patient in ✔ Unmet

-N/A fever deep Breathing activities are
Objective: continued breathing exercises normally utilized for lung
-On with conditions like
January 27, occasional pneumonia, in any case,
the results there is the possible
of a gamble of profound
respiratory motivation spreading the
pathogen infection from the upper
real-time to the lower respiratory
PCR lot raises security
detection concerns.
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January non-produc
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January tive cough.
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January -Chest
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January radiograph
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January showed
27, the •Positioned patient Unmet
results of a properly In the patient's case,
respiratory head bed elevation
pathogen by elevating the head
real-time of the gives physiological
PCR bed advantages while
detection intubated, diminishing
panel compressive atelectasis
revealed the in the back lung zone and
detection of further developing
Streptococc
us us stomach capability. In
Pneumonia any case, limits, for
e DNA and example, deficient
RNA from intubation preparing,
the emotional review,
Influenza B dubious patient
virus. advantage, and an
On January hazy ✔
27, the absence of proof, upset
results of a the viability of head bed
respiratory height, especially in
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January infiltrates
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January in both
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January lung fields
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January consistent
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January with
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January pneumonia
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January -Patient
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January became
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January increasingly
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January dyspneic
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
On January hypoxic and
27, the
results of a
respiratory
pathogen
real-time
PCR
detection
panel
revealed the
detection of
Streptococc
us us
Pneumonia
e DNA and
RNA from
the
Influenza B
virus.
-During agitated
illness days -A chest
9 and 10, radiograph
his fever was
continued reported as pneumonia and
with showing COVID-19 cases.
occasional worsening •Suctioned ✔ Met
non-produc of secretions as
tive cough pneumonia necessary
and Vital Signs: - Oral
remained Temperatur - Nasal
stable e: -ET tube
apart from (38.5–40.0 •Administered ✔ Met
medications
intermitten °C)
as ordered (please
t SpO2
specify):
desaturatio
ns of - Ceftriaxone 2g
93-97% on intravenously
2-3 (IV)once daily (OD).
L/min of - Vancomycin, 30
oxygen. mg/kg loading dose
-On illness followed by25 mg/kg
day 11, he BD.
developed - Azithromycin 500
increasing mg OD.
dyspnea - Oseltamivir 75 mg
with BID.
reduced - Midazolam drip
SpO2 at Meropenem 2g IV
88% three times a day
despite 8 (TDS).
L/min of •Administered and ✔ Met
maintained oxygen
oxygen via support
a face mask as ordered
and
- Funnel
hemoptysis
and was - Nasal cannula
noted to - Face mask
have - Mechanical
ventilator
bilateral •Referred the patient ✔ Unmet
chest to the The patient wasn't
crepitation attending physician implied to go on a
s. as specialist. In the patient's
-On illness necessary case, there might be
day 13, he conceivable that real
continued consent was not gotten
to be from the family. Doctor
febrile irreconcilable
(38.5 -- circumstances, for
40.0 °C) example, expense
with parting for monetary
profit, are viewed as
exploitative.
bibasal leading to anti-referral
crackles. laws preventing abuse
•Other interventions
relevant
to the nursing diagnosis

(VARIANCES):
- Collected
NPS/OPS
specimens
- Polymerase
Chain
Reaction
(PCR)
detection test
on NPS/OPS
samples
- Chest
Radiograph
- Endotracheal
Tube (ET)
intubation
- Endotracheal
Aspirate
(ETA)
- Complete
Blood Count
(CBC) Test
- Blood culture
Test
- HIV (human
immunodefici
ency virus)
test
- Monitor
Output
- Vital Signs
- Assessment
(BP, HR, RR,
SpO2)
- Cardiopulmo
nary