摘要:本文介绍了脑膜炎和肺炎两种病症,药物可用于治疗肺炎,但其他类型的肺炎可以通过简单地避免触发炎症的物质而被治疗。识别和及时治疗肺炎很重要,因为未经处理的肺炎可导致肺部结疤和呼吸永久困难。
% mortality rate and an even higher rate of morbidity.
• Pneumococcal meningitis has the highest rates of mortality (21%) and morbidity (15%).
NURSING HEALTH HISTORY
Patient’s Profile
Case Number : 34815
Name : Ms. Sleeping beauty
Age : 10 years old
Sex : Female
Birthday : March 14, 1998
Birthplace : N. Serina, Socorro, Surigoo del Norte
Home Address : N. Serina, Socorro, Surigao del Norte
Civil Status : Single
Religion : Iglesia Filipina Independiente (IFI)
Nationality : Filipino
Occupation : None
Educational Attainment : Elementary Level
Weight before Hospitalization : 25 kgs
Weight during Hospitalization : 24 kgs
Date/Time of Admission : July 15, 2008, 09:24 pm
Manner of Admission : Stretcher
Vital Signs upon Admission
Temperature : 40 °C
Pulse : 140 bpm
Respiration : 34 cpm
Admitting diagnosis/Impression : Acute Pneumonitis
Bacterial Meningitis
Final Diagnosis : Acute Pneumonitis
Bacterial Meningitis
Admitting Physician : Dr. L. Chua
Attending Physician : Dr. L. Chua
Hospital : Surigao Medical Center
Ward : Labor Room (Station 2)
Date of Discharge : July 23, 2008
Chief Complaint / Reason for Admission: Fever, seizure, vomiting,
History of Present Illness:
Patient initially experienced cold and cough (productive) after exposure to the changing climate three (3) weeks before admission. Her mother gave remedies such as increasing fluid intake, and was left unattended. Three days after, they went to a “quack” doctor to have “hilot” for they believed that it was just an ordinary cough and fever. Symptoms persist and were followed by dyspnea and fever. Antipyretic medication such as Paracetamol was given without physician‘s prescription. Fever was reduced and relieved after two days of medication. One day after, two (2) weeks before admission fever reoccurred. Home remedies like TSB was done and Paracetamol was given three times a day without consulting any physician. A week before the admission, series of vomiting and lost of appetite occurred. Experienced rigidity of both extremities, stiff neck and level of consciousness decreases followed by convulsion and seizure. On July 15, 2008, the family to brought the child in the city and crossed the sea. They rode a boat for five hours from 4:00 p.m. and arrived at around 9:30 p.m. The child was brought directly to Caraga Regional Hospital and diagnosed with bacterial meningitis. Assessed by the physician on duty with (+) brudzinski’s and Kernig’s sign. Given D5LR 1L regulated at 60-70 mgtts/min and O2 inhalation in nasal canula @ 2 L/min. At 9:45 p.m. Patient was transferred to Surigao Medical Center, for the reason that the family was not satisfied with the care given at the said hospital. Child was received in SMC in a stretcher and unconscious. Skin was warm to touch having initial vital signs of temperature (40oC), heart rate (140bpm), and respiratory rate (34cpm). She was admitted on July 15, 2008 at 9:45 p.m. under the care of Dr. L. Chua.
Past History 过去的历史
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