Nursing care of Pneumonia with Acute respiratory failure : Case study 2 case

Abstract

 Background : Pneumonia is a disease with an increasing number of patients every year. And is a major cause of acute respiratory failure Is a crisis that results in high deaths.  Providing critical nursing care for patients Rehabilitation condition . And standardized and effective distribution will help patients to be safe . And prevent recurrence.    

Objective : To study acute pneumonia patients with acute respiratory failure: 2 cases   

Methods : 2 patients with acute respiratory failure pneumonia by specific model in patients admitted to Mahasarakham hospital in March 2019. Tools used in education Consists of a record form from the patient's medical record to consist of data record  from patient medical records relative interviews and observations. Analyzing data comparing pathological symptoms treatment evaluating nursing problems with health patterns 11 Gordon's schemedetermine nursing diagnosis. Provide nursing care and evaluate nursing results in 3 phases Including the critical, the rehabilitation And the distance before selling.    

Results : Case 1, female 59 years Diabetic history High blood pressure and heart failure and 2 days before fever, cough, wheezing, phlegm Treatment at the hospital near the house. The condition had subsided sent to Mahasarakham Hospital. The patient was given an airway and provided oxygen with a ventilator. Doctors treat antibiotics, diuretics and blood clots. Until symptoms improved can remove the breathing tube and back to the hospital near the house.To adjust blood clotting drugs appropriately .Case 2, male author, 64 years old. No congenital disease 2 days before fever, cough, wheezing, opaque sputum. Treatment at community hospitals is not improving. The patient was given an airway and provided oxygen with a ventilator. Doctors give antibiotic treatment. Until the patient has a constant condition that passes the crisis  the moving breathing tube Providing rehabilitation and back home . Total treatment  8 days.     

Conclusion : The rapid assessment of patients with pneumonia in crisis and providing effective nursing care to help reduce violence reduce the death rate of patients. Therefore, nurses need to have knowledge special skillhere continuous nursing system from the beginning until the sale. Will make the patient safe and have a good quality of life after selling.  

 Keyword : Nursing care of Pneumonia  Acute respiratory failure