Pneumonia: an accumulation of fluids secondary to the inflammation of tissue, which interferes with gas exchange.
Signs and Symptoms: fever, cough, chest pain, chest tightness, chills (upon auscultation of the chest, you will hear crackled breath sounds or diminished breath sounds at the bases).
Diagnostics: chest x-ray, sputum culture, WBC, ABGs.
Drug Therapy: antibiotics, analgesics, steroids, antipyretics.
Nursing Care: teaching about medication and O2 therapy is needed. Fluids are increased. Conservation of energy is also important with these patients, so periods of rest and the proper nutrition are needed. Sitting the patient up in a chair or recliner may facilitate better breathing. Nebulizer treatments may be administered. Patients who take steroids may need to have their glucose levels monitored; steroids can increase blood sugar levels.