Nursing Case Study

3360 Words Nov 11th, 2012 14 Pages
Introduction of case study
My case study done at ward 3(female ward), Hospital T and the title is bronchopneumonia, I choose this title because that is often occur at the ward.
Patient L is a 14 years old Chinese girls and she came to hospital complaint of cough with greenish sputum as long as 2 weeks, she had fever at home and complaint of chest pain. She came from A&E admitted at ward 3 at 30/4/2012 (Monday), 3.35pm accompanied with PPK. She admitted at the ward 3 as long as 5 days and she discharge at 4/5/2012 (Friday), 10.20am.
Patient L was diagnosed as bronchopneumonia. Bronchopneumonia also known as bronchial pneumonia and catarrhal pneumonia and it is an acute inflammation of the lungs and bronchioles. It is characterized
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* Oxygen therapy. * Breathing treatments (possibly). * Don 't miss any doses of antibiotic, even if start to feel better. * Breathing warm, moist (wet) air helps loosen the sticky mucus (Place a warm, wet washcloth loosely over nose and mouth). * Teaching deep breathing exercise (can help to open the lung to loosen and cough out the mucus). * Perform chest physiotherapy (help to bring up mucus from the lung). * Get plenty of rest. Getting enough sleep will give our body the strength it needs to fight the illness. * Drink several glasses of water a day. Fluids help thin and loosen up the mucus in the lungs and throat. * Eat a balanced diet so the body can work its best and heal quickly.

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complication * Acute respiratory distress syndrome (ARDS) * Pleural effusion (Fluid around the lung) * Lung abscesses * Respiratory failure (which requires a breathing machine or ventilator) * Sepsis, which may lead to organ failure * Congestive heart failure * Peripheral thrombophlebitis

Nursing progress note day 1 (30/4/2012, Monday) [admitted day]
4pm- New case patient came from A&E at 3.35pm accompanied with PPK admitted in ward 3 (female ward). She was seen by doctor N at A&E and the doctor plan the 6 hourly nebulizer AVN, IV Augmentin 1.2g stat after that three times a day, tablet EES

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