Hospital-acquired pneumonia

two weeks; causing shortness of breath, and orthopnea. She has been treated for this cough three month ago in the emergency room. At that time chest x-ray (CXR) revealed hyperinflated lungs suggestive of emphysema. She refused to be treated in the hospital at that time, ad was sent home with an inhaler and antibiotics. She also refused the pulmonary function test. She has a history of childhood asthma, and a hysterectomy in the 1970’s. She admits to smoking one pack of cigarettes for the past 40…

Research Question: What are effective methods to reduce HAI’s/ MRSA in the acute care setting? Overview of problem: Hospital acquired infections are very common in the United States. According to the CDC it is estimated that one in twenty patients will contract a HAI. One common HAI is Methicillin-resistant Staphylococcus Aureus (MRSA) is a type of Staphylococcus that has acquired resistance to a large array of antibiotics.. Significance of the problem: The indubitable issue with HAI; MRSA is…

My study case is related to a bronchiectasis patient from Fairfax Inova Hospital. Bronchiectasis is an abnormal and permanent dilation of airways in which the bronchial walls become inflamed, the mucociliary elevator is impaired, and the mucus accumulates leading to increased susceptibility to infection. It can be classified according to morphological forms such as cylindrical bronchiectasis form where the bronchi are enlarged and cylindrical (least severe), varicose bronchiectasis form where…

Mr. Jax Marlboro Respiratory Care Pharmacology Fall 2015 Joni Sims Presenting History and Physical: Mr. Marlboro, a 65 year old African American male who is being seen in the emergency room with complaints of fatigue, shortness of breath, and wheezing while trying to accomplish simple daily task. He also complains of a cough that is becoming more frequent and persistent. Mr. Marlboro has a history of asthma as a young adult and was diagnosed with hypertension at the age of 40. Mr.…

To identify a strategy for improving oral care so as to prevent VAP and to enhance quality of life of ICU patients. Introduction VAP is hospital-acquired pneumonia that develops in an intubated patient after 48 hours or more of mechanical ventilation, and that was not present before intubaton (Fields, 2008). The development of VAP is a concern and its prevention is essential because it is the most…

Patient, a 71-year-old, retired truck driver, presented to Prince of Wales Hospital (POWH) due to an exacerbation of COPD (chronic obstructive pulmonary disease) of 2 days presenting as dyspnea on the background of 5-year history of COPD with 1 or 2 exacerbations a year, previous peripheral venous insufficiency with ulcers, previous solitary pulmonary nodule and an ex-smoker with 100 pack-year history. Initial examination presented with respiratory rate of 22 breaths/minute, oxygen saturation of…

TERMINOLOGY CLINICAL CLARIFICATION • Systemic illness due to microbial infection that can lead to acute organ dysfunction or failure and associated with host immune response to infection CLASSIFICATION • There is a disease continuum with increasing severity if not treated or not responsive to treatment o Systemic inflammatory response syndrome (SIRS) - Documented or suspected infection with systemic manifestations of infection - Clinical response to a nonspecific insult of either infectious or…

The Effectiveness of Deep Breathing Exercises on Pulmonary Function One of the first frameworks nursing students learn in school is the importance of assessing the patient’s airway, breathing, and circulation (ABCs). These three concepts are critical for survival, and alteration of any of these can result in death. Chronic obstructive pulmonary disease (COPD) involves two conditions: emphysema and chronic bronchitis. Emphysema is characterized by the loss of lung elasticity and destruction of…

Hospital Length of Stay Norma Valdez-Rosa South University Online March 8, 2016 Introduction Prolonged hospital length of stays can increase costs not only for the patient but more so for the hospital. A multidisciplinary approach to patient health care and discharge planning is very important to help with this financial burden. When discharge barriers are identified on admission or soon after, it will help in reducing unnecessary hospital length of stays. Article Reviews…

Ventilator-associated pneumonia (VAP) is a type of pneumonia that is acquired by being on a mechanical ventilator. Cutler and Sluman (2013) describe pneumonia as an inflammatory illness within the lungs that is due to some type of infectious agent. That infectious agent could be viral, bacterial, or from an environmental fungal source (Cutler & Sluman, 2013). A mechanical ventilator is a type of hospital device that effectively and efficiently maintains breathing. A ventilator essentially…