Fluid and Electrolyte Balance in Tertiary Nursing
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Respiratory distress and inadequate oxygenation are the primary concerns in pediatric pneumonia due to airway inflammation and consolidation impairing gas exchange. Assessment: respiratory rate (tachypnea is key sign); work of breathing (nasal flaring, retractions, grunting); oxygen saturation; fever; cough; and auscultatory findings. Severe pneumonia signs: lower chest wall indrawing; inability to drink; lethargy; convulsions. Management: antibiotics per guidelines; oxygen therapy if hypoxic; antipyretics; hydration; and monitoring. Nurses position for comfort, provide humidified air, and suction if needed. Prevention: vaccination (pneumococcal, Hib); breastfeeding; reducing indoor air pollution. Education: complete antibiotics; recognize danger signs; follow-up. Documentation includes respiratory assessment and response to treatment. Complications: pleural effusion, empyema, sepsis. Timely treatment reduces mortality, especially in resource-limited settings. WHO classification guides severity and treatment setting.
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