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    NCP Pneumonia

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    Kim Balacang
    Mrs. Cho, age 63, was diagnosed with pneumonia, chronic kidney disease stage 2, and coronary artery disease. She was experiencing increased difficulty breathing with thick yellow mucus production and a respiratory rate of 24 breaths per minute. The nursing care plan aims to clear her airway and reduce her respiratory rate through interventions like back tapping, oral fluid intake, and administering antibiotics. The short-term goal is to decrease her respiratory rate to 20 breaths per minute within 3 hours. The long-term goal is for her to be free of pneumonia symptoms and have a normal respiratory rate within 7 days of continuous nursing care.

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    NCP Pneumonia

    Uploaded by

    Kim Balacang
    2K views2 pages
    Mrs. Cho, age 63, was diagnosed with pneumonia, chronic kidney disease stage 2, and coronary artery disease. She was experiencing increased difficulty breathing with thick yellow mucus production and a respiratory rate of 24 breaths per minute. The nursing care plan aims to clear her airway and reduce her respiratory rate through interventions like back tapping, oral fluid intake, and administering antibiotics. The short-term goal is to decrease her respiratory rate to 20 breaths per minute within 3 hours. The long-term goal is for her to be free of pneumonia symptoms and have a normal respiratory rate within 7 days of continuous nursing care.

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    NCP PNEUMONIA

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    Mrs. Cho, age 63, was diagnosed with pneumonia, chronic kidney disease stage 2, and coronary artery disease. She was experiencing increased difficulty breathing with thick yellow mucus production and a respiratory rate of 24 breaths per minute. The nursing care plan aims to clear her airway and reduce her respiratory rate through interventions like back tapping, oral fluid intake, and administering antibiotics. The short-term goal is to decrease her respiratory rate to 20 breaths per minute within 3 hours. The long-term goal is for her to be free of pneumonia symptoms and have a normal respiratory rate within 7 days of continuous nursing care.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views2 pages

    NCP Pneumonia

    Uploaded by

    Kim Balacang
    Mrs. Cho, age 63, was diagnosed with pneumonia, chronic kidney disease stage 2, and coronary artery disease. She was experiencing increased difficulty breathing with thick yellow mucus production and a respiratory rate of 24 breaths per minute. The nursing care plan aims to clear her airway and reduce her respiratory rate through interventions like back tapping, oral fluid intake, and administering antibiotics. The short-term goal is to decrease her respiratory rate to 20 breaths per minute within 3 hours. The long-term goal is for her to be free of pneumonia symptoms and have a normal respiratory rate within 7 days of continuous nursing care.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    BALACANG, Karen L.

    BSN-416 Group A Cluster 2


    Patient: Mrs. CHO Age: 63 years old
    Medical Diagnosis: Pneumonia CAP CKD stage 2 secondary to HPN, nephrosclerosis CAD post stemi. CCS 2

    “Nursing Care Plan”


    ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION
    DIAGNOSIS
    Subjective Cues: Ineffective airway Independent:
    “ Medyo nahihirapan clearance related to Short Term Goal: Short Term Goal:
    padin ako huminga invreased thick mucus After 3 hours of -monitoring of vital -monitoring of vital After 3 hours of
    marami pa kasi yatang production secondary nursing intervention the signs q4hrs take note the signs will give you a nursing intervention the
    plema sa baga ko to the inflammation of client will have a breath sounds and the baseline of the normal client manifest a normal
    (coughing)”,as verbalize the bronchus decreased respiratory respiratory rate. physiologic function of respiratory rate of 19
    by the client. evidenced by increase rate from 24cpm to 20 the client. cpm negative use of
    respiratory rate of 23 cpm and negative use of -back tapping and bed -to prevent decubitus accessory muscle.
    Objective Cues: cpm, bibasal crackles accessory muscle. turning every 2 hours. ulcerations and
    in both lungs, use of improving the
    Vital Signs accessory muscle and circulation in the back.
    BP-120/80 RR-24cpm nasal flaring. Long Term Goal: -increase oral fluid -to help or aid the client Long Term Goal:
    PR-84bpm T-36.1 C After 7 days of intake (OFI). in loosening the sputum After 7 days of
    -(+) thick mucus;yellow nursing intervention the in the lungs. continuous nursing
    -(+) bibasal crackles on client will be free from -use of therapeutic -to establish rapport and intervention the client is
    both lungs signs and symptoms of communication. get the client now free from the
    -(+) use of accessory pneumonia and be free participation in care. microorganism of CAP
    muscle with nasal flaring from CAP. -maintain environment -lessen the probability and negative signs and
    -Coughing conducive to the client. of anxiety and symptoms of respiratory
    -Difficulty of sleeping discomforts. infection.

    Contraptions: Dependent:
    1. L arm fistula
    2. PNSS 1000ml -Andminister antibiotics -to decrease the
    x40 cc/hr at R (e.g., cefuroxome)as virulence and kill the
    metacarpal vein ordered by the virus
    physician.
    Laboratory Results:
    -ABG with normal O2 Collaborative:
    saturation of 96%
    -C/S result of sputum (+) -Laboratory monitoring -for close monitoring of
    for streptococcus of ABG, CBC and the health status of the
    pneumoniae sputum. client.
    BALACANG, Karen L. BSN-416 Group A Cluster 2
    Patient: Mrs. CHO Age: 63 years old
    Medical Diagnosis: Pneumonia CAP CKD stage 2 secondary to HPN, nephrosclerosis CAD post stemi. CCS 2

    “Nursing Care Plan”

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