Precipitating Factors:

-Pollution, Smoke belching Imbalanced nutrition: less Weight loss BMI-17 HIV-2Years
vehicles, Smoker, Alcoholic, than body requirements
lifestyle

CBC: WBC=15.4x10^9/L, Granulocytes=86%, Reduction of CD4

Lymphocytes=14%, CD4 cell count=180cell/ml cells

Better oxygenation Fever inflammatory Supression of CD4 Cells

and survival of PSP cells

Immunocompromised Frequent non Acute Pain

host productive cough

Impaired oral
Deposits in the airway
mucosa

Attached and colonized

Breath through the
the mucus and cells of Risk for Aspiration
mouth
nasopharynx

Ineffective Airway
Spread of organisms in the
clearance
nasopharynx

Invasion of organism in the Increased mucous

nasopharynx production

Impaired host defense Ineffective breathing

mechanism pattern

Damage to the surface Impaired gas

cells exchange Activity Intolerance

Xray: Bilateral
Fluid enters the alveoli
interstitial Infiltrates Fatigue

LEGEND

Signs and symptoms Treatment and Medications

Pathological Process Laboratory Results

Nursing Diagnosis
 Predis posing :
Lifestyle No regular Poor Circulation Pedroso, Ma. Eliza C.
exercise -Asthma i(n his younger
age), Age, genetics, gender
PNEUMONIA
Smoker
Increased risk to any
disease
- - - Pathophysiology - - -
2-3 cigarettes a day

Hydrogen Cyanide

CO Anemia Nicotine
Destruction of Cilias Loss of elasticity in the
in the trachea alveoli

Combines with Pallor and delayed Bronchoconstriction

hemoglobin capillary refill
Impaired Cough Reflex

DOB, Wheezes
Carboxyhemoglobin Impaired tissue
Decreased ability to Ineffective Airway perfusion
expectorate irritants Clearance

Ineffective gas exchange

Ineffective delivery
of the 02 to the
Aspiration of respiratory Dyspnea, DOB Ferous sulfate
body tissues
irritants
Bronchodilator

Expectorant Mucolytic Tissue hypoxia

Decreased cardiac output

DOB

Multiplication of the
organism in the alveoli
Increase
Cytokinine temperature=38. Hyperthermia R/T
Fever
5 Celcius Infectious process Blood Test

Alveoli filled with exudates

Antipyretics
Antiviral

Increased permeability of the

alveolar capillary membrance
Bradykinin Stimulate globet cells

Non-Cardiogenic pulmonary edema

Antitussives Cough, Rales, Colds Sputum grain stain

Further lung destruction

Formation of pneumatoceles
and Pneumathoraces

Histanine Narrowing Blood vessel Narrowed Airway DOB

Broad spectrum antibiotics

Bronchodilator/Oxygen
therapy