Pleurisy

Definition:

Inflammation of layers of the lungs (Pleura i.e. Parietal pleura/ visceral pleura).

Etiology:

  1. Tuberculosis
  2. Bronchitis
  3. Pleural infection
  4. Pneumonia
  5. Lung neoplasm

Clinical features:

  1. Chest pain
  2. Ribbing sound from sides of the lung
  3. Sharp knife like pain during inspiration
  4. Dysponea
  5. Coughing with pain

Investigations:

  1. X-ray chest
  2. CBC

Medical Management:

  1. Treat the causative agent
  2. Analgesic
  3. Antipyretic
  4. Antibiotic
  5. Expectorant
  6. Laxatives
  7. Oxygen inhalation

Nursing Management:

  1. ROM of the Chest
  2. Maintaining good hydration to liquefy secretion
  3. Maintaining good hygiene including oral hygiene
  4. Adequate rest, diet, exercise
  5. Avoidance from smoking
  6. Provide ventilated room
  7. Avoidance from the allergens

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