Treatment Goals.The Maintain Optimum Physiologic Status Provide Comfort and Prevent Complications,,,Education Closely monitor vital signs; intake and output; oxygenation; daily weight; electrolytes; sputum, production; cardiac,, respiratory fluid and nutritional status; breath sounds; and pulse oximetry and ABG values. Request referral to a.Pulmonologist and / or infectious disease specialist if one is not already part of the treatment team.Education Assist with clearance of secretions using nasotracheal and oral suctioning as needed. Utilize positioning techniques. As.Well as manual or mechanical percussion to help, loosen secretions preferably in conjunction with prescribed breathing. Treatments. Educate patient as developmentally, appropriate and family, about importance of secretion clearance and regular. Deep breathing and coughing.Education Assist with tracheal intubation and mechanical ventilation support and provide oxygen for children with progressive dyspnea. And / or, respiratory failure as ordered. Provide tracheobronchial suctioning or assist with tracheobronchoscopy to help remove. Effusions particulates or plugs,,,, if appropriate and elevate the child s head. 'Education Assess for pain fever and discomfort,,, provide and symptomatic relief as ordered.Education Administer prescribed antimicrobial agents as determined by the causative organism and illness severity. Antimicrobials.For treatment of PIC include amoxicillin penicillin G,,, amoxicillin-clavulanate or erythromycin for S. Pneumoniae; vancomycin. Or clindamycin for S.aureus; Azithromycin for atypical mycobacterial pneumonia; cefuroxime for H. Influenzae; acyclovir. For varicella-related (e.g, chickenpox) pneumonia; and amantadine and oseltamivir for influenza pneumonia.Education Administer or assist with administration of additional, respiratory medications including nebulized antibiotics bronchodilators,,, Anti-inflammatory medications and mucolytics,,To Monitor treatment efficacy and for adverse effects and complications.Education Follow facility infection control protocols to reduce risk of transmission.The Provide Emotional Support and Educate About Transmission Prevention.Education Provide a quiet calm environment, with frequent rest periods; assess child / parental anxiety and coping ability; provide. Emotional support and encourage expression of any concerns / feelings; if the child, is intubated provide oral care and adequate. Hydration. Educate and encourage discussion about pneumonia etiology and pathophysiology potential complications treatment,,, Risks and benefits and individualized, prognosis.Education Educate about prevention strategies (e.g, pneumococcal, conjugate vaccine H. Influenzae type B [], HiB vaccine yearly. Influenza vaccination).
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