Trinity Valley Community College



TRINITY VALLEY COMMUNITY COLLEGE ASSOCIATES DEGREE NURSING PROGRAM LEVEL II Clinical Activity Immunity

Pneumonia

This activity will guide you in:

• Understanding nursing care for patients with pneumonia.

• Comparing patients with actual pneumonia signs and symptoms.

Directions:

• Work in a team of two to gather information about each patient in your assigned area or unit. Coordinate with your clinical instructor, RN’s, and CNA’s/PCT’s to discuss activity.

| |Patient 1 |Patient 2 |

|Pt. Initials | | |

|Pt. Room # | | |

|Age M/F | | |

|Ht. Wt. | | |

|Diagnosis/ | | |

|reason for admission | | |

|Full set of Vitals |T P R |T P R |

| |BP SpO2 |BP SpO2 |

|Lung Sounds | | |

|(crackles, rhonchi, | | |

|wheezes) & Location of | | |

|lung sound(s) | | |

|Oxygen Status: RA, NC, | | |

|Face mask, Liters of O2 | | |

|PO Hospital Medications | | |

|to treat pneumonia | | |

|(name, class, dose, | | |

|nursing implications) | | |

| | | |

| | | |

|IV Hospital Medications | | |

|to treat pneumonia | | |

|(name, class, dose, | | |

|nursing implications) | | |

|CXR results | | |

| | | |

|Pertinent ABN Lab Values| | |

|(List Lab Value and | | |

|explain how it relates | | |

|to pt’s pneumonia) | | |

| | | |

A. Which kind of pneumonia(s) were patients 1, 2, or 3 diagnosed with (viral, bacterial)?

PT#1…………..……………PT#2………………..……….PT#3……………………….

B. What are the different signs and symptoms for the two different kinds of pneumonia?

|VIRAL |BACTERIAL |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

| | |

C. Is this a Nosocomial or community acquired pneumonia? Explain.

PT#1…………..……………PT#2………………..……….PT#3……………………….

D. How long has the patient(s) been on an ABX? Have their pneumonia sign/symptoms lessened? Explain which signs/symptoms and how so.

| |PT#1 |PT#2 |

|How long on an ABX | | |

|Have their pneumonia sign/symptoms | | |

|lessened? | | |

|Explain which signs/symptoms and how long| | |

|did it take after the ABX was started. | | |

E. If they experienced dyspnea at admission, then how long did it take for their breathing to improve once ABX therapy began?

PT#1…………..……………………………………PT#2………………………………………………

F. Identify teaching needs related to care for discharge (teaching care plan) for a pneumonia patient going home with a prescription for an oral ABX.

|#1 | |

|#2 | |

|#3 | |

|#4 | |

|#5 | |

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