Nursing Diagnosis for Lung Abscess
Hyperthermia related to the direct effects of circulating endotoxin on the hypothalamus.
Marked by :
Goal :
Expected Results :
Nursing Intervention for Lung Abscess
Marked by :
- Increased body temperature greater than normal range
- Skin redness
- Warm when touched
- Increased respiratory rate
- Tachycardia
Goal :
- Demonstrating the temperature within normal limits, free from cold
Expected Results :
- No complications related
Nursing Intervention for Lung Abscess
- Monitor patient's temperature (degree and pattern); note shivering / diaphoresis
- Monitor the temperature of the environment
- Give a warm compress and teach and encourage family
- Collaboration: Antipyretics, Antibiotics
Nursing Diagnosis for Lung Abscess
Ineffective airway clearance related to bronchoconstriction, increased production of secretions, retained secretions, ineffective cough, and infections bronkopulmonal
Marked by :
- Statement difficulty breathing
- Changes or respiratory rate, accessory muscle use
- No abnormal breath sounds
- Cough.
- Keep the airway patent with breath sounds clean / clear.
Expected Results :
- Showed the behavior to improve airway clearance (effective cough, and issued a secret).
Nursing Intervention for Lung Abscess
- Review / monitor respiratory frequency, record the ratio of inspiration and expiration
- Auscultation of breath sounds and note the existence of bronchial breath sounds
- Assess the patient to a comfortable position, height headboard and sat on the back of the bed.
- Help the abdominal breathing exercise
- Observation of the characteristic cough and aid effectiveness action to cough efforts
- Depth of fluid intake to 3000 ml / day according to tolerance and provide a warm heart and fluid intake between meals instead of
- Give the drug as indicated
- Teach and encourage chest physiotherapy, postural drainage
- Guard chest photos.
- Collaboration: bronchodilators, antibiotics, drainage bronchoscopy.