Nursing Intervention for Lung Abscess

Nursing Intervention for Lung Abscess

Nursing Diagnosis for Lung Abscess

Hyperthermia related to the direct effects of circulating endotoxin on the hypothalamus.

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
  1. Monitor patient's temperature (degree and pattern); note shivering / diaphoresis
  2. Monitor the temperature of the environment
  3. Give a warm compress and teach and encourage family
  4. 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.
Goal :
  • 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
  1. Review / monitor respiratory frequency, record the ratio of inspiration and expiration
  2. Auscultation of breath sounds and note the existence of bronchial breath sounds
  3. Assess the patient to a comfortable position, height headboard and sat on the back of the bed.
  4. Help the abdominal breathing exercise
  5. Observation of the characteristic cough and aid effectiveness action to cough efforts
  6. Depth of fluid intake to 3000 ml / day according to tolerance and provide a warm heart and fluid intake between meals instead of
  7. Give the drug as indicated
  8. Teach and encourage chest physiotherapy, postural drainage
  9. Guard chest photos.
  10. Collaboration: bronchodilators, antibiotics, drainage bronchoscopy.