Nursing Care Plan for Empyema
Nursing Care Plan for Empyema Empyema Empyema is a collection of pus in the space between the lung and the inner surface of the chest wall (pleural space). Symptoms Chest pain, which worsens when you breathe in deeply (pleurisy) Dry cough Excessive sweating, especially night sweats Fever and chills General discomfort, uneasiness, or ill feeling (malaise) Shortness of breath Weight loss (unintentional) Nursing Diagnosis of Empyema 1: Ineffective airway clearance related to bronchus spsame, increased production of secretions, weakness Nursing Intervention and Rational: Auscultation of breath sounds: note the presence of breath sounds, assess and monitor breathing sounds R /: To determine the presence of airway obstruction, the degree yan tachipneu found the process of acute infection. Assess the frequency of respiratory R /: The process of acute infection (tachipnea) Nursing diagnosis of empyema 2: Impaired Gas Exchange related to airway obstruction secondary to the buildup of secreti...