Pneumonia is inflammation of the lungs caused by bacteria or viral agents. The normal flora found in the lungs is usually altered or resistant which causes a loss of host defenses in the body. Inflammation impairs oxygen
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Pneumonia is inflammation of the lungs caused by bacteria or viral agents. The normal flora found in the lungs is usually altered or resistant which causes a loss of host defenses in the body. Inflammation impairs oxygen ventilation and diffusion from mucosal edema that infiltrates the alveoli. Symptoms include difficulty breathing, cough with sputum, chills, tachypnea, and fever. Anaphylactic shock is a severe allergic reaction that is usually caused by an foreign substance. In this scenario the patient developed an anaphylactic shock due to the antibiotic Ceftriaxone. This is due to activation of antigen-antibody reactions that causes activation of many cytokines and histamine. Signs and symptoms usually occur within 2-30 minutes of ingestion and include: headache, nausea, vomiting, abdominal pain or discomfort, difficulty breathing, laryngeal edema, cardiac dysrhythmias, and hypotension.
DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS)
PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS
- Sputum culture (shows which bacteria caused pneumonia)
- CBC
- Chest X-ray (reveals where pneumonia is located)
- Arterial blood gas (shows oxygen and carbon dioxide levels)
-Kenneth Bronson
-27 years old
-Caucasian male
-NKA
-Pneumonia
-No past medical history
-Smoker for the past 10 years
-Allergic to antibiotic Ceftriaxone
- Shortness of breath
- Fever (over 102F)
- Productive cough
- Chest tightness
ANTICIPATED NURSING INTERVENTIONS
- Take vital signs every 4 hours
- Maintain oxygen saturation rate above 92%
- Administer antibiotics as prescribed by provider
- Observe for any signs of anaphylaxis
- Educate patient about pneumonia and the treatment
- Contact provider for any alerting changes, especially during an anaphylactic reaction
- Assess pain levels and provide therapeutic communication
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