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NURS 171 Respiratory System: Pneumonia. Darlene LoPresto, Graduate Student FSU. Pathophysiology. Bacterial or viral Infection/Inflammation Exudate Lobar or diffuse Streptococcus Klebsiella. Etiology . Incompetent distal airway defense mechanisms. Prevention.

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Nurs 171 respiratory system pneumonia

NURS 171Respiratory System: Pneumonia

Darlene LoPresto, Graduate Student FSU


Pathophysiology
Pathophysiology

  • Bacterial or viral

  • Infection/Inflammation

  • Exudate

  • Lobar or diffuse

  • Streptococcus

  • Klebsiella


Etiology
Etiology

Incompetent distal

airway defense

mechanisms


Prevention
Prevention

  • Pneumococcal vaccine

  • Avoid smoking

  • Avoid allergens, indoor pollutant exposure


Symptoms
Symptoms

  • Nausea/vomiting/diarrhea

  • Dyspnea

  • Productive cough

  • Pleuritic pain

  • Confusion


Diagnosis complications
Diagnosis & Complications

Multi drug resistance

Allergic reaction

Food/drug interaction


Medical management
Medical Management

  • Limited activity

  • Antipyretics

  • Analgesics

  • Oxygen therapy

  • I.S.

  • Bronchodilators

  • Increase fluid intake

  • Antibiotic therapy

  • Rest

  • Modify r/t patient response


Pneumonia review question
Pneumonia Review Question

  • What is one of the most common bacterial organisms that cause pneumonia?

    a) Staph Aureus

    b) Streptococcus

    c) Both a & b

    d) All of the above


Pneumonia review question1
Pneumonia Review Question

  • Symptoms of pneumonia include all of the following except:

    a) Productive cough

    b) Dyspnea

    c) Hemoptysis

    d) Pleuritic pain


Pneumonia review question2
Pneumonia Review Question

  • Nursing Interventions for the pneumonia patient include all of the following except:

    a) Blood culture interpretation

    b) Incentive spirometry

    c) Increase fluid intake

    d) None of the above



Bronchiectasis

Bronchiectasis

Supportive Educative Nursing 171

Darlene LoPresto, BSN, RN,C

http://www.youtube.com/watch?v=zMKaJEgmTT4



Symptoms1
Symptoms

  • Persistent/recurrent cough

  • Dyspnea

  • Crackles

  • Pleuritic chest pain

  • Hemoptysis

  • Purulent sputum


Medical management1
Medical Management

  • Dx: HRCT

    Sputum cultures

  • Tx: Treat acute flare-ups

    Maintain lung function

    Antibiotics

    Bronchodilators

    Mucolytic agents

    Anti-inflammatory agents

http://www.youtube.com/watch?v=JmRt9rFmVu4&feature=related


Nursing diagnosis
Nursing Diagnosis

  • Ineffective airway clearance r/t increased secretions

    -Chest physiotherapy & Postural drainage

    -No smoking

    -Vaccinations

    -Good oral hygiene

    -Infection control



Types primary lung cancer
Types Primary Lung Cancer

  • Small cell

  • Adenocarcinoma

  • Squamous

  • Large cell neoplasm



Incidence of lung cancer
Incidence of Lung Cancer

  • Leading cause of Cancer deaths

  • 28% of all cancer deaths

  • 172,570 new cases annually

  • 58% death rate men

  • African Americans

  • Hispanics

  • 5 year survival rate

    15%


Risk assessment
Risk Assessment

  • Memorial Sloan-Kettering Cancer Center Lung cancer prediction tool

    www.mskcc.org/PredictionTools/LungCancer


Which are symptoms of lung cancer
Which are Symptoms of lung cancer?

Select all that apply:

1) Persistent cough

2) Hemoptysis

3) Bradypnea

4) Hematemesis

5) Anorexia


Patient symptoms

Nonspecific

Occur late in disease

Type of cancer & location

Dyspnea

Persistent cough

Persistent pneumonitis

Hemoptysis

Ausculatory wheeze

Weight loss

Fever

Patient Symptoms


Diagnosis
Diagnosis

  • 10% with routine CXR

  • PET scan

  • CT scan

  • Bone scan

  • Lung biopsy

  • 20-30% (+) sputum

    cytology



Prevention1
Prevention

  • Smoking cessation

  • Screening CXR

  • Sputum cytology

  • The U.S. Preventive Service Task Force

  • The American College of Chest Physicians


Collaborative care
Collaborative Care

  • Surgical Treatment

    -resection

  • Radiation

  • Chemotherapy

  • Targeted Therapy



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