Concept Map for Coronavirus SARs-CoV19 PDF

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Bacteria Pneumonia for Foundational of Nursing NUR 215....

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Pathophysiology (In your own words-cite reference) SARS-CoV2 is severe acute respiratory syndrome coronavirus 2 where a new strain of virus sequence similar to the original SARS-CoV virus. This virus is known as Covid-19. The virus can cause mild to severe illness and even death and it associated to but not limited to severe respiratory.

Assessment Data- min. of 3 Subjective: 1. dry cough 2. nausea 3. headache Objective: 1. fever: 102 F 2. dyspnea 3. O2 saturation level: 86%

Causative Org: respiratory droplet and close contact Clin Mani: fever, cough, nausea, tachycardia, chest pain Vallamkondu, J., John, A., Wani, W. Y., Ramadevi, S. P., Jella, K. K., Reddy, P. H., & Kandimalla, R. (2020). SARS-CoV-2 pathophysiology and assessment of coronaviruses in CNS diseases with a focus on therapeutic targets. Biochimica et biophysica acta. Molecular basis of disease, 1866(10), 165889. https://doi.org/10.1016/j.bbadis.2020.165889

Nursing Diagnosis/Priority Problem #2 (3-part statement)

Ineffective gas exchange related to decreased in oxygen saturation levels as evidenced by less than 86 percent. Nursing Interventions for Goal #2- min. of 2 1.Assist patient with walking. Rationale: walking help the lung expansion, secretion clearance, and stimulate deep breathing that help promote oxygenation. 2.Administer oxygen to patient to increase oxygenation levels above 90 percent. Rationale: additional air like nasal cannula can be used to keep partial Air oxygen and overall saturation level increase 90 percent. Pascoal, L. M., Lopes, M. V., Chaves, D. B., Beltrão, B. A., da Silva, V. M., & Monteiro, F. P. (2015). Impaired gas exchange: accuracy of defining characteristics in children with acute respiratory infection. Revista latino-americana de enfermagem, 23(3), 491–499. https://doi.org/10.1590/01041169 0269 2581

Nursing Diagnosis/Priority Problem #1 (3-part statement)

Ineffective breathing pattern related to imbalance between oxygen supply and demand as evidenced dyspnea, dry cough and shallow breathing. Planning- Short Term Goal #1

1. Patient will use incentive spirometer two times per day during morning routine for one week to improve airway and breathing patterns.

Planning- Short Term Goal #2

Nursing Interventions for Goal #1- min. of 2 1. Place patient in an upright position to promote optimal breathing patterns. Rationale: at upright sitting position stimulate or allows lung excursion and expansion to its optimal. 2. Encourage sustained deep breathing by utilizing incentive spirometer. Inhaling respiration slowly and fully than holding for a second than exhaling respiration all the way. Rationale: techniques assist deep inspiration that increases oxygenation and stop atelectasis.

1. Encourage patient demonstrate walking 20 minutes per Prado, P., Bettencourt, A., & Lopes, J. L. (2019). Defining characteristics day for a week to promote lung expansion and related factors of the nursing and airway clearance. diagnosis for ineffective breathing pattern. Revista brasileira de enfermagem, 72(1), 221–230. https://doi.org/10.1590/0034-71672018-0061

Evaluation- Was the goal met, what evidence would support the goal being met. If goal was unmet, what will you do next? STG #1-Goal Not met. Patient did not demonstrate effective usage of incentive spirometer every 2 hours per day for one week. STG #2- Goal was met. Patient walking 20 minutes per day with a physical therapist with simulation deep breathing and increase oxygenation levels with lung expansion....