Page 5 - PNEUMONIA NURSING CARE PLAN

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Nursing Interventions Rationale

viscosity of secretions. Thinner secretions are
easier to cough out.

• Nebulizers humidify the airway to thin
secretions and facilitates liquefaction and
expectoration of secretions.

• Postural drainage may not be as effective in
Assist and monitor effects of nebulizer interstitial pneumonias or those causing
treatment and other respiratory alveolar exudate or destruction.
physiotherapy: spirometer, percussion,
postural drainage, Peek Flow Meter • Incentive spirometry serves to improve
deep breathing and helps prevent atelectasis.
Perform treatments between meals and • Chest percussion helps loosen and mobilize
limit fluids when appropriate. secretions in smaller airways that cannot be
removed by coughing or suctioning.
• Coordination of treatments and oral intake
reduces likelihood of vomiting with coughing,
expectorations.

Encourage ambulation. Helps mobilize secretions and reduces atelectasis.

• Mucolytics increase or liquefy respiratory
secretions.
• Expectorants increase productive cough
Administer medications as to clear the airways. They liquefy lower
indicated: respiratory tract secretions by reducing its
viscosity.
• mucolytics • Bronchodilators are medications used to

• expectorants facilitate respiration by dilating the
airways.
• bronchodilators
• Analgesics are given to improve cough
• analgesics
effort by reducing discomfort, but should
be used cautiously because they can
decrease cough effort and depress
respirations.

Increasing the humidity will decrease the viscosity
Use humidified oxygen or humidifier at of secretions. Clean the humidifier before use
bedside.
to avoid bacterial growth.

Follows progress and effects and extent of
Monitor serial chest x-rays, ABGs, pulse pneumonia. Therapeutic regimen, and may
oximetry readings. facilitate necessary alterations in therapy. Oxygen
saturation should be maintain at 90% or greater.

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