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    Pneumonia Case Study

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    listonjohnboca26

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    Pneumonia Case Study

    Uploaded by

    listonjohnboca26
    1 views2 pages

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    1 views2 pages

    Pneumonia Case Study

    Uploaded by

    listonjohnboca26

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Case Study: Community-Acquired Pneumonia with Pleural

    E usion
    Patient Overview

     Diagnosis: Community-Acquired Pneumonia (CAP) - Moderate Risk with Pleural


    E usion

     Presenting Symptoms:

    o Persistent cough with purulent sputum.

    o Shortness of breath and pleuritic chest pain.

    o Fever, fatigue, and occasional chills.

     Background:

    o No prior hospitalizations for respiratory conditions.

    o History of occasional smoking; quit 5 years ago.

    Assessment Findings

    1. Physical Examination:

    o Dullness on percussion over the a ected lung.

    o Decreased breath sounds and crackles noted on auscultation.

    o Use of accessory muscles during respiration.

    2. Diagnostic Tests:

    o Chest X-Ray: Revealed consolidation and pleural fluid.

    o Blood Tests: Elevated white blood cell count, indicating infection.

    o Sputum Culture: Identified Streptococcus pneumoniae as the causative


    organism.

    o Thoracentesis: Confirmed the presence of exudative pleural e usion.

    Management Plan

    Pharmacological Treatment

     Antibiotics: Ceftriaxone and azithromycin to combat bacterial infection.


     Antipyretics: For fever management.

     Bronchodilators: To ease breathing di iculties.

    Non-Pharmacological Interventions

     Oxygen Therapy: To maintain adequate oxygen saturation levels.

     Hydration: To loosen mucus and support recovery.

     Physiotherapy: Encouraging deep breathing exercises and mobilization.

    Monitoring and Follow-Up

     Regular assessment of respiratory status and oxygen levels.

     Monitoring for signs of complications such as empyema or sepsis.

     Repeat imaging to evaluate resolution of consolidation and pleural e usion.

    Patient Education

     Importance of completing the full course of antibiotics.

     Recognizing early signs of deterioration and when to seek immediate medical


    attention.

     Strategies to prevent recurrence, such as vaccination and smoking cessation.

    Outcome

    With timely intervention and comprehensive care, the patient showed significant
    improvement in symptoms, normalized laboratory results, and a decrease in pleural
    e usion volume upon follow-up imaging. Full recovery is expected with adherence to the
    management plan.

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