Case Study Of Pneumonia

| This is important because we need to look at the relevant data and realize that she seems to be in distress and first take care of that. Also realize that she seems to have an infection. With this information we are able to prioritize

2. What is the rationale for treating KH with an ACE inhibitor? What is the mechanism of action? What part of the blood pressure formula do they affect? The prescribed of medications are also ethnicity needs to take because some of the medications works better some of the groups ethnicity than other people. It is an angiotensin II of vasoconstrictor that elevates of B/P angiotensin II are also formed of angiotensin 1in the bloods enzyme and enzyme can cover ACE and interfere activity of enzyme of ACE because it decreases the angiotensin II. Most of all if he has vasodilation and blood pressure is reduces.

The purpose of this document is a critical study and analysis of the oral care provided by nursing staff as part of the Ventilator Care Bundle (VCB) and to assess whether the frequency of mouth care performed is related to the prevention of Ventilator Associated Pneumonia (VAP) in patients mechanically ventilated (Zilberberg et al. 2009).

Both rapid, shallow breathing patterns and hypoventilation effect gas exchange. Arterial blood gases will be monitored and changes discussed with provider. Alteration in PaCO2 and PaO2 levels are signs of respiratory failure. Patient’s body position will be properly aligned for optimum respiratory excursion, this promotes lung expansion and improved air exchange. Patient will be suctioned as needed to clear secretions and maintain patent airways. The expected outcome is that the patient’s airway and gas exchange will be maintained as evidence by normal arterial blood gases (Herdman,

This paper explores Pneumonia and the respiratory disease process associated with bacterial and viral pathogens most commonly located in the lung. The paper examines the process, symptoms and treatments most commonly viewed in patient cases of Pneumonia. My goal is to educate the reader and to warn of the

Another follow up ABG at 0100 shows a small improvement on the Ph to 7.18, the Pco2 became more acidotic moved to 53, the Po2 improved to 77 which shows he is oxygenating better but still hypoxic, his Hco3 acidosis is improving at a change to 19.8, and sating 91% now. The Pt is now breathing at a rate has come down to 10 BPM on his own above and beyond the vent. After consulting with the physician we changed the Vt to 600 and the pressure support to 20 and Cpap to 15. The Pt continued on these settings till 0415. The physician then made the change to Bi-level with the settings of a rate of 14 pressure support of 25, and an H/L pressure of 35/15. The Pt at this time is pulling a Vt of 745 and a spontaneous rate of 17 and still at 100% Fio2 and sating 92%. This is the point when the Pt makes the turn. The Bi-level or APRV was the proper setting for this Pt. He continued to improve over the next several days with his peek pressure climbing to 40. The Pt continues these settings and slowly improves and eventually weaned from the ventilator till the Pt no longer needs support.

The most serious health problem that the client has is impaired gas exchange. According to Sue Galanes (2007), impaired gas exchange is result from the balance between ventilation and perfusion is offset by a certain condition which affects the efficiency of the gas exchange. On account of client has congestive heart failure that can contribute to dyspnea, which means the efficiency of gas exchange is decreased. One of the significant defining characteristics of impaired gas exchange is dyspnea (Sabtu, 03 Agustus 2013). In addition, it was hard for the patient to talk in long sentence due to difficulty in breathing. Hence, impaired gas exchange is one of the health problems that the client suffered from. In regards of O2 is the basic element that all of cells and organs need, it can be considered as a fuel of human body. Therefore, impaired gas exchange is the most severe health problem the patient has currently.

HPI: Pt presents with c/o increased SOB that has worsen over the last few months. Chronic cough that is occasionally productive with whitish sputum. Hinders his ADLs.

(2013), factors involved in the development of VAP among surgical cardiac patients seeking care in a cardiothoracic intensive care unit (CVICU) and the effectiveness of additional VAP prevention intervention methods were explored. The study was conducted at a tertiary care center located within a large and diverse community where many cardiac surgical procedures are performed annually. In the pre-study, researchers attempted to identify specific characteristics of 23 patients who had developed VAP by matching these patients with 23 patients who did not develop VAP. These patients were matched according to their age, gender, type of surgery, surgery year, and additive euroSCORE (score assigned to indicate the risk of mortality following cardiac surgery). During this pre-study period, the standard VAP bundle recommended by the CDC was being implemented, which consisted of head of bed elevation >30°, spontaneous breathing trials, hand hygiene, oral care, and sanitizing equipment between every patient. Halpin et al. (2013) found that patients who developed VAP in the CVICU also experienced prolonged ventilator use, greater postoperative renal failure, a higher number of operative deaths, and received significantly more postoperative blood products than those patients who did not develop VAP. In addition to their pre-study findings, Halpin et al. (2013) conducted a post-intervention study whereby seven VAP

Ventilator-associated pneumonia is a bacterial infection that occurs in the lower respiratory system within the first 48 hours of endotrachal intubation (Lewis, Dirksen, Heitkemper, Bucher, & Camera, 2011). Although any hospital patient is susceptible to pneumonia, ventilator dependent patients are at the highest risk of acquiring pneumonia. The purpose of this paper is to identify the risk factors, incidences, and preventions of ventilator-associated pneumonia (VAP) using a quantitative research study performed in Malaysia. “The aim of this

Mr. Bishop is here for routine followup of his chronic illness. He is treated with Alvesco 160 mcg two puffs twice daily, Atrovent two puffs three times daily and Ventolin as needed for his COPD. He reports good compliance and uses these inhalers as prescribed. He generally uses his Ventolin with exercise. He reports that he is running 1-2 miles a day and also doing a step tape daily and reports good exercise tolerance. He does not wake at night coughing or feeling short of breath. For his hypertension, he takes hydrochlorothiazide 25 mg, and amlodipine 5 mg, and simvastatin 20 mg for his hyperlipidemia. He takes these as prescribed and denies any side effects. He denies

The various factors that increase a patient’s susceptibility to VAP are discussed by Cook et al.(1998).

Usuallyinsevereexacerbationof COPD,itisdifficult to perform respiratory function mainly because of inability and lack of cooperation by the patient,on the otherhandthereisnowaytoestimatehowlongattacks persist,or how long it is necessary to resuscitate.Some studies had showed a relationship between severity of disease and blood phosphorus levels (9). The lower phosphorus blood levels are, the more serious the disease is, however it is not clear enough if COPD patientsonrespiratoryventilationandwithhypophosphatemia need prolonged ventilation, this is the first study that showed a link between COPD and P. Abnormalities in serum phosphate levels are more prevalentincertainsubsetsof patients,suchaspatients with diabetic ketoacidosis, alcoholism, malignancies and renal failure. Multiple factors, including nutritional intake, medications, renal and intestinal excretion and cellular redistributions, are potential causes. Theclinicalmanifestationsof mildhypophosphatemia are typically minor and non-specific (myalgias, weakness, anorexia). However, when imbalance is severe, critical complications may occur such as tetany, seizures, coma, rhabdomyolysis, respiratory failure and ventricular tachycardia. Although hypophosphatemia has been only occasionally implicated as a cause of respiratory failure, its impact on respiratory muscle functioning in patients hospitalised for other reasons

is currently the second most common nosocomial infection in the United States and is associated with high mortality and morbidity (Seymann, 2008). This paper is a case study of a 52 year old female who was in the hospital for a scheduled gastric bypass surgery. During a post-op test she aspirated dye thus beginning the process of her developing nosocomial pneumonia. The patient was discharged only to return to the emergency department the following day presenting with signs and symptoms of pneumonia. This paper will discuss her diagnosis, treatment, risk factors, nursing care, socioeconomic influences, and diagnostic

This is a case of a 74 year old woman who was diagnosed with Community Acquired Pneumonia.