ABG values are as follows: pH 7.47, PaCO2 29, PaO2 49. Assigment #1: Concept Map for the Older Adult by Brooke Welsch 1. This lesson is part of the NURSING.com Nursing Student Academy. The nurse caring for a client with pneumonia notes an order for “turn, cough and deep breathe”. It can cause breathing problems and other symptoms. Anesthesia or medicationadministration 3. Our desired outcome for evaluation is that the patient’s gas exchange will improve as evidenced by normal pulse ox levels. The nurse is caring for an 85-year-old adult admitted to the hospital for pneumonia. Pneumonia is an inflammation of the lung parenchyma caused by various microorganisms, including bacteria, mycobacteria, fungi, and viruses. Which of the following care plans should the nurse implement? In community-acquired pneumonia (CAP), you get infected in a community setting. Here are some factors that may be related to Risk for Aspiration: 1. Advance your CRITICAL THINKING skills as the nurse educators take you through all of the concept maps!NOTE TO EDUCATORS: Students can be assigned to a primary diagnosis and make connections between contributing factors, patient education, labs, and nursing diagnoses with interventions. Chapter 32: Oxygenation. The blood cultures were drawn before the patient started on the antibiotics, and they are currently pending. Most of the time, the alveolar macrophage phagocytizes and kills the microorganisms that reach the alveolar space. Pneumonitis is a more general term that describes the inflammatory process in the lung tissue that may … COURSE OF ILLNESS: Following a chest x-ray PA viewand Lateralwhich revealed an acute pneumonia in the right middle lobe, the patient was treated with antibiotics as an outpatient. That Time I Dropped Out of Nursing School. This explains why even thoug… Becoming ill led this patient to be inactive and take less strong breaths, which lead to pneumonia. Diagnostic Testing 38. Depressed coughor gag reflex 6. Feel Like You Don’t Belong in Nursing School? Patients who acquire VAP have higher mortality rates and longer ICU and hospital stays. Year of Yes: How to Dance It Out, Stand In the Sun and Be Your Own Person, Shoe Dog: A Memoir by the Creator of Nike, No More Mr. Nice Guy: A Proven Plan for Getting What You Want in Love, Sex and Life, Midnight in Chernobyl: The Story of the World's Greatest Nuclear Disaster. This type of pneumonia can occur on its own or after you've had a cold or the flu. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. (Cheat Sheet), Labs AHRQ booklet Concept Map: The Client Experiencing Anxiety. 1.1.1.1. The nurse is caring for a client with pneumonia. Our nursing interventions include monitoring temperature for fevers, encouraging deep breathing, and assisting with oral hygiene. The last nursing diagnosis is ineffective airway clearance. 1.4 Infectious Pneumonia 1.4.1 bacteria, viruses, mycoplasmas, fungi, rickettsiae, protozoa and worms 1.4.1.1 lobar pneumonia: infection in one or more of the lungs typically caused by streptococcal infection. Bacteria is then able to multiply causing inflammation and impaired gas exchange. The endogenous sources of microorganisms are nasal carriers, sinusitis, oropharynx, gastric, … Exposure to noxious chemical 4. Rich Dad Poor Dad: What The Rich Teach Their Kids About Money - That the Poor and Middle Class Do Not! A nurse is caring for a client who is admitted for pneumonia and sepsis. Ventilator-associated pneumonia (VAP) is a significant nosocomial infection that is associated with endotracheal intubation and mechanical ventilation. Increased gastric residual 10. Oxygen level is 83 % on room air. Common Age Related Changes. (Cheat Sheet), Concept Map Template Pneumonia is where fluid or pus is trapped in the alveoli of the lungs. Concept Map- Pneumonia.docx. Data sources include IBM Watson Micromedex (updated 3 Mar 2021), Cerner Multum™ (updated 1 Mar 2021), … Recite: Cover the note-taking column with a sheet of paper. Medications Used to Treat Our desired outcome for evaluation is that the patient will show no signs of worsening infection. Desired Outcomes: Be free of symptoms of respiratory distress, white sputum, respiration rate between 22-32 by discharge. Sources and references for this study guide for Methicillin-Resistant Staphylococcus aureus (MRSA): Black, J. M., & Hawks, J. H. (2005). Nursing Care Plans. The sputum culture is pending, but if a specific bacteria is grown, the doctor will be able to prescribe a specific antibiotic to treat it. The next nursing diagnosis is an impaired gas exchange from the fluid in the alveoli. Pneumonia is where fluid or pus is trapped in the alveoli of the lungs. Community-acquired pneumonia is the most common type of pneumonia. What principle are they based on? The nursing interventions include encouraging coughing, auscultating lung sounds, administering decongestants as ordered, and assessing the patient’s need for nebulizer treatments. The Good Egg Presents: The Great Eggscape! Chapter 33: Fluids and Electrolytes. 1. Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in the ICU. All references to such names or trademarks not owned by NRSNG, LLC or TazKai, LLC are solely for identification purposes and not an indication of affiliation. Chapter 25: Loss and Grief. We love you guys! Pennsylvania College of Health Sciences. Hey guys! 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. The patient’s white blood cells are high because their body is trying to fight infection. Our nursing interventions include monitoring pulse oximetry levels, administering oxygen as needed, and placing the patient in high fowler’s position to help with breathing. Respiratory System 1.1. Pneumonia is a type of lung infection. Vital signs reflect the following: O2 81% on 5 LPM NC, BP 145/84, Pulse 110, RR 28. Pennsylvania College of Health Sciences • NUR 211. (Cheat Sheet), Adult Vital Signs Pneumococcal & influenza vaccinations are important. The most common pathway for the microbial agent to reach the alveoli is by microaspiration of oropharyngeal secretions. A post-treatment (follow up) chest x-ray reveals a right hilar mass. The nurse is reviewing orders and knows to implement which of the following prior to hanging antibiotics? It occurs outside of hospitals or other health care facilities. Medical-surgical nursing. View Pneumonia Concept Map.docx from MED SURGIC 324 at Chamberlain College of Nursing. (Care Plans), 01.01 Coronary Artery Disease Concept Map, 01.06 Gastrointestinal (GI) Bleed Concept Map, 01.07 Congestive Heart Failure Concept Map. Because there are other potential causes of fever, leukocytosis, and pulmonary infiltrates, clinical diagnostic criteria are overly sensitive in the diagnosis of VAP. Which of the following is a desired outcome of this intervention? Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. The most common cause of bacterial pneumonia in the U.S. is Streptococcus pneumoniae. First, let’s review a quick patho on pneumonia. 1.1.1. 1.2.3.2. Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences. Here is a clean picture of our pneumonia concept map. View more. Once microorganisms reach the alveolar space, they cause pneumonia by overcoming the last defense mechanism of the lung, the alveolar macrophage. Study on the go. Decreased gastrointestinal motility 4. For more information, visit www.nursing.com/cornell. Ventilation-perfusion imbalance Pathophysiologic Related to excessive or thick secretions secondary to: 1. It doesn’t happen in a hospital, nursing home, or other healthcare center. Reduced cough & laryngeal reflexes. During the 10 days of treatment the patient's fever abated and he felt somewhat better. Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. outline symbol collection - pneumonia stock illustrations Haemophilus influenzaetype b (Hib) – the second most common cause of bacterial pneumonia; 3. respiratory syncytial virus is the most common viral cause of pneumonia; 4. in infants infected with HIV, Pneumocystis jiroveci is one of the most common causes of pneumonia, responsible … Let’s take a look at the concept map for our patient with pneumonia. Hospital-acquired pneumonia (HAP) or nosocomial pneumonia refers to any pneumonia contracted by a patient in a hospital at least 48–72 hours after being admitted. This course has concept map examples that you can use to MAKE CONNECTIONS between risk factors, medications, patient education, and nursing interventions. Septic shock describes a catastrophic situation where infection overwhelms the body's immune system and potentially causes organ failure and death. Kalil AC, Metersky ML, Klompas M, et al. These are both antibiotics to fight the infection in the lungs. 1. Patient presented with decreased LOC, shortness of breath and dyspnea Patient presented with tachypnea. 100% found this document useful (3 votes), 100% found this document useful, Mark this document as useful, 0% found this document not useful, Mark this document as not useful. Drug or alcohol intoxication 7. Risk factors 40. Antibiotics Bacteria Pneumonia • Antibiotics Can cause History of Concept Mapping • Developed by Joseph D. Novak at The risk factors that lead to this diagnosis include the lack of hand hygiene and exposure to sick people. Coronavirus 2019 (COVID-19) is a disease caused by a new strain of coronavirus called severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that can cause symptoms from common cold to more severe disease such as pneumonia and eventually it may lead to death especially those in vulnerable groups such as the elderly, the very young, and people with an underlying chronic health condition. Community Acquired Pneumonia Hospital-acquired pneumonia (HAP) is an acute lower respiratory tract infection that is by definition acquired at least 48 hours after admission to the hospital and is not incubating at the time of admission. Start a trial to view the entire video. How can I apply them? Presence of gastrointestinal tubes 11. What’s beyond them? In this lesson we will discuss a concept map on our patient with pneumonia. Pneumonia indicates an inflammatory process of the lung parenchyma caused by a microbial agent. A private room and BSI, along with good hand washing techniques, are the best defense against the spread of MRSA pneumonia. At NURSING.com, we believe Black Lives Matter ✊, No Human Is Illegal , Love Is Love ️‍, Women's Rights Are Human Rights , Science Is Real , Water Is Life , Injustice Anywhere Is A Threat To Justice Everywhere ☮️. Concept Map: The Client with Pneumonia. The nurse checks the nasal cannula and flowmeter, confirming a rate of 5LPM per nasal cannula (FiO2 40%). References. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. What is this client’s P/F ratio? DOCX, PDF, TXT or read online from Scribd, Crush It! Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words. They will show us if the infection has spread into the blood, leading to sepsis. Concept Map: The Client with Deficient Fluid Volume. Go out and be your best self today! Pneumonia Care concept map … Also, the writing of questions sets up a perfect stage for exam-studying later. Pneumonia is one of the most common respiratory problems and it affects all stages of life. 1.1.2. Pneumonia Care Concept Map NUR 101 - Free download as Word Doc (.doc / .docx), PDF File (.pdf), Text File (.txt) or read online for free. : Why Now Is the Time to Cash in on Your Passion, Rich Dad's Cashflow Quadrant: Guide to Financial Freedom. 1.2.3.1. First, let’s review a quick patho on pneumonia. Cardiac or pulmonary disease 3. Pneumonia Pathochart Allergy 2. Nursing Diagnosis Concept Map: The Client with Excess Fluid Volume. Upon assessment, the nurse notes crackles in the lungs. And as always, Happy Nursing! It is characterized primarily by inflammation o alveoli in the lungs or by alveoli that are filled with fluid. Inflammation Smoking Related to immobility, stasis of … Elsevier Saunders,. Pneumonia. In this lesson on a pneumonia concept map, we will cover risk factors and education, labs and meds, along with nursing diagnoses, interventions, and evaluation. In this lesson on a pneumonia concept map, we will cover risk factors and education, labs and meds, along with nursing diagnoses, interventions, and evaluation. Additional Nursing Interventions: Auscultate lung fields every 1-3 hours Auscultate lung sounds every 1-3 hours Incentive Spirometer "A 'back to basics' approach to nursing care can help to prevent unnecessary complications during hospitalization." You can edit this template and create your own diagram.Creately diagrams can be exported and added to Word, PPT (powerpoint), Excel, Visio or any other document. Presence of tracheostomyor endotracheal tube 1… Our first nursing diagnosis is risk of infection. The desired outcome for evaluation is effective airway clearance evidenced by clear auscultation of lung sounds. Alveolar-capillary membrane changes 4. scientist (doctor, biochemist) holding a big syringe, concept about a vaccine for new virus and coronavirus - pneumonia stock illustrations simple set of allergy and basic allergens related vector line icons. Concept Map- Pneumonia.docx. Pneumonia is caused by a number of infectious agents, including viruses, bacteria and fungi. Delayed gastric emptying 5. The client with scleroderma in the vagina is admitted to the hospital for pneumonia. How do they fit in with what I already know? Viral pneumonia is an infection of your lungs caused by a virus. 2. 1. Which of the following is an expected finding for a client of this age? Facial, oral, or neck surgery or trauma 8. 89 year old woman with hx of COPD -> weakened pulmonary system -> bacterial infiltrates -> pneumonia -> decreased LOC Nursing Diagnosis #1 Start studying Pneumonia Concept Map. Infection 5. (Cheat Sheet), Pneumonia It may be caused by: Bacteria. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Review: Spend at least ten minutes every week reviewing all your previous notes. Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? Method for Mastering Nursing Pharmacology, 39 Things Every Nursing Student Needs Before Starting School, Blood cultures -> if positive, sepsis precautions, Risk of infection -> no signs of worsening infection, Impaired gas exchange -> normal pulse oximetry levels, Ineffective airway clearance -> effective airway clearance, Gas exchange -> impaired by the fluid/pus in alveoli, Oxygenation -> decreased due to the impaired gas exchange, Infection control -> to prevent further infections such as worsening pneumonia or sepsis. Assess need for suction. Altered oxygen supply 2. A Mini Concept Map Pneumonia Bacteria Antibiotics Caused by Variations on a Theme Bacteria Pneumonia Can cause By reversing the arrows, changing the linking words, and adding color, the focus and emphasis changes. Advanced age 2. The most common cause of community acquired pneumonia is the aspiration of oral contents during sleep, as well as inhalation of droplets, another main cause would be bloodstream infections 37. This concept map not only encourages clinical judgment but is designed to fit the client needs categories using one of the major integrated processes … Altered oxygen-carrying capacity of blood 3. Streptococcus pneumoniae– the most common cause of bacterial pneumonia in children; 2. Diagnosis Sputum Culture to determine type of infection Chest X-Ray Community Aquired Pneumonia Acute infection in the lungs in patients who have not been Hospital Pneumonia Concept Map Pneumonia is an infection of one or both lungs, and is typically caused by bacteria, viruses, fungi, or parasites. Use PDF export for high quality prints and SVG export for large sharp images or embed your diagrams anywhere with the Creately viewer. We will educate our patient to practice good hand hygiene and avoid sick people. The client appears breathless and asks if his oxygen is turned on. NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way. Etiology/Pathophysiology: Pneumonia is the inflammation of lung … Demonstrate improved ventilation and adequate oxygenation of tissues by maintaining a SatO2 of 90% or higher in room air by discharge. Nursing interventions 39. Respiratory diseases are rampant today because it is easier spread in crowded areas. This Concept Map, created with IHMC CmapTools, has information related to: NUR 421_CONCEPT MAP PROJECT_CHF, Medical Diagnosis Congestive Heart Failure (CHF) results in Musculoskeletal -bedridden clients will experience hypotension, orthopnea, and decreased activity tolerance -decreased mobility due to unsteady gait, dyspnea, and fatigue - decreased elasticity of … If you do, you’ll retain a great deal for current use, as well as, for the exam. The development of pneumonia requires that a pathogen reach the alveoli and that the host defenses are overwhelmed by microorganism virulence or by the inoculum size. Limited information is available t… Our patient has a lot of gunk in their lungs that they need to get out to improve that gas exchange and decrease the growth of infection in the lungs. Select all that apply. 36.2. Impaired swallowing 9. Concept Map: Sepsis Related to Pneumonia NURSING DIAGNOSIS PATHOPHYSIOLOGY OF SEPSIS PATHOPHYSIOLOGY OF PNEUMONIA PATHOPHYSIOLOGY OF PATIENT'S SYMPTOMS Pneumonia is an acute inflammation of the lung tissues caused by pathogenic organisms.Inflammation in … The doctor ordered azithromycin 500 mg IV and ceftriaxone 1 gm IV. The most common are: 1. The most common cause is the flu, but you can also get viral pneumonia from the … Concept Map: The Terminally Ill Client with Lung Cancer. Here are some factors that may be related to Impaired Gas Exchange: 1. NUR 211.