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RespiratoryDysfunction傈够坝鸣呜质走药湖怂嗓刀肚厚瘪篇渐仑跳锨嘎旗汁炽誊掉稽漳选第卉怎儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版RespiratoryDysfunction傈够1

AnatomyandPhysiologyoftheChildhoodRespiratorySystemUpperrespiratorytractNosePharynxLarynxEpiglottisLowerrespiratorytractTracheaBronchiBronchiolesandalveoli斌带够纠讣构吕海秸蹬踢新椽豌斜底吝惟悲蒙红她瓦孕酮讳靡访茬协胚扭儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版

AnatomyandPhysiologyofthe2

TheUpperAirwaydifferences:shorterandnarrow4mm<20mmnosebreatherairwayresistancelooselymucousmembranesandsofttissueTheLowerAirwaydifferences:rightbronchusismorewider,shorter,verticallessalveolarsurfacearea

AnatomyandPhysiologyoftheChildhoodRespiratorySystem掇徐票装充歹纂人贩帚忧傣虑被搅于卉穴血罩椽设兰康德战祟垫砌蒋典彦儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版TheUpperAirwaydifferences:3Pneumonia蜒攘籽仟黄请瘟牟表洱镭运茅涅坞僚瑚怎剩缸物敖孤状喇道岂几潜姻稗较儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Pneumonia蜒攘籽仟黄请瘟牟表洱镭运茅涅坞僚瑚怎剩缸物4Definition

AninflammationorinfectionofthebronchiolesandalveolarspacesofthelungsPneumonia殖篷磊宁侵缸期腑唇袍施亚青幌毒篇难饯熏想森妄涉数皱箱淬洋粳烘迹押儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版DefinitionAninflammationor5Introduction

occur:ininfantsandyoungchildrenrecovery:childrensoonerthanadultsexisttype:diseaseorcomplication

season:latewinterandearlyspring

Pneumonia艾播徊件溺仔攫像熬攀酿诅怂抒姚觅纪孜售涕领该碳囊狡威媚伟祷撅呢刺儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Introductionoccur:ininfan6

LobarpneumoniaBronchopneumonia(lobularpneumonia)InterstitialpneumoniaPneumoniaclassificationMorphologicalclassification号刽液放乳颁邵才债咎嘉戴添颗候猴随忱草狮噶夸兢男更幽皋店壕顶与垫儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版PneumoniaclassificationM7EtiologicAgent

InfectiousvirusbacterialMycoplasma(支原体肺炎)

chlamydial(衣原体肺炎)fungipneumocystis(肺囊虫)

Noninfectious

foreignbodyaspirationPneumoniaclassification牟滨沛技眉裹称凄或都煮龋染茶纶啡篙副摆治哨曾腊蓑涡微娠屋洽坏手序儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版EtiologicAgentNoninfectious8CourseAgent

Acute<1monthProgressive1-3monthsChronic>3months

Pneumoniaclassification搭问纺梳逾擅粥壬瘸胞冶夏又叁肩楔悉炎婪嗣学带非术莉韧岂傍泵欺相井儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版CourseAgentPneumoniaclass9StateofIllness

MildSevere

Pneumoniaclassification诱迄绚澳能店柴吠逾撬道镍磅钮衰前厅曹彦裁讯主潭颖珐通橱霸陛赠命颂儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版StateofIllnessPneumoniaclas10theclinicalmanifestationsofbronchopneumoniaMildbronchopneumoniafever:irregularfevercough:dry,hacking,non-productivetoproductivecoughtachypnea:RR40~80ts/mnasalflaring,sighingrespiration,threedepressionsignsandcyanosis

fixedfinemoistralesPneumonia丙敞性砂啥撒抠鸽澳邑佳畴中遣蝎芋盼溢惦据林榴缉渡连垣椽狄踊唇账居儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版theclinicalmanifestationsof11theclinicalmanifestationsofbronchopneumoniaSeverebronchopneumoniacirculationsystemmanifestationsofmyocarditissignsofheartfailurenervoussystem

gastrointestinal

Chest:X-rayfilmPneumonia戒觉吞啥暗电扯皿桨吾疯紊搅荫甩塔铬呢毯厅骡歹峙吝蟹株诉阶柱婆请批儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版theclinicalmanifestationsof12Severebronchopneumonia

Circulationsystem

myocarditis,congestiveheartfailure

pathogens

invadingthemyocardiumandproducetoxintoxicmyocarditishypoxia

pulmonaryarteryhypertensionCHFPneumoniamanifestation寞挪挑定码肝鼠蛮哟彩橱加气砷叹酷懂卷压征臭减埋渊纶媚酮屹摇砷古警儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumonia13Severebronchopneumonia

manifestationsofmyocarditispaletachycardiadiminishedcardiacsoundandarrhythmia

STslowingdownTwaveupdown

Pneumoniamanifestation酪窖倪耻涵敬绕斥罢吉小支婚逐杀殊寞螟牌庆鸟促洼兹曾吴彻角枪告谈专儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumonia14SeverebronchopneumoniaSignsofheartfailure

RestlessobviouscyanosisgreyfacesTachypnea:RR>60ts/mTachycardia:HR>160-180bpmSweatingdyspneacervicalveindistentionoliguriaoranuriaface/lowerlimbsedemaHepatomegalyprogressively

Pneumoniamanifestation锣怂园囤淄躯恿捷涡浙例裙效竞佛彻窑单衷喷袭套嗣哦宰殖技释采绅恤廉儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumoni15Severebronchopneumonia

Nervoussystem:

dysphoria(烦躁)irritable

alert/stuporous

convulsion

somnolence(嗜睡)

intracranialhypertension

Pneumoniamanifestation揽仇坊说妆蘸氦撬努劫阴兆具紫葬蒸讨妨亨陛隅府酒福冶烩棚合垦靡话患儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版SeverebronchopneumoniaPne16Severebronchopneumonia

Gastrointestinal

anorexiavomitingabdominal

distention

toxicenteritishemorrhageofGIabsentintestinalsoundbloodystoolPneumoniamanifestation工柒叶夫炽态遂耕蔓淑扛掘监昼沸藉瞒涌蜒盾灼阮诞凶佳怖挠轧蒜勘喝酥儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumonia17Severebronchopneumonia

Chest:X-rayfilm

diffuseorpatchyinfiltration

smallspottedshadowoftherightmiddlePneumoniamanifestation君疏怎爹悉嘻梢桶遗逻立个蚌森待局亭庐娄势楷磐销警斩俭症德午威湖徐儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumoniasm18TherapeuticManagement

principle

antimicrobialtherapy

supportivemeasuresPneumoniatherapy什纲操穗胎痪苗掸莆孵氏清垣夸监蹬煎县顽沉乓恩晚英揉陵绪当俏铁更陇儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版TherapeuticManagementPneumoni19principle

controlinfection

promoteoxygenationandcomfort

preventcomplication

fevermanagement

fluidintake

familysupport

Pneumoniatherapy怎扮钟巾筐井结癌姑摧姑悄芹案杯粗爆帮檄波桔葵掐仰泌恬翌显驾犊农喂儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版principlePneumoniatherapy怎扮钟巾20Antimicrobialtherapy

PGgivenbyIMorIV

PG-allergic:erythromycinclindamycin

PG-resistent:cephalosporin

PGandcephalosporin-resistent:vancomycin

Pneumoniatherapy屉炒拾华饥稼棕匈烯紊篮说教寞揍殴噎硅榆咕稼篷疟柒性攀嚼阉丑哟僧醋儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Antimicrobialtherapy21SupportiveMeasures

controlcoughanddyspneakeepairwaycleargiveoxygenposition:semi-reclining

Pneumoniatherapy楼勿骏摊沂挫宛睡宇缴帆找浑盛停什名课龄奸哑囚工谈峰碱锈柯炊谱酷里儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版SupportiveMeasurescontr22NursingDiagnosis

Impairedgasexchange

collectionmucousinairway

Ineffectiveairwayclearance

mechanicalobstruction,inflammation

andincreasedsecretions

Pneumonia硒艰麓贪恼请膜桓踩癣甜倦疲境跺堪足唇望宵隘几蹿穴战狞夷调蒲飞蜒伴儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版NursingDiagnosisImpaired23AnticipatedgoalsThechildwillshownormalrespiratoryfunctionwillreceiveoptimumoxygensupplyThechildwillmaintainpatentairwaywillexpectoratesecretionsadequatelyPneumonia度祥轧墨神霸努竖坊厚溉稼瘸痛温滴队斥笑而掀健咀可迅怪巩畦床跺壕竞儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版AnticipatedgoalsThechildwil24NursingIntervention桃俊秉淡戳差臣工芯狙凑埂捉擒陨送抱火放框传刘插祟斋曾诊栋慌板垦糕儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版NursingIntervention桃俊秉淡戳差臣工芯狙25

RestoreOptimalRespiratoryFunction

MaintainAirwayCleaning

ProvideAdequateRestandNutrition

Observation

PreventInfectionNursingIntervention寿息芭胰障馈蠢崭设遂逆糯袁齐巨秘隅雇诌姓盒咨涟柄麻耻亚拂仓呆薛不儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版RestoreOptimalRespirator26

RestoreOptimalRespiratoryFunction

Keepcomfortableenvironment

Positionchildformaximumventilation—semi-recliningposition

ProvideOxygen:masknasalcannulaintubationmechanicalventilation绊茨刺稽脂毗通乡弛劫起挝凭琅砌坛落邻策瑶芦算页俘下械趟贪臂须宾坤儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版RestoreOptimalRespiratory27MaintainAirwayCleaning

Institutesuctioningofairway,cougheffectivelyandposturaldrainageProvidenebulizationChestPhysiotherapyAdministermedications懒扭砂饲瘟刺鼎让等浅聪谩昂粕靴罩溯家十桔势履礁座八售即睁矣蹦枪其儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版MaintainAirwayCleaningI28ProvideAdequateRestandNutrition

Provide

quietenvironmentdarkenroom,schedulevisitingtime

Bedrest

Appropriatediethigh-proteinandcarbohydratedigestive,nutritionalliquidandsemi-liquiddietsmallfrequentfeedingenteralorparenteralnutrition

空我唯烃滁赔鲍淑鹤榔靠何唐诗代扒彦族猛锅袜爬硕益一矗驯涧己忻蕾迎儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版ProvideAdequateRestandNutr29observationTemperature:preventhyperthermiaseizureSignsofheartfailureSignsofintracranialhypertentionSignsoftoxicenteroplegiaandGIblood肢揖吊弘轿输削型砒癸选沁况碌黍漠掀空居赛熬肆嫩慌铝淹兢机糯远沥滴儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版observationTemperature:prevent30Signsofheartfailure

usecardiacmonitorvitalsignsoxygensaturationbreathsounds,colorofskin,intakeandoutput,electrolytelevelssideeffectofmedicationheartfailuresigns

observation盅耘鸥逮己幸蕉甸扫尉饱舞瓷鞍扰劈烦俊唆训癸订歌冉伯锹伙流桶邯根绝儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Signsofheartfailureus31SignsofintracranialhypertensionAlertorstuporousSeizurecomairregularrespirationobservation宛经旬崇褂泊余怕袖赐喜肆翁河孺谆露久牢瞒拆寸畏宝撒恍氧嫡丁颗矣迪儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Signsofintracranialhyperten32SignsoftoxicenteroplegiaandGIbloodabdominaldistentiontreatment:supplypotassium,dietaryrestriction,placingnasogastrictube,injectneostigmine.BowlsoundVomitingBloodstoolobservation抨瓦急挚翰砾缠茄链糟料抡踌钙揣币腾更妹退蛀馆贸枚莉诌扇堡疾茄终覆儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Signsoftoxicenteroplegiaan33PreventInfection

Assesssignsofinfection

vitalsigns,temperaturefluctuationsputumculture,sensitivityreportsandWBC

MaintainasepticenvironmentLimitvisitorsandisolatethepatientsAdministerantibiotics凋顾腾唉滤挝鬼掺箭椎茨越票示隙闷挺蜜郑撵音繁收闲粹俘讫查主釉帚悍儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版PreventInfectionAssesss34BeforetreatmentAftertreatment至筒忌约貌慷峰伞慨藩毖宴揍圣碟询鳃妇匈丰硝呐蕊欠霍俄谋杆宁坟悟兑儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版BeforetreatmentAftertreatmen35

severalspecialtypesofpneumonia

Viralpneumonia

mostcommoncause:RSVpeakattackrate:<2ageonset:acuteorinsidioussymptom:fever,cough,tachypnea,nasalflaringcyanosis,respiratoryfatigue

IntercostalSubcostalSuprasternal

Pneumonia蕉榷木烽窒辑笆蛋等喂希伤顽享蕾增锡材嘎厅伺尧舀哩眩谅歹徒前瞄哪韭儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版severalspecialtypes36severalspecialtypesofpneumonia

Staphylococcalpneumonia(葡萄球菌肺炎)

season:OctoberandMayfollowing:viralupperrespiratorytractage:<1ageboys>girlssymptom:tachypnea,cyanosisandanxietysignsininfants:lethargic,irritable,toxicgastrointestinaldisturbances

Pneumonia乔浚块贞涕破钝寝间峙墩像规桅淫驴毙潦糖栓尺衫搅谍骑蚂傈涪妊陷棒澡儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版severalspecialtypesofpne37severalspecialtypesofpneumoniaMycoplasmalpneumonia(支原体肺炎)

age:5-12yearsseason:fallandwintersymptom:dry,hackingcough,feverextrapulmonarycomplications:blood,heart,CNSPneumonia挤具樊挣滨嘉蕴捧入盲眠驭既巡丧渤昔癌资先诱涡输串罪贝矿恨冀鹃艰糊儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版severalspecialtypesof38severalspecialtypesofpneumoniaChlamydial

pneumonia(衣原体肺炎)

age:<6monthssymptom:coughscatteredinspirationraleswheezerarelynofeverPneumonia蝎停辽援拽恩忧孔尖锋膀畜让梧常船浑苏拽陶瞩缚塘析躁纶埔助捡困矢丙儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版severalspecialtypesofpne39ThankYou郑嫂田确踪汐饰豆邱尉窍崎墟涵受鱼腋锯锑法反渗婉活睡蚂缅刻买糊峭锹儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版ThankYou郑嫂田确踪汐饰豆邱尉窍崎墟涵受鱼腋锯锑40

RespiratoryDysfunction傈够坝鸣呜质走药湖怂嗓刀肚厚瘪篇渐仑跳锨嘎旗汁炽誊掉稽漳选第卉怎儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版RespiratoryDysfunction傈够41

AnatomyandPhysiologyoftheChildhoodRespiratorySystemUpperrespiratorytractNosePharynxLarynxEpiglottisLowerrespiratorytractTracheaBronchiBronchiolesandalveoli斌带够纠讣构吕海秸蹬踢新椽豌斜底吝惟悲蒙红她瓦孕酮讳靡访茬协胚扭儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版

AnatomyandPhysiologyofthe42

TheUpperAirwaydifferences:shorterandnarrow4mm<20mmnosebreatherairwayresistancelooselymucousmembranesandsofttissueTheLowerAirwaydifferences:rightbronchusismorewider,shorter,verticallessalveolarsurfacearea

AnatomyandPhysiologyoftheChildhoodRespiratorySystem掇徐票装充歹纂人贩帚忧傣虑被搅于卉穴血罩椽设兰康德战祟垫砌蒋典彦儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版TheUpperAirwaydifferences:43Pneumonia蜒攘籽仟黄请瘟牟表洱镭运茅涅坞僚瑚怎剩缸物敖孤状喇道岂几潜姻稗较儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Pneumonia蜒攘籽仟黄请瘟牟表洱镭运茅涅坞僚瑚怎剩缸物44Definition

AninflammationorinfectionofthebronchiolesandalveolarspacesofthelungsPneumonia殖篷磊宁侵缸期腑唇袍施亚青幌毒篇难饯熏想森妄涉数皱箱淬洋粳烘迹押儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版DefinitionAninflammationor45Introduction

occur:ininfantsandyoungchildrenrecovery:childrensoonerthanadultsexisttype:diseaseorcomplication

season:latewinterandearlyspring

Pneumonia艾播徊件溺仔攫像熬攀酿诅怂抒姚觅纪孜售涕领该碳囊狡威媚伟祷撅呢刺儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Introductionoccur:ininfan46

LobarpneumoniaBronchopneumonia(lobularpneumonia)InterstitialpneumoniaPneumoniaclassificationMorphologicalclassification号刽液放乳颁邵才债咎嘉戴添颗候猴随忱草狮噶夸兢男更幽皋店壕顶与垫儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版PneumoniaclassificationM47EtiologicAgent

InfectiousvirusbacterialMycoplasma(支原体肺炎)

chlamydial(衣原体肺炎)fungipneumocystis(肺囊虫)

Noninfectious

foreignbodyaspirationPneumoniaclassification牟滨沛技眉裹称凄或都煮龋染茶纶啡篙副摆治哨曾腊蓑涡微娠屋洽坏手序儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版EtiologicAgentNoninfectious48CourseAgent

Acute<1monthProgressive1-3monthsChronic>3months

Pneumoniaclassification搭问纺梳逾擅粥壬瘸胞冶夏又叁肩楔悉炎婪嗣学带非术莉韧岂傍泵欺相井儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版CourseAgentPneumoniaclass49StateofIllness

MildSevere

Pneumoniaclassification诱迄绚澳能店柴吠逾撬道镍磅钮衰前厅曹彦裁讯主潭颖珐通橱霸陛赠命颂儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版StateofIllnessPneumoniaclas50theclinicalmanifestationsofbronchopneumoniaMildbronchopneumoniafever:irregularfevercough:dry,hacking,non-productivetoproductivecoughtachypnea:RR40~80ts/mnasalflaring,sighingrespiration,threedepressionsignsandcyanosis

fixedfinemoistralesPneumonia丙敞性砂啥撒抠鸽澳邑佳畴中遣蝎芋盼溢惦据林榴缉渡连垣椽狄踊唇账居儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版theclinicalmanifestationsof51theclinicalmanifestationsofbronchopneumoniaSeverebronchopneumoniacirculationsystemmanifestationsofmyocarditissignsofheartfailurenervoussystem

gastrointestinal

Chest:X-rayfilmPneumonia戒觉吞啥暗电扯皿桨吾疯紊搅荫甩塔铬呢毯厅骡歹峙吝蟹株诉阶柱婆请批儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版theclinicalmanifestationsof52Severebronchopneumonia

Circulationsystem

myocarditis,congestiveheartfailure

pathogens

invadingthemyocardiumandproducetoxintoxicmyocarditishypoxia

pulmonaryarteryhypertensionCHFPneumoniamanifestation寞挪挑定码肝鼠蛮哟彩橱加气砷叹酷懂卷压征臭减埋渊纶媚酮屹摇砷古警儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumonia53Severebronchopneumonia

manifestationsofmyocarditispaletachycardiadiminishedcardiacsoundandarrhythmia

STslowingdownTwaveupdown

Pneumoniamanifestation酪窖倪耻涵敬绕斥罢吉小支婚逐杀殊寞螟牌庆鸟促洼兹曾吴彻角枪告谈专儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumonia54SeverebronchopneumoniaSignsofheartfailure

RestlessobviouscyanosisgreyfacesTachypnea:RR>60ts/mTachycardia:HR>160-180bpmSweatingdyspneacervicalveindistentionoliguriaoranuriaface/lowerlimbsedemaHepatomegalyprogressively

Pneumoniamanifestation锣怂园囤淄躯恿捷涡浙例裙效竞佛彻窑单衷喷袭套嗣哦宰殖技释采绅恤廉儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumoni55Severebronchopneumonia

Nervoussystem:

dysphoria(烦躁)irritable

alert/stuporous

convulsion

somnolence(嗜睡)

intracranialhypertension

Pneumoniamanifestation揽仇坊说妆蘸氦撬努劫阴兆具紫葬蒸讨妨亨陛隅府酒福冶烩棚合垦靡话患儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版SeverebronchopneumoniaPne56Severebronchopneumonia

Gastrointestinal

anorexiavomitingabdominal

distention

toxicenteritishemorrhageofGIabsentintestinalsoundbloodystoolPneumoniamanifestation工柒叶夫炽态遂耕蔓淑扛掘监昼沸藉瞒涌蜒盾灼阮诞凶佳怖挠轧蒜勘喝酥儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumonia57Severebronchopneumonia

Chest:X-rayfilm

diffuseorpatchyinfiltration

smallspottedshadowoftherightmiddlePneumoniamanifestation君疏怎爹悉嘻梢桶遗逻立个蚌森待局亭庐娄势楷磐销警斩俭症德午威湖徐儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Severebronchopneumoniasm58TherapeuticManagement

principle

antimicrobialtherapy

supportivemeasuresPneumoniatherapy什纲操穗胎痪苗掸莆孵氏清垣夸监蹬煎县顽沉乓恩晚英揉陵绪当俏铁更陇儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版TherapeuticManagementPneumoni59principle

controlinfection

promoteoxygenationandcomfort

preventcomplication

fevermanagement

fluidintake

familysupport

Pneumoniatherapy怎扮钟巾筐井结癌姑摧姑悄芹案杯粗爆帮檄波桔葵掐仰泌恬翌显驾犊农喂儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版principlePneumoniatherapy怎扮钟巾60Antimicrobialtherapy

PGgivenbyIMorIV

PG-allergic:erythromycinclindamycin

PG-resistent:cephalosporin

PGandcephalosporin-resistent:vancomycin

Pneumoniatherapy屉炒拾华饥稼棕匈烯紊篮说教寞揍殴噎硅榆咕稼篷疟柒性攀嚼阉丑哟僧醋儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Antimicrobialtherapy61SupportiveMeasures

controlcoughanddyspneakeepairwaycleargiveoxygenposition:semi-reclining

Pneumoniatherapy楼勿骏摊沂挫宛睡宇缴帆找浑盛停什名课龄奸哑囚工谈峰碱锈柯炊谱酷里儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版SupportiveMeasurescontr62NursingDiagnosis

Impairedgasexchange

collectionmucousinairway

Ineffectiveairwayclearance

mechanicalobstruction,inflammation

andincreasedsecretions

Pneumonia硒艰麓贪恼请膜桓踩癣甜倦疲境跺堪足唇望宵隘几蹿穴战狞夷调蒲飞蜒伴儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版NursingDiagnosisImpaired63AnticipatedgoalsThechildwillshownormalrespiratoryfunctionwillreceiveoptimumoxygensupplyThechildwillmaintainpatentairwaywillexpectoratesecretionsadequatelyPneumonia度祥轧墨神霸努竖坊厚溉稼瘸痛温滴队斥笑而掀健咀可迅怪巩畦床跺壕竞儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版AnticipatedgoalsThechildwil64NursingIntervention桃俊秉淡戳差臣工芯狙凑埂捉擒陨送抱火放框传刘插祟斋曾诊栋慌板垦糕儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版NursingIntervention桃俊秉淡戳差臣工芯狙65

RestoreOptimalRespiratoryFunction

MaintainAirwayCleaning

ProvideAdequateRestandNutrition

Observation

PreventInfectionNursingIntervention寿息芭胰障馈蠢崭设遂逆糯袁齐巨秘隅雇诌姓盒咨涟柄麻耻亚拂仓呆薛不儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版RestoreOptimalRespirator66

RestoreOptimalRespiratoryFunction

Keepcomfortableenvironment

Positionchildformaximumventilation—semi-recliningposition

ProvideOxygen:masknasalcannulaintubationmechanicalventilation绊茨刺稽脂毗通乡弛劫起挝凭琅砌坛落邻策瑶芦算页俘下械趟贪臂须宾坤儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版RestoreOptimalRespiratory67MaintainAirwayCleaning

Institutesuctioningofairway,cougheffectivelyandposturaldrainageProvidenebulizationChestPhysiotherapyAdministermedications懒扭砂饲瘟刺鼎让等浅聪谩昂粕靴罩溯家十桔势履礁座八售即睁矣蹦枪其儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版MaintainAirwayCleaningI68ProvideAdequateRestandNutrition

Provide

quietenvironmentdarkenroom,schedulevisitingtime

Bedrest

Appropriatediethigh-proteinandcarbohydratedigestive,nutritionalliquidandsemi-liquiddietsmallfrequentfeedingenteralorparenteralnutrition

空我唯烃滁赔鲍淑鹤榔靠何唐诗代扒彦族猛锅袜爬硕益一矗驯涧己忻蕾迎儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版ProvideAdequateRestandNutr69observationTemperature:preventhyperthermiaseizureSignsofheartfailureSignsofintracranialhypertentionSignsoftoxicenteroplegiaandGIblood肢揖吊弘轿输削型砒癸选沁况碌黍漠掀空居赛熬肆嫩慌铝淹兢机糯远沥滴儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版observationTemperature:prevent70Signsofheartfailure

usecardiacmonitorvitalsignsoxygensaturationbreathsounds,colorofskin,intakeandoutput,electrolytelevelssideeffectofmedicationheartfailuresigns

observation盅耘鸥逮己幸蕉甸扫尉饱舞瓷鞍扰劈烦俊唆训癸订歌冉伯锹伙流桶邯根绝儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Signsofheartfailureus71SignsofintracranialhypertensionAlertorstuporousSeizurecomairregularrespirationobservation宛经旬崇褂泊余怕袖赐喜肆翁河孺谆露久牢瞒拆寸畏宝撒恍氧嫡丁颗矣迪儿童呼吸系统疾病英文版儿童呼吸系统疾病英文版Signsofintracranialhyperten72SignsoftoxicenteroplegiaandGIbloodabdominaldistentiontreatment:supplypotassium,dietaryrestriction,placingnasoga

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