Nursing Case Study

Bronchitis is the inflammation of the mucous membranes of the bronchi, the airways that carry airflow from the trachea into the lungs. The thin mucus lining of these airways can become irritated and swollen; the cells that make up the lining may leak fluids in response to the inflammation. Bronchitis most often occurs during the cold and flu season usually coupled with an upper respiratory infection. Bronchitis can be divided into two categories: acute or chronic each of which has distinct etiologies, pathologies, and therapies. I chose this condition because it seemed like an interesting topic to research on, and I am also interested in learning more

2. A new graduate nurse is working in the pediatric intensive care unit. She has been employed a total of 5 months, 3 of which were spent in orientation. Her patient, a child with a cardiac defect and pneumonia, has a very unstable condition and has needed an increasing amount

4. Keeping your nasal passages open at night with nasal sprays or allergy medicines, if needed.

The diagnosis is hemoptysis due to lesion on the lung. This is coded as 239.1

The patient did have black soot around his nose and mouth. Thats when first responders started manual ventilation's via BVM and 02 at 15 LPM. At this time Medic 1 assumed patient care. Medic 1 assigned first responders to obtaining vitals signs that are stated in the vital section of the report. It was at this time that Medic 1 applied a OPA after first measuring on what size to use. First responders also applied fast patches to the patients right upper chest and left midaxillary line At this time Medic 1 assigned first responders to start chest compressions a 15:2 ratio. Medic 1 at this time started a IO in the patients plateau region of the right leg. The Plateau region is inferior and lateral to the knee cap. At this time Normal Saline bolus was started with a 60 drop per ML set. Medic 1 found the patient to be in a sinus rhythm At this time miscommunication with Medic 1 and first responders happen with chest comparisons started. We then secured the patient on the cot via 4 straps and transported a code red patient to the nearest hospital. While enroute to hospital radio report was given with chief compliant and treatments listed in the appropriate category of the report. Vitals was continued to be taken every 5

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.

2. Patient is experiencing acute pain r/t coughing and deep breathing aeb wheezing in the right and left upper lobes of the lungs.

Notified by the patient. Two patient verifier completed. Per PA Alford the patient was advised that her x-ray result were negative for pnuemonia. Currently the patient states that she is doind much better. She states that sh still has a cough but is improving. The patient denies fever, chill, SOB, and chest pain. Instructed the patient if she starts having this symptom report to the ER. Also instructed the patient if her symptoms worsen please scheudle an apt with her provider. The patient agrees and verbalize

Pt approached staff 2200 stating, she was having a hard time breathing. Pt also stated her tongue was swollen from an allergic reaction. Mild tongue swelling noted. After assessing the patient, she had bilateral audible wheezes and o2 stat at 96%. No s/s of respiratory distress noted. Pt received a nebulizer treatment at 2205 and was fine after tx, stating "my breathing improved." Prn Bendaryl was also given after a swallow evaluation. No further medical complaints. Slept well through the

Since they have an excessive amount of mucus in their lungs, it causes them to not eat and lose a large amount of weight. Today, we have different treatment options pertaining to each individual with the disease. One treatment plan is the airways clearance, where a patient wears an inflatable vest that vibrates the chest area. This helps loosen up the lungs and lowers the mucus count in the lungs. Another form of treatment is vaccination. Cystic Fibrosis opens up a patient to a widespread of infections, since there bodies cannot fight off infections. Giving vaccines that prevent pneumonia or the flu can save the patient from developing these infections. Lastly, prescribing antibiotics and cough medicine. Since the lungs are always filled up with mucus, the patient is always prone to coughing because of all the buildup. Cough medicine will reduce the periods of coughing and clear up some of the mucus built up. This disease is extremely deadly if the right medications and treatment plans are not administered properly.

Intervention for COPD is focused on managing underlying conditions. The goal is to improve airway function. Some strategies include using antibiotics to treat infection, diuretics which reduce pressure on the heart and lungs, some bronchodilators to help expanding the airways, as well as corticosteroids to reduce inflammation, and last in severe cases use of mechanical ventilation can be efficient and effective to keep oxygenation in an optimal level

is Pneumonia. This is based on the patient’s subjective and objective data. The collaborative diagnosis to address this problem is Pneumonia r/t immobilization; r/t pleural effusion, and r/t debilitation (Carpenito, 2013, p. 859-860). The nursing goal for this patient on the day of care is to control and reduce the complication of pneumonia (Carpenito, 2012, p. 860). The nurse will monitor the patient’s respiratory status while assessing for sign and symptoms of infection, and inflammation (Carpenito, 2012, p.

Moisturizing the environment, steam breathing, going through prolonged showers, along with drinking a good amount of fluids are only a several proven do-it-yourself solutions. In order to lessen the actual indications you can utilize prescription drugs for cough suppression.

The nurse’s primary goals were to provide continuous monitoring over patient’s weight, administer prescribed medications and provide teaching on purse lip breathing, using the incentive spirometer and living with COPD. In order

The interventions for pneumonia are as follows. First, the patient must have oxygen administered to increase the blood's oxygenation level and ensure proper oxygenation to the body's organ systems. As the patient is treated with oxygen, she should be encouraged to breath deeply, as oxygen is the best cure of pneumonia. Next, vitals should be consistently monitored and oxygen treatment repeated whenever the oxygenation level drops below 90 percent. Finally, the on-call physician should be notified of the patient's condition so that