Help needed for a Pneumonia nursing dx, including pathophysiology.

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Hello!

Im a 1st year student RN and have a patient diagnosed with Pneumocystis Carinii Pneumonia. She has presented with increased RR, laboured breathing, use of accessory muscles, cough, small amount of yellow sputum, moderate pain, dry mucous membrane, slight cyanosis and problems sleeping. She also has a high white cell count.

We have to make 3 NANDA diagnoses (except Deficient fluid volume: less than body requirements related to inadequate oral intake as it is already given).

I have chosen impaired gas exchange, acute pain (pleuritic pain) and ineffective airway clearance.

I have to explain the pathophysiology of each of these and I'm having a real problem with finding/undrestanding information for this! :confused:

If anyone could help me I would be EXTREMELY grateful!

Thank you!

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
hello!

im a 1st year student rn and have a patient diagnosed with pneumocystis carinii pneumonia. she has presented with increased rr, laboured breathing, use of accessory muscles, cough, small amount of yellow sputum, moderate pain, dry mucous membrane, slight cyanosis and problems sleeping. she also has a high white cell count.

we have to make 3 nanda diagnoses (except deficient fluid volume: less than body requirements related to inadequate oral intake as it is already given).

i have chosen impaired gas exchange, acute pain (pleuritic pain) and ineffective airway clearance.

i have to explain the pathophysiology of each of these and i'm having a real problem with finding/undrestanding information for this! :confused:

if anyone could help me i would be extremely grateful!

thank you!

try here.......from rnwriter and daytonite..

https://allnurses.com/general-nursing-student/help-care-plans-286986.html

every single nursing diagnosis has its own set of symptoms, or defining characteristics. they are listed in the nanda taxonomy and in many of the current nursing care plan books that are currently on the market that include nursing diagnosis information. you need to have access to these books when you are working on care plans. there are currently 188 nursing diagnoses that nanda has defined and given related factors and defining characteristics for. what you need to do is get this information to help you in writing care plans so you diagnose your patients correctly.

here are the steps of the nursing process and what you should be doing in each step when you are doing a written care plan:

  1. assessment (collect data from medical record, do a physical assessment of the patient, assess adl's, look up information about your patient's medical diseases/conditions to learn about the signs and symptoms and pathophysiology)
  2. determination of the patient's problem(s)/nursing diagnosis (make a list of the abnormal assessment data, match your abnormal assessment data to likely nursing diagnoses, decide on the nursing diagnoses to use)
  3. planning (write measurable goals/outcomes and nursing interventions)
  4. implementation (initiate the care plan)
  5. evaluation (determine if goals/outcomes have been met)

http://www.csufresno.edu/nursingstudents/fsnc/nursingcareplans.htm

http://www.pterrywave.com/nursing/care%20plans/nursing%20care%20plans%20toc.aspx

http://nurse-thought.blogspot.com/2010/07/nursing-diagnosis-impaired-gas-exchange.html

http://www1.us.elsevierhealth.com/simon/ulrich/constructor/diagnoses.cfm?did=248

http://www.pterrywave.com/nursing/care%20plans/45.aspx

http://www.google.com/search?btng=1&pws=0&q=impaired+gas+exchange

http://en.wikipedia.org/wiki/pleurisy

http://medical-dictionary.thefreedictionary.com/pleuritic+chest+pain

care plan would be pain relief....

http://www.slideshare.net/thinkrn/nursing-care-plan-for-aids

this should get you going.

use lmgtfy "let ma google that for you" it works as a great engine.

good luck

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