PCAP-C

PREPARED:
JAMALUL, SHAYRA T.
 PATIENT PROFILE

MEDICAL HISTORY:
PATIENT NAME: Patient J.
1 day PTA, still with persistence of non-
AGE: 1 year old
2 days PTA, patient was noted productive cough now associated with
RELIGION: Catholic with non-productive cough undocumented febrile episodes. Self

associated. No consult was done medicated with paracetamol syrup

SEX: Male
and no medication was given which afforded temporary relief of
MEDICAL DIAGNOSIS: PCAP-C fever.

TYPE OF OPERATION: NlA

GENERAL IMPRESSION:
Received patient in bed, crying
with difficulty of breathing.
Present nursing history:
Patient is weak and had
difficulty of breathing.
Past nursing history:
N/A
Few hours PTA, still with persistence
of above mentioned symptoms and
was noted with difficulty of breathing
hence, brought to the emergency
room for consultation and hence the
subsequent admission.
 PEDIATRIC COMMUNITY
ACQUIRED PNEUMONIA

Community-acquired pneumonia is defined as pneumonia that is acquired outside the

hospital. The most commonly identified pathogens are Streptococcus pneumoniae,
Haemophilus influenzae, atypical bacteria and viruses.
 PATHOPHYSIOLOGY

Precipitating Factor
Predisposing Factor
ENVIRONMENT
AGE (6months old) LIFESTYLE

Passes to the pharynx, larynx & trachea

Microorganisms enters the effects both the lung parenchyma

Infection lodges and stimulates in

Lung invasion
the parenchyma

Leukocytes
Narrowing of air passage increased

DIFFICULTY BREATHING
Mucus

Coughing Ineffectively
 SIGNS AND SYMPTOMS

• Dyspnea usually is mild and

exertional and is rarely present at
rest. Chest pain is pleuritic and is
• Symptoms include malaise, chills,
adjacent to the infected area.
fever, cough, dyspnea, and chest
Pneumonia may manifest as upper
pain. Cough typically is productive
abdominal pain when lower lobe
in older children and adults and dry
infection irritates the diaphragm.
in infants, young children, and older
Gastrointestinal symptoms
adults.
(nausea, vomiting, diarrhea) are
also common.
 DIAGNOSTIC EXAM

Chest x-ray
 Blood test
Pulse oximetry
 TREATMENT

 Risk stratification for determination of site of care

 Antivirals for influenza or varicella
 Supportive measures
 NURSING RESPONSIBILTIES

• Respiratory status and oxygenation

• Fluid status
• Sepsis risk
 ASSESSMENT DIAGNOSIS NURSING
OUTCOME CARE PLAN
INTERVENTION RAIONALE EVALUATION
Subjective: “Palaging 1.Risk for ineffective After 8 hours of  Ensured patient’s safety  By raising side rails up to prevent After 8 hours of
umuubo ang anak ko, airway clearance as nursing from fall nursing
apat evidenced by intervention   Advised mother or watcher to   To prevent from aspiration intervention
na araw na.” productive cough. the always elevate the head of the the
Objective: mother/watcher bed mother/watcher
Productive Cough. of the patient was able
VS will be   Taught mother how to do  This helps loosen the airway and to:
T:37.5°C able to: proper Chest Physiotherapy bonchial secretions   Airway
HR:123bpm maintained
RR:44bpm  Demonstrate   Maintaining airway patency is patent
Sp02: 100% increase air   Assessed airway patency
the first priority   Breath
Breath sound: wheezing exchange sound are
  Auscultate lung sounds   Abnormal breath sound can
be heard as fluid and mucus cleared and
 Will maintain accumulate. respiratory rate
clear, open maintained in
airway as  Assess respiratory   A change in the
rate, depth, breathing pattern, usualrespiration may mean normal range,
evidence by afebrile and
normal breath nasal flaring and use of accessory respiratory compromise
muscle. normal vital signs
sounds, normal maintained.
rate and depth of   Monitor vital signs   Increase work of breathing
respiration. can lead to tachycardia,
hypotension. Retained secretion
may be a signs of an existing
infection or inflammatory.

  Give medication as prescribed  A variety of medication are

such as antibiotic, mucolytic
agent, bronchodilator and
expectorant.
prepared to manage specific
problems. Most promote
clearance of airway secretions
and may reduce airway
resistance.
 DRUG NAME
Generic Name: Cefuroxime
Brand name: Ceftin
Dosage and Frequency: 750 mg
3 times a day
Route: IVTT
Classification: Antibacterial
DRUG
MECHANISM OF ACTION
STUDY
INDICATION & ADVERSE EFFECT
CONTRAINDICATION
Cefuroxime, like the penicillins, Indication:
is a beta-lactam antibiotic. By
binding to specific penicillin- For treatment of many different
binding proteins (PBPs) located types of bacterial infections
inside the bacterial cell wall, it such as bronchitis, sinusitis,
inhibits the third and last stage tonsillitis, ear infection, skin
of bacterial cell wall synthesis. infection, gonorrhea and
unirary tract infection.
Contraindication
Contraindicated with allergy
cephalosporin or penicillin. Use
cautiously in patients with
history of colitis and those with
renal failure, lactation and
pregnancy.
Side Effect:
Nausea, vomiting, diarrhea,
strange taste in the mouth, or
stomach pain may occur. Diaper
rash may occur in young
children. Dizziness and
drowsiness may occur less
frequently, especially with
higher doses. If any of these
effects last or get worse, tell
your doctor or pharmacist
promptly.
NURSING
RESPONSIBILITIES
 Obtain specimen for culture
and sensiticity test before
giving first dose.
 Maintain aseptic technique
when handling solution.
 Before giving drug ensure
patient isn’t allergic to
penicillin or cephalosporins
 Verify patients identity state
the importance and purpose
of the drug to the patient
 Check the patency of the IV
site and IV line
 If hypersensitivity occurs,
stop the administration
immediately
 Do not stop the therapy
without notifying the
physician
 Document and record to the
chart.