NURSING MANAGEMENT IDEAL

Advised patient to position child on moderate high back rest Tap patients chest gently a few times daily Encourage patient to drink plenty of fluids 6-10 cups/day Encourage patient to get plenty of rest Advise parent to maintain proper hygiene and maintain proper hand washing Do TSB once febrile Administer antibiotics as prescribed Advised patient to take deep breaths Regulate patients intravenous fluids at appropriate rate Monitor clients V/S every hour

ACTUAL
Ineffective airway clearance related to retained secretions

MEDICAL MANAGEMENT IDEAL

Administration of the appropriate antibiotic as determined by the results of the Gram Stain Hydration is necessary part of therapy because fever and tachypnea may result insensible fliud loss Antipyretics for fever Antitussive medications may be used for the associated cough Warm, moist inhalations may be used and helpful in relieving bronchial irritation Patient is placed on bed rest until the infection shows signs of clearing The patient is observed carefully until clinical condition improves.

ACTUAL
Given Ampicillin(Altozin) 250 mg q 6 hours ANST (-) Encouraged patient on sips of water as tolerated Given Paracetamol 100mg/mL 1.0 mL q 4 hours Paracetamol with salbutamol(Bionelo) 1 neb q 8 hours Encouraged to perform chest tapping every after nebulization Advised patient to position child on moderate high back rest and to feed with aspiration precautions