Nursing Care Plan for Pneumonia

Pneumonia is a common type of pulmonary disease that involves inflammation and infection of the lungs, triggering an overproduction of mucus at the level of the respiratory tract.

Symptoms of pneumonia:

The symptoms of pneumonia vary from person to person, and few people experience all of them.

The possible symptoms may be :

- Fever, which may be less common in older adults.
- Fast heartbeat is one of the primary symptom of pneumonia.
- Feeling very tired or feeling very weak .
- Loss of appetite may occur in case of pneumonia.
- Vague pain under and around the breast bone may occur, but the severe chest pain associated with typical bacterial pneumonia is uncommon.
- Patients may experience a severe hacking cough, but it usually does not produce sputum.
- Cough, often producing mucus from the lungs. Mucus may be rusty or green or tinged with blood.
- Wheezing
- Difficulty breathing
- Sometimes nausea, vomiting, muscle aches occurs.
- Mental confusion.
- Coughing up sputum containing pus or blood.

Nursing Assessment for Pneumonia

1. Patient Bios: Name, age, gender, marital status, religion, tribe / nation, education, occupation, address and registration number.

2. Bios Responsible Person: Name, age, gender, marital status, religion, tribe / nation, education, occupation, income, address.

3. Patient Medical History:
Formerly Medical History
Health History Now
Family Health History

4. Everyday habits:
Eating and Drinking
Elimination: bladder and bowel
Personal Hygiene

5. Physical Examination / Head To Toe

Nursing Diagnosis for Pneumonia

1. Impaired Gas Exchange related to impaired oxygen delivery.

2. Risk for Infection related to inadequate primary defenses.

3. Ineffective airway clearance related to the formation of edema.

4. Activity Intolerance related to insufficiency of oxygen for everyday activities.