Community Acquired Pneumonia
FAR EASTERN UNIVERSITY
INSTITUE OF NURSING
GRADUATE STUDIES
Community Acquired Pneumonia
Concept Mapping
Prepared by:
Miguel, Stefani Gil M.
Case
RP is a 72 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough. He was seen by a staff physician at the longterm care facility and was diagnosed with a
COPD(Asthma) exacerbation. He has been suffering of
Osteoarthritis since he was at the age of 56.
Consequently, He is now taking steroid drugs to alleviate the pain from the disease. Furthermore, He smokes a lot too. Review of systems reveals fever, chills, cough
(sometimes productive) and dyspnea (worse than baseline). Assessment
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HR: 125bpm
RR:26
BP: 140/85bpm
Temp: 38.4c
RA O2 sat: 84%
Appears Dyspneic
Body Malaise
Appears confused
Flushed cheeks
Anxious expression
Assessment
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Chilling noted
Crackles ,
Wheezing,
C/o Chest Pain when breathing
Production of Yellow sputum
Bright Eyes
Headache
Cyanotic(Fingers and lips),
Diagnostics
• Sputum sample shows Gram-negative L. pneumophila • WBC: 19.6x109
• Platelets : 115 x109/L
• Hgb: 20.8gm/dL
• Hct: 59%
• BUN/CR= 24 mg/dL and 1.6 mg/dL
• CXR: focal consolidation in the right lower lobe, suggestive of pneumonia
Risk Factors
72y.o.
Steroid use COPD(asthma )
Smoker
Osteoarthritis
Pathophysiology
72y.o.
Steroid use
COPD(asthma )
Smoker
Inactivity
Slow Immune
Response
Weakens the lungs‘ ability to clear up mucous
Pulling of fluid in the lungs
Growth of Bacteria
Inflammatory response
Infectious debris and exudates accumulation Decreased lung compliance, ventilation/perfusion mismatching,
Impaired Gas Exchanged
Hypoxemia
Osteoarthritis
Diagnosis/Presenting Problem
72y.o.
Steroid use
COPD(asthma )
Smoker
Inactivity
Slow Immune
Response
Weakens the lungs‘ ability to clear up mucous
Pulling of fluid in the lungs
Growth of Bacteria
Inflammatory response
Infectious debris and exudates accumulation Decreased
INSTITUE OF NURSING
GRADUATE STUDIES
Community Acquired Pneumonia
Concept Mapping
Prepared by:
Miguel, Stefani Gil M.
Case
RP is a 72 year-old male who was admitted to the hospital from his long-term care facility after 1 week of dyspnea and cough. He was seen by a staff physician at the longterm care facility and was diagnosed with a
COPD(Asthma) exacerbation. He has been suffering of
Osteoarthritis since he was at the age of 56.
Consequently, He is now taking steroid drugs to alleviate the pain from the disease. Furthermore, He smokes a lot too. Review of systems reveals fever, chills, cough
(sometimes productive) and dyspnea (worse than baseline). Assessment
•
•
•
•
•
•
•
•
•
•
HR: 125bpm
RR:26
BP: 140/85bpm
Temp: 38.4c
RA O2 sat: 84%
Appears Dyspneic
Body Malaise
Appears confused
Flushed cheeks
Anxious expression
Assessment
•
•
•
•
•
•
•
•
Chilling noted
Crackles ,
Wheezing,
C/o Chest Pain when breathing
Production of Yellow sputum
Bright Eyes
Headache
Cyanotic(Fingers and lips),
Diagnostics
• Sputum sample shows Gram-negative L. pneumophila • WBC: 19.6x109
• Platelets : 115 x109/L
• Hgb: 20.8gm/dL
• Hct: 59%
• BUN/CR= 24 mg/dL and 1.6 mg/dL
• CXR: focal consolidation in the right lower lobe, suggestive of pneumonia
Risk Factors
72y.o.
Steroid use COPD(asthma )
Smoker
Osteoarthritis
Pathophysiology
72y.o.
Steroid use
COPD(asthma )
Smoker
Inactivity
Slow Immune
Response
Weakens the lungs‘ ability to clear up mucous
Pulling of fluid in the lungs
Growth of Bacteria
Inflammatory response
Infectious debris and exudates accumulation Decreased lung compliance, ventilation/perfusion mismatching,
Impaired Gas Exchanged
Hypoxemia
Osteoarthritis
Diagnosis/Presenting Problem
72y.o.
Steroid use
COPD(asthma )
Smoker
Inactivity
Slow Immune
Response
Weakens the lungs‘ ability to clear up mucous
Pulling of fluid in the lungs
Growth of Bacteria
Inflammatory response
Infectious debris and exudates accumulation Decreased