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

Abstract

        This study was a case study to compare two patients with severe pneumonia with acute respiratory failure who were admitted to the female internal medicine ward 2, Kalasin Hospital. The tools used for data collection consisted of 1) data record form. Collecting data from patient medical records. 2) Observing, interviewing patients and their relatives. The comparative data were analyzed according to health patterns, pathology, symptoms and treatment. 3) Nursing record form. Using the concept of the Gordon 11 Health Scheme Patient Assessment Model. to know the problems and needs of the patients Use the information gathered to plan the nursing care of severe pneumonia patients with acute respiratory failure. Determine nursing diagnoses, provide nursing care, and assess nursing outcomes in 3 stages, i.e., critical phase, rehabilitation period. and pre discharge to home.

        Case studies: Both patients were severe pneumonia patients with acute respiratory failure. Needs to be assisted by tracheal intubation and mechanical ventilation. but the severity of the disease Complications during treatment and the duration of treatment varies according to the risk factors of the disease. It was found that in the first case study, the patient had congenital disease, diabetes, hypertension and chronic renal failure with shortness of breath, no fever, cough with sputum and volume over load. Received standard maintenance until problems at different stages were resolved. no complications can be sold back home the total duration of treatment was 6 days. Case Study 2 The patient had congenital disease. scoliosis can't help myself withered legs on both sides accompanied by coughing, choking food into the lungs Shortness of breath, fever and compilation to septic shock. Received standard maintenance until problems at different stages were resolved. But still need to be treated with continued antibiotics. Distributed by sending to a hospital near home. Total duration of treatment was 27 days.