Scribd
Upload
55 views5 pages

GRANDPAR-PATHOPHYSIOLOGY-4 (1) Pertusis Whooping Cough Secondary To Pneumonia

Pertussis pneumonia is caused by the inhalation or aspiration of Bordetella pertussis, the bacteria that causes whooping cough. Factors like incomplete immunization, exposure to secondhand smoke, or a weak immune system can predispose infants to infection. The bacteria invade the lungs, triggering an inflammatory response and release of cytokines that cause symptoms like coughing, fever, and nasal discharge. This leads to consolidation of the lungs and decreased gas exchange, resulting in hypoxemia. Diagnosis involves tests like a CBC, chest X-ray, and culture of sputum. Treatment focuses on antibiotics, oxygen therapy, chest physiotherapy, and nursing care like monitoring vitals and providing comfort. Outcomes

Uploaded by

Justin Alejo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
55 views5 pages

GRANDPAR-PATHOPHYSIOLOGY-4 (1) Pertusis Whooping Cough Secondary To Pneumonia

Pertussis pneumonia is caused by the inhalation or aspiration of Bordetella pertussis, the bacteria that causes whooping cough. Factors like incomplete immunization, exposure to secondhand smoke, or a weak immune system can predispose infants to infection. The bacteria invade the lungs, triggering an inflammatory response and release of cytokines that cause symptoms like coughing, fever, and nasal discharge. This leads to consolidation of the lungs and decreased gas exchange, resulting in hypoxemia. Diagnosis involves tests like a CBC, chest X-ray, and culture of sputum. Treatment focuses on antibiotics, oxygen therapy, chest physiotherapy, and nursing care like monitoring vitals and providing comfort. Outcomes

Uploaded by

Justin Alejo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

PATHOPHYSIOLOGY ON PERTUSSIS PNEUMONIA

Predisposing Factors: Precipitating Factors:

Indoor Air pollution Exposure to Second hand smoke

One moth to Six months of age Weak immune system

Premature baby Malnourish


A Treatment/s received Incomplete immunization

Direct inhalation/ aspiration/Hematogenous


spread of pathogens

Ineffective immune response


resulting to overwhelming infection

Invasion of pathogens in lung


parenchyma

Inflammatory response is
triggered

Local inflammatory Systemic inflammatory


response response
Release of inflammatory mediators
(cytokines)
 Chills
Release of inflammatory mediators Disruption of Hypothalamic Regulation
 Fever
(cytokines)  Sweating
 Loss of appetite

Accumulation of plasma exudate, debris


serious fluid, bacteria, and fibrin

Alveoli fill with pus and fluid Increased mucous production

Consolidation Airway Obstruction


 Cough
 Sneezing
Decreased gas exchange  Fever
Pertussis whooping  Nasal discharge
cough  Vomiting
 Apnea
Hypoxemia
Procalcitonin test
Chest x-ray
 Dyspnea
Complete blood count (CBC)
 Tachypnea
Sputum culture
 Nasal flaring Urinalysis
 Increased irritability Blood culture
 Cyanosis Chest CT scan
ABG analysis
Serum electrolytes

Pneumonia

With nursing medical Without nursing medical


intervention intervention
Pharmacological management: Acute respiratory distress (ARD)

 Anti-bacterial agents
- Cefuroxime
- Azithromycin
Lung abscesses
- Clarithromycin
- Amikacin (sub class)
- Erythromycin

Nursing management: Respiratory failure


- Check vital signs
- Monitor I&O
- Pulse Oximetry
Inflammation of the brain
- Oxygen therapy
- Chest physiotherapy
- Humidification
Death
Nursing management health teaching:

- Advise the mother to cuddle the baby and double wrap to maintain the basal
body temperature. Bad prognosis
- Advice the mother or parents to avoid unnecessary movements or noise that
will stimulate the babies consciousness which will lead to crying then it will
result to cough then baby will have facial pertussis cyanosis.
- Educate parents or caregivers on proper nasal care, emphasizing the
importance of hygiene to prevent nasal irritation.
- Provide appropriate comfort measures such distractions or gentle restraints
to minimize stress during administration.
-

Good prognosis

You might also like