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Medical research paper on pneumonia
Medical research paper on pneumonia
Medical research paper on pneumonia
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Pneumonia: Pneumonia is a lung infection caused by bacteria, viruses, or fungi that inflame the air sacs in the lungs and can causes them to fill with fluid or pus. This can cause coughing, a build up of phlegm, difficulty breathing, fever, and chills. It is most serious if infants and young children, people over the age of 65, and those with a low immune system contract it. (Mayo Clinic Staff; Pneumonia definition) If the doctor believes you have pneumonia he may order a chest x-ray to confirm its presence, and to better pinpoint the location in the lung where the disease is most persistent. If possible, lateral chest images should also be performed. A CT scan of the lungs can also be helpful to detect viral pneumonia and is “frequently …show more content…
Chest x-rays do not diagnose pulmonary embolism, but they can be done to rule out conditions that mimic the disease. A Duplex Ultrasonography can also be performed, which sends a high frequency sounds that check for clots. A CT scan can also be done. It is much more detailed than X-ray, because a contrast can be given that outlines the pulmonary arteries, making it easier to find clots. A V/Q Lung scan can also be done. There are two steps to this test. First, a patient will inhale radioactive material while a camera takes pictures as the air moves in and out of your lungs. Next, a small amount of this same radioactive material is injected into a vein in your arm, and pictures are taken as the blood flows into your lungs. The doctor compares these two tests, which helps form a diagnosis. The most accurate way to find a pulmonary embolus is to perform a pulmonary angiogram. A catheter is inserted into your groin into a large vein, and is then threaded through your body until it reaches the pulmonary arteries. A special dye then enters the catheter, and X-rays are taken of the traveling dye. (Mayo Clinic Staff, Pulmonary Embolism) My grandpa actually had this test done when he started having chest pain on his daily walks. Even though it is considered a high-risk procedure, it saved his life. From the test, they determined that he had 95% blockage. As I watched the angiogram, no dye was traveling past his clot. We …show more content…
It is most common in children between 3 months to 6 years because their trachea is small at this age; therefore there is more of a risk of swelling. The infection causes swelling and many secretions in the larynx, trachea, and bronchioles of the lungs. As a result, difficulty breathing occurs and a dried out deep cough begins. Imaging is not essential for diagnosing croup, however, Radiographers will take anterior and lateral x-rays of the neck. This is used to rule out other illnesses such as, foreign bodies, abscesses, epiglottitis, and other possibilities. In some cases where croup is recurrent, patients may need a bronchoscopy or endoscopy to determine why it is reoccurring. (Desai) Croup is normally diagnosed based on clinical assessments. Respiratory Therapists will look at the “respiratory status and rate, retraction, stridor, heart rate, and sometimes pulse oximetry to test the severity of the disease.” (Zoorob) Most of the treatments are self-care, but in some cases a respiratory therapist is needed to perform them. They may administer oxygen when the patient is hypoxic. They may also use humidification therapy, which helps to break up the secretions caused by croup, and make them thinner. They may also administer nebulized epinephrine. In extreme cases, a breathing tube may be needed.
Additionally, some of the general diagnostic and pulmonary function tests are distinct in emphysema in comparison to chronic bronchitis. In the case of R.S. the arterial blood gas (ABG) values are the following: pH=7.32, PaCO2= 60mm Hg, PaO2= 50 mm Hg, HCO3- = 80mEq/L. R.S.’s laboratory findings are indicative of chronic bronchitis, where the pH and PaO2 are decreased, whereas PaCO2 and HCO3- are increased, when compare to normal indices. Based on the arterial blood gas evaluation, the physician can deduce that the increased carbon dioxide is due to the airway obstruction displayed by the hypoventilation. Furthermore the excessive mucus production in chronic bronchitis hinders proper oxygenation leading to the hypoxia. On the other hand, in emphysema the arterial blood gas values would include a low to normal PaCO2 and only a slight decrease in PaO2 which tend to occur in the later disease stages.
A cardiac assessment: Listen to heart sounds listening for extra heart sounds, fast heartbeat, and monitor EKG looking for dysthymias. Assess vitals especially BP, BP should be kept low in heart failure patients to put less stress on the heart. Assess the patient for edema as a result of fluid retention. Listen for crackles in the lungs due to fluid built up. Watch I&O’s and weight the patient to assess for edema, ask about activity intolerance. Assess for changes in mental status, cool extremities, pale or cyanotic, fatigue, and JVD (Indications of poor perfusion) (Ignatavicius &Workman, p.756).
My disease is Streptococcal pneumonia or pneumonia is caused by the pathogen Streptococcus pneumoniae. Streptococcus pneumoniae is present in human’s normal flora, which normally doesn’t cause any problems or diseases. Sometimes though when the numbers get too low it can cause diseases or upper respiratory tract problems or infections (Todar, 2008-2012). Pneumonia caused by this pathogen has four stages. The first one is where the lungs fill with fluid. The second stage causes neutrophils and red blood cells to come to the area which are attracted by the pathogen. The third stage has the neutrophils stuffed into the alveoli in the lungs causing little bacteria to be left over. The fourth stage of this disease the remaining residue in the lungs are take out by the macrophages. Aside from these steps pneumonia follows, if the disease should persist further, it can get into the blood causing a systemic reaction resulting in the whole body being affected (Ballough). Some signs and symptoms of this disease are, “fever, malaise, cough, pleuritic chest pain, purulent or blood-tinged sputum” (Henry, 2013). Streptococcal pneumonia is spread through person-to-person contact through aerosol droplets affecting the respiratory tract causing it to get into the human body (Henry, 2013).
Second is pneumonia, which is a lung inflammation, may also cause short of breath and a cough. An infection is usually the caused of the disease so, so you will need to take antibiotics. If you have chronic obstructive pulmonary disease (COPD), it is likely your breathlessness is a sign this condition has suddenly got worse. (Manning & Mahler, 2001)
Hinkle, Janice, and Kerry Cheever. “Management of Patients with Chronic Pulmonary Disease." Textbook of Medical-Surgical Nursing, 13th Ed. Philadelphia: Lisa McAllister, 2013. 619-630. Print.
Hospital-acquired infections (HAI) are preventable and pose a threat to hospitals and patients; increasing the cost, nominally and physically, for both. Pneumonia makes up approximately 15% of all HAI and is the leading cause of nosocomial deaths. Pneumonia is most frequently caused by bacterial microorganisms reaching the lungs by way of aspiration, inhalation or the hematogenous spread of a primary infection. There are two categories of Hospital-Acquired Pneumonia (HAP); Health-Care Associated Pneumonia (HCAP) and Ventilator-associated pneumonia (VAP).
In order to determine if a person has bacterial meningitis blood and cerebrospinal fluid are collected and analyzed by a laboratory. Once it is confirmed that bacteria are present they are then cultured to determine what type of bacteria are present. This lets doctors know how to treat the disease.
Sepsis is defined as a systemic inflammatory response caused by an infective process such as viral, bacterial or fungal (Holling, 2011). Assessment on a patient and starting treatment for sepsis is based on identifying several factors including the infective source, antibiotic administration and fluid replacement (Bailey, 2013). Because time is critical any delay in identifying patients with sepsis will have a negatively affect the patients’ outcome. Many studies have concluded every hour in delay of treatment mortality is increased by 7% (Bailey, 2013). Within this assignment I will briefly discuss the previous practice and the recent practice including the study based on sepsis. I will show what enabled practice to change and I will use the two comparisons of current practice and best practice.
Imaging tests. Imaging tests usually aren’t necessary, but in some instances, especially when no evidence of infection is found, They may be helpful. For example, an X-ray or ultrasound may help out other potential causes inflammation, such as a tumor or structure
Ascertaining the adequacy of gaseous exchange is the major purpose of the respiratory assessment. The components of respiratory assessment comprises of rate, rhythm, quality of breathing, degree of effort, cough, skin colour, deformities and mental status (Moore, 2007). RR is a primary indicator among other components that assists health professionals to record the baseline findings of current ventilatory functions and to identify physiological respiratory deterioration. For instance, increased RR (tachypnoea) and tidal volume indicate the body’s attempt to correct hypoxaemia and hypercapnia (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). The inclusive use of a respiratory assessment on a patient could lead to numerous potential benefits. Firstly, initial findings of respiratory assessment reveals baseline data of patient’s respiratory functions. Secondly, if the patient is on respiratory medication such as salbutamol and ipratropium bromide, the respiratory assessment enables nurses to measure the effectiveness of medications and patient’s compliance towards those medications (Cretikos, Bellomo, Hillman, Chen, Finfer, & Flabouris, 2008). Thirdly, it facilitates early identification of respiratory complications and it has the potential to reduce the risk of significant clinical
Asthma is a disease that currently has no cure and can only be controlled and managed through different treatment methods. If asthma is treated well it can prevent the flare up of symptoms such as coughing, diminish the dependence on quick relief medication, and help to minimize asthma attacks. One of the key factors to successful treatment of asthma is the creation of an asthma action plan with the help of a doctor that outlines medications and other tasks to help control the patient’s asthma ("How Is Asthma Treated and Controlled?"). The amount of treatment changes based on the severity of the asthma when it is first diagnosed and may be the dosage may be increased or decreased depending on how under control the patient’s asthma is. One of the main ways that asthma can be controlled is by becoming aware of the things that trigger attacks. For instance staying away from allergens such as pollen, animal fur, and air pollution can help minimize and manage the symptoms associated with asthma. Also if it is not possible to avoid the allergens that cause a patient’s asthma to flare up, they may need to see an allergist. These health professionals can help diagnosis what may need to be done in other forms of treatment such as allergy shots that can help decrease the severity of the asthma ("How Is Asthma Treated and Controlled?").
Pneumonia can also become a hospital acquired infection. Ventilator-associated pneumonia is a type of lung infection that occurs in a person who has been on a ventilator.... ... middle of paper ... ...
Nursing Diagnosis I for Patient R.M. is ineffective airway clearance related to retained secretions. This is evidenced by a weak unproductive cough and by both objective and subjective data. Objective data includes diagnosis of pneumonia, functional decline, and dyspnea. Subjective data include the patient’s complaints of feeling short of breath, even with assistance with basic ADLs. This is a crucial nursing diagnosis as pneumonia is a serious condition that is the eighth leading cause of death in the United States and the number one cause of death from infectious diseases (Lemon, & Burke, 2011). It is vital to keep the airway clear of the mucus that may be produced from the inflammatory response of pneumonia. This care plan is increasingly important because of R.M.'s state of functional decline; he is unable to perform ADL and to elicit a strong cough by himself due to his slouched posture. Respiratory infections and in this case, pneumonia, will further impair the airway (Lemon, & Burke, 2011). Because of the combination of pneumonia and R.M's other diagnoses of lifelong asthma, it is imperative that the nursing care plan of ineffective airway clearance be carried out. The first goal of this care plan was to have the patient breathe deeply and cough to remove secretions. It is important that the nurse help the patient deep breathe in an upright position; this is the best position for chest expansion, which promotes expansion and ventilation of all lung fields (Sparks and Taylor, 2011). It is also important the nurse teach the patient an easily performed cough technique and help mobilize the patient with ADL's. This helps the patient learn to cough and clear their airways without fatigue (Sparks a...
The swine influenza or swine flu is a respiratory disease in pigs that is caused by the type A influenza viruses. These viruses are referred to as swine flu viruses but scientifically the main virus is called the swine triple reassortant (tr) H1N1 influenza virus. When the viruses infect humans they are called variant viruses. This infection has been caused in humans mainly by the H1N1v virus in the United States. The H1N1 virus originates in animals due to improper conditions and the food they ingest. The virus stays in latency form, thus harmless to the respective animal. The longer the animals survive the more likely the virus is to develop and strengthen making it immune to vaccines. The virus reproduced through the lytic cycle. The virus injects its own nucleic acids into a host cell and then they form a circle in the center of the cell. Rather than copying its own nucleic acids, the cell will copy the viral acids. The copies of viral acids then organize themselves as viruses inside of the cell. The membrane will eventually split leaving the viruses free to infect other cells.
A nursing diagnosis is not the equivalent of a medical diagnosis; however, a nursing diagnosis can be used to formulate an intervention for the patient. A nursing diagnosis includes stating the problem, the cause, and signs and symptoms seen in the patient. For example, a patient may have been given the medical diagnosis of COPD (Chronic Obstructive Pulmonary Disease), but this cannot be given as a nursing diagnosis. The proper nursing diagnosis would be: Ineffective airway clearance, related to excessive thick secretions as evidenced by coughing, gagging, and mucous. This type of diagnosis tells of an issue the nurse can solve or treat themselves using their own knowledge of the