Nursing Diagnosis For Pneumonia

Pneumonia is a respiratory infection that affects the alveoli (air sacs). Fluid will build up in the alveoli and cause the individual to exhibit symptoms. It is more commonly seen in elderly, infants, and immunocompromised individuals. Pneumonia should not be mistaken for bronchitis or asthma.

Causes for Pneumonia

  • Parasites
  • Chest trauma
  • Exposure to chemicals
  • Bacterial and Viral agents

Different Types of Pneumonia

  • Community-acquired pneumonia can be contracted from public gatherings.
  • Hospital-acquired pneumonia is fairly self-explanatory. This is most often seen in patients that are admitted for a surgical procedure or primary diagnosis.
  • Infectious pneumonia is caused by an infectious agent such as bacterial, viral, or fungal subsets.
  • Chemical pneumonia is caused by being exposed to chemicals such as gas or chlorine fumes.
  • Traumatic pneumonia is caused by trauma to the chest area such as a MVA.
  • Walking pneumonia is a mild form of the respiratory infection, where the individual can continue to go about his daily life, without restrictions.
  • Double pneumonia is when the infections is in both lungs.
  • Atypical pneumonia is caused by pathogens that also affect birds.
  • Chronic pneumonia is when the infection lasts longer than six weeks. This type of pnuemonina is also caused by a bacterial microorganism.

Symptom of Pneumonia in Adults

  • Dyspnea (shortness of breath)
  • Fever with chills
  • Angina (chest pain) and tightness
  • Nausea/vomiting
  • Diaphoresis (excessive sweating
  • Diarrhea
  • Productive cough (yellow/green/grayish phlegm)

Walking Pneumonia Symptoms

  • Productive Cough with bronchospasms
  • Flu like symptoms (chills, body aches, fever)
  • Headache
  • Sore throat
  • Fatigue

Antibiotic for Pneumonia

  • Amoxicillin (aminopenicillins family)
  • Ancef (first generation cephalosporins)
  • Augmentin (beta-lactamase inhibitor)
  • Z-Pak (macrolides)
  • Cipro  and Levaquin (quinolones)
  • Rocephin (third generation cephalosporins)

Nursing Diagnosis Pneumonia

Pneumonia nursing diagnosis are the same as nursing diagnosis for aspiration pnumoni.

  • Ineffective Airway Clearance related to increased sputum production
  • Impaired Gas Exchange related to altered delivery of oxygen
  • Risk for Deficient Fluid Volume
  • Imbalanced Nutrition
  • Acute Pain related to cellular reactions to circulating toxins
  • Activity Intolerance related to general weakness
  • Risk for Infection
  • Deficient Knowledge related to lack of exposure

Pneumonia care plan will include nursing priorities that should focus on preventing further complications and maintaining respiratory function. Discharge goals should include ventilation adequate for each individual’s needs. The desired outcome should identify and demonstrate behaviors to improve airway clearance. Always keep in mind what are the causes of pneumonia, when the patient is discharged, so they can try to avoid exposures to these factors.