Nursing Care of Pneumonia in pediatric patient with Respiratory Failure and Septic Shock : Study 2 case

Abstract

Background : Pneumonia is a disease with amajor cause of respiratory failure and septic shock is
a crisis that results high deaths, affects patients and families.

Objective : Study of Pneumonia in pediatric patients with Acute Respiratory Failure and SepticShock : 2 case Methods : Comparative study of Pneumonia in pediatric with Respiratory Failure and Septic Shock, admitted to Mahasarakham hospital in January-February 2020. Tools used in education Consists of a record form, Comparative analysis risk factor, pathology, symptom and sign, treatmentsand, nursing care record form. Analyzing data by using 11 Gordon’s scheme health pattern, nursing diagnosis. Provide nursing care in 3 phase including the critical, rehabilitation and distance before selling.

Reults : Case study 1, Female patient, 2 mont. Before 1day fever,cough, very respiratory rate and non alert. In hospital near the hou. Diagnosis was Pneumonia with respiratory failure and septic shock. On Endo tracheal tube and sent to Mahasarakham Hospital,admit Pediatric Intensive Care Unite. The treatment and care for the patient was respirator, ventilation, antibiotics, intravenous fluid and inotropic drugs.The caregiver was informed and trained from health team,the patient was better.Total
treatment 9 day. CaseStady 2: Female patient, 4mont. Before 2day fever,cough, vomiting with bleed, diarrhea and non alert. In hospital near the house. Diagnosis was Pneumonia with respiratory failure, pulmonary hemorrhage and septic shock. On Endo tracheal tube sent to Mahasarakham Hospital, in Pediatric Intensive Care Unite, care for respirator, ventilation, antibiotics, intravenous fluid, inotropic drugs, LPRC and FFP. The caregiver was informed and trained from health team, the patient was
better.Total treatment 9 day.

Conclusion : The rapid assessment of Pneumonia in patient with respiratory failure and septic shock. The key indications include Health team, and intensive care with registered nurses have to knowledge about diseases, care of ventilation and high alert drug. To reach patent safety and effective care. Outcomes was better,live in his home with family and community.