Nursing Care of the Patient with Ventilator-Associated Pneumonia with Resistant Drug Case Study 2 cases

Abstract

          Objective : This study was to compare nursing care for nursing care of the patient with ventilator-associated pneumonia with multiple drug resistant: 2 case studies.

          Methods :  Two specific cases of ventilator-associated pneumonia with drug-resistant infections who were admitted in Medical Intensive Care Unit were compared. Medical record and functional health patterns of Gordon were reviewed. Data collection used by observation, interviews with patients and relatives.  General information, functional health patterns, treatment, nursing diagnoses according to the NANDA model, and nursing care from initial admission until discharge were compared.

          Result : Two case studies were admitted to the Medical intensive care unit. The patients were crisis from septic shock, causing respiratory and circulatory failure that required intubation and ventilation. This related to induce renal failure and pneumonia from ventilator use with drug-resistant infection. Patients were required to use a ventilator for 18 days before discharging. The nurses will be knowledgeable about the pathology, disease progression, have the ability to assess patients, provide effective nursing care, and recognize the nursing adherence with the guidelines for using the ventilator. This assisted the patients safe from shock and reduced the incidence of VAP.  Also, nurse should be considered mental state and the patient and relative need.  This will lead to further cooperation in treatment and health care.