![]() A prospective study in 95 patients showed that gram-negative bacilli contributed to 49%, followed by anaerobes (16%). Although the common organisms involved in the etiology of community-acquired pneumonia are Streptococci, Haemophilus, and gram-negative bacilli, the etiology of aspiration pneumonia depends on the content of aspirate. The common risk factors for aspiration include altered mental status, neurologic disorders, esophageal motility disorders, protracted vomiting, and gastric outlet obstruction. Nursing Diagnosisįailure of the natural defense mechanisms like the closure of the glottis and cough reflex increases the risk of aspiration. The mortality rate from aspiration pneumonia is largely dependent on the volume and content of aspirate and can range up to 70%. In an observational study, it is found that the risk of patients hospitalized for community-acquired pneumonia in developing aspiration pneumonia is found to be about 13.8%. The term aspiration pneumonitis refers to inhalational acute lung injury that occurs after aspiration of sterile gastric contents. The aspirated fluid can be formed from oropharyngeal secretions or particulate matter or can also be gastric content. The infectious pulmonary process that occurs after abnormal entry of fluids into the lower respiratory tract is termed aspiration pneumonia. Describe the complications of aspiration pneumonia. ![]() Recall the nursing care in patients with aspiration pneumonia.Describe the presentation of aspiration pneumonia.List the risk factors for aspiration pneumonia.We may earn a small commission from your purchase. Included below are affiliate links from Amazon at no additional cost from you. is a participant in the Amazon Services LLC Associates Program. These are the nursing books and resources that we recommend. Saunders comprehensive review for the NCLEX-RN examination. Medical-surgical nursing: Concepts for interprofessional collaborative care. Nursing care plans: Diagnoses, interventions, & outcomes. Nursing diagnoses handbook: An evidence-based guide to planning care. This diagnosis can be related to decreased tissue perfusion, inadequate positioning, or compromised mobility. Risk for Impaired Skin Integrity: Patients with ineffective breathing patterns may exhibit prolonged immobility or use of accessory muscles, leading to pressure ulcers or breakdown of skin integrity. It can be related to fear of suffocation, anticipation of respiratory distress, or perceived threat to respiratory status. ![]() This can involve implementing measures to decrease dyspnea (shortness of breath), minimizing anxiety and stressors, and promoting a calm and supportive environment.Īnxiety: Anxiety may be present as a result of the distressing symptoms associated with ineffective breathing. Reduced Respiratory Distress: The goal is to alleviate respiratory distress and discomfort. This includes reducing the respiratory rate, promoting deep and efficient breaths, and minimizing the use of accessory muscles for breathing. Improved Breathing Pattern: The aim is to help the patient achieve a regular, effective breathing pattern. ![]() This can be achieved by assessing and maintaining the patient’s oxygen saturation within the target range, monitoring arterial blood gas levels, and promoting effective ventilation. Improved Oxygenation: The primary goal is to improve oxygenation and ensure adequate gas exchange. Anxiety and Restlessness Goals and Expected Outcomes for Ineffective Breathing pattern. ![]() Signs and Symptoms of Ineffective Breathing Pattern ![]()
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