The patient, an infant, presented with dyspnea and tachycardia due to an infection causing impaired gas exchange. The mother reported difficulty breathing due to coughing. The plan is for 4 hours of nursing interventions including assessments, monitoring, treatments and isolation precautions to resolve the current infection without complications. Interventions are aimed at clearing secretions, reducing fever and supporting oxygen exchange across the alveolar membrane. The goal is timely resolution of symptoms within 48 hours through antimicrobial therapy and nursing care.
The patient, an infant, presented with dyspnea and tachycardia due to an infection causing impaired gas exchange. The mother reported difficulty breathing due to coughing. The plan is for 4 hours of nursing interventions including assessments, monitoring, treatments and isolation precautions to resolve the current infection without complications. Interventions are aimed at clearing secretions, reducing fever and supporting oxygen exchange across the alveolar membrane. The goal is timely resolution of symptoms within 48 hours through antimicrobial therapy and nursing care.
The patient, an infant, presented with dyspnea and tachycardia due to an infection causing impaired gas exchange. The mother reported difficulty breathing due to coughing. The plan is for 4 hours of nursing interventions including assessments, monitoring, treatments and isolation precautions to resolve the current infection without complications. Interventions are aimed at clearing secretions, reducing fever and supporting oxygen exchange across the alveolar membrane. The goal is timely resolution of symptoms within 48 hours through antimicrobial therapy and nursing care.
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION Subjective: Impaired gas exchange •After 4hours of Independent: -Manifestation of After 4hours of “Nahihirapan huminga related to collection of nursing -Assess respiratory rate, respiratory distress is nursing interventions, ang baby ko dahil sa secretions affecting interventions, the depth and ease dependent on indicative of the patient will achieve ubo” as verbalized by oxygen exchange across patient will achieve -Monitor body the degree of lung timely resolution of the mother. alveolar membrane. timely resolution of temperature. involvement and current infection current infection -Elevate head of the bed underlying general status. without Objective: without and change position •High fever greatly complications. •Dyspnea complications. frequently. increases metabolic •Tachycardia -Limit visitors as demands and oxygen •V/S taken as follows: indicated. consumption and alters T: 37.7P: 125R: 50 -Institute isolation cellular oxygenation. precaution. •Promotes expectoration, -Suction as indicated. clearing or infection. -Assist with nebulizer •Reduces likelihood of treatments. exposure to other infectious -Monitor effectiveness pathogens. of antimicrobial •Isolation technique therapy. may be desired to prevent spread and protect patient Collaborative: from other infectious -Administer process. antimicrobials as •Stimulates cough or prescribed. mechanically clears airway in patient who is unable to cough effectively. •Facilitates liquefaction and removal of secretions. •Signs of improvement in condition should occur within 24- 48hrs. •These drugs are used to combat most of the microbial pneumonias.