Zapalenie opłucnej
Charakterystyka, pielęgnacja i opieka
Zapalenie opłucnej to stan zapalny błony opłucnej, objawiający się ostrym, kłującym bólem w klatce piersiowej nasilającym się przy głębokim oddychaniu, kaszlu lub kichaniu. Diagnostyka opiera się na wywiadzie, badaniu fizykalnym (w tym osłuchiwaniu tarcia opłucnowego), obrazowaniu (RTG, TK) oraz analizie płynu opłucnowego. Etiologia jest zróżnicowana: infekcje bakteryjne i wirusowe, choroby autoimmunologiczne, urazy, nowotwory czy zatorowość płucna. Leczenie obejmuje kontrolę bólu za pomocą NLPZ (ibuprofen, naproksen, acetaminofen) lub kortykosteroidów oraz terapię przyczynową, np. antybiotykoterapię w zakażeniach bakteryjnych. W przypadku wysięku opłucnowego wskazana jest torakocenteza lub drenaż, a w nawracających przypadkach pleurodeza.
- Charakterystyka zapalenia opłucnej
- Diagnostyka i ocena pielęgniarska
- Postępowanie w zapaleniu opłucnej
- Opieka pielęgniarska w zapaleniu opłucnej
- Interwencje w zakresie kontroli bólu
- Poprawa funkcji oddechowej
- Edukacja pacjenta i wsparcie
- Diagnozy pielęgniarskie i plan opieki
- Wskazania do pilnej konsultacji medycznej
- Profilaktyka i zalecenia
- Postępowanie po zabiegach diagnostycznych i terapeutycznych
- Rokowanie i powrót do zdrowia
- Podsumowanie opieki pielęgniarskiej
Charakterystyka zapalenia opłucnej
Zapalenie opłucnej (pleurisy, pleuritis) to stan zapalny opłucnej, czyli błony wyścielającej jamę klatki piersiowej i pokrywającej płuca. W normalnych warunkach między warstwami opłucnej znajduje się niewielka ilość płynu, co umożliwia bezbolesne przesuwanie się płuc podczas oddychania. Gdy dochodzi do stanu zapalnego, warstwy opłucnej ocierają się o siebie powodując ostry ból przy oddychaniu, co jest charakterystycznym objawem tego schorzenia 12.
Głównym objawem zapalenia opłucnej jest nagły, ostry i kłujący ból w klatce piersiowej, który nasila się podczas głębokiego oddychania, kaszlu lub kichania. Ból może być stały lub dokuczliwy, a często promieniuje do ramion lub brzucha. Pacjenci mogą również doświadczać duszności, gorączki i ogólnego osłabienia organizmu 34.
Zapalenie opłucnej może być spowodowane różnymi czynnikami, między innymi infekcjami bakteryjnymi i wirusowymi, urazami klatki piersiowej, chorobami autoimmunologicznymi, nowotworami lub zatorowością płucną. W zależności od przyczyny podstawowej, zapalenie opłucnej może mieć różny przebieg i wymagać odmiennego postępowania terapeutycznego 56.
Diagnostyka i ocena pielęgniarska
Diagnostyka zapalenia opłucnej rozpoczyna się od dokładnego wywiadu i badania fizykalnego. Personel medyczny zwraca szczególną uwagę na osłuchiwanie klatki piersiowej stetoskopem w celu wykrycia charakterystycznego tarcia opłucnowego. Badania diagnostyczne mogą obejmować zdjęcie rentgenowskie klatki piersiowej, tomografię komputerową, badania krwi oraz analizę płynu opłucnowego, jeśli jest obecny 78.
Ocena pielęgniarska pacjenta z zapaleniem opłucnej powinna obejmować 910:
- Monitorowanie wzorców oddychania, dźwięków oddechowych i częstości oddechów
- Dokumentowanie lokalizacji, intensywności i czasu trwania bólu za pomocą standardowej skali bólu
- Śledzenie parametrów życiowych: temperatury, tętna, częstości oddechów, ciśnienia krwi i saturacji tlenem
- Obserwację pod kątem objawów wysięku opłucnowego, ropniaka opłucnej lub niewydolności oddechowej
- Ocenę wyników badań diagnostycznych: zdjęć RTG klatki piersiowej, tomografii komputerowej, badań krwi i analizy płynu opłucnowego
Postępowanie w zapaleniu opłucnej
Leczenie zapalenia opłucnej koncentruje się na dwóch głównych celach: kontroli bólu i leczeniu przyczyny podstawowej. Właściwe podejście terapeutyczne zależy od czynnika wywołującego zapalenie opłucnej 1112.
Leczenie farmakologiczne
W leczeniu bólu i stanu zapalnego związanego z zapaleniem opłucnej najczęściej stosowane są niesteroidowe leki przeciwzapalne (NLPZ), takie jak ibuprofen (Advil, Motrin), naproksen (Aleve) czy acetaminofen (Tylenol). NLPZ są lekami pierwszego wyboru do kontroli bólu opłucnowego. W przypadkach nietolerancji lub braku odpowiedzi na NLPZ, lekarz może zalecić kortykosteroidy 1314.
Jeśli zapalenie opłucnej jest spowodowane infekcją bakteryjną, np. zapaleniem płuc, pacjentowi przepisuje się antybiotyki. Należy podkreślić, że antybiotyki powinny być przyjmowane zgodnie z zaleceniami i nie należy przerywać ich stosowania, nawet jeśli pacjent czuje się lepiej. Konieczne jest ukończenie pełnej kuracji antybiotykowej 1516.
W przypadku zakażeń wirusowych, zapalenie opłucnej zazwyczaj ustępuje samoistnie i leczenie koncentruje się głównie na łagodzeniu objawów i zapewnieniu wsparcia. Rzadko stosuje się leki przeciwwirusowe 1718.
Postępowanie w przypadku wysięku opłucnowego
Jeśli zapaleniu opłucnej towarzyszy wysięk opłucnowy (nadmierne gromadzenie się płynu w jamie opłucnej), może być konieczne wykonanie torakocentezy (nakłucia opłucnej) w celu usunięcia płynu. Procedura ta nie tylko dostarcza materiału do badania diagnostycznego, ale także przynosi ulgę w oddychaniu. W przypadku dużych wysięków lub ropniaków może być konieczne założenie drenu klatki piersiowej 1920.
W niektórych przypadkach nawracających wysięków opłucnowych może być zalecane wykonanie pleurodezy – zabiegu mającego na celu wywołanie reakcji zapalnej między powierzchnią płuca a wewnętrzną powierzchnią jamy opłucnowej, co powoduje zrośnięcie się tych powierzchni i zapobiega gromadzeniu się płynu 21.
Opieka pielęgniarska w zapaleniu opłucnej
Opieka pielęgniarska nad pacjentem z zapaleniem opłucnej ma kluczowe znaczenie dla zapewnienia komfortu, monitorowania stanu zdrowia i zapobiegania powikłaniom. Poniżej przedstawiono główne aspekty opieki pielęgniarskiej 2223.
Interwencje w zakresie kontroli bólu
Kontrola bólu jest kluczowym elementem opieki nad pacjentem z zapaleniem opłucnej, ponieważ ból może znacząco wpływać na głębokość oddychania i efektywność kaszlu 24:
- Podawanie przepisanych leków przeciwbólowych zgodnie z harmonogramem
- Pomoc w przyjmowaniu pozycji ciała, która minimalizuje ból – często leżenie na bolesnej stronie klatki piersiowej może przynieść ulgę
- Nauczenie pacjenta techniki unieruchomienia klatki piersiowej (podtrzymywania klatki piersiowej) podczas kaszlu lub głębokiego oddychania, np. za pomocą poduszki
- Ocena efektywności leczenia przeciwbólowego i w razie potrzeby konsultacja z lekarzem w celu modyfikacji terapii
Poprawa funkcji oddechowej
Zapewnienie optymalnej funkcji oddechowej jest istotne, aby zapobiec powikłaniom, takim jak niedodma czy zapalenie płuc 2526:
- Umieszczenie pacjenta w pozycji wysokiej Fowlera (półsiedzącej), aby ułatwić rozprężanie klatki piersiowej
- Zachęcanie do głębokiego oddychania z użyciem spirometrii zachęcającej co 1-2 godziny w celu zapobiegania niedodmie
- Monitorowanie funkcji oddechowej poprzez osłuchiwanie, obserwację wzorca oddychania i pulsoksymetrię
- Zapewnienie toalety dróg oddechowych, jeśli obecne są wydzieliny
- Podawanie tlenu zgodnie z zaleceniami, jeśli występuje duszność lub obniżona saturacja
Edukacja pacjenta i wsparcie
Edukacja pacjenta i jego rodziny jest niezbędna do zapewnienia właściwej opieki i zapobiegania nawrotom 2728:
- Wyjaśnienie istoty choroby, jej przyczyn i metod leczenia
- Instruktaż dotyczący właściwego przyjmowania leków, w tym antybiotyków i leków przeciwbólowych
- Nauczenie pacjenta ćwiczeń oddechowych i technik efektywnego kaszlu
- Informowanie o objawach, które wymagają natychmiastowej konsultacji medycznej
- Wsparcie emocjonalne i zapewnienie komfortu psychicznego
- Promocja zdrowego stylu życia, w tym rzucenia palenia, które może nasilać podrażnienie płuc
Diagnozy pielęgniarskie i plan opieki
W opiece nad pacjentem z zapaleniem opłucnej można wyróżnić następujące diagnozy pielęgniarskie 2930:
- Ostry ból związany ze stanem zapalnym opłucnej i tarciem opłucnowym podczas oddychania
- Cel: Pacjent zgłosi zmniejszenie bólu do poziomu 3/10 lub mniejszego w ciągu 24 godzin
- Interwencje: Podawanie przepisanych leków przeciwbólowych, pomoc w przyjmowaniu wygodnej pozycji, nauczenie technik łagodzenia bólu
- Nieefektywny wzorzec oddychania związany z bólem opłucnowym
- Cel: Pacjent będzie demonstrował poprawiony wzorzec oddychania
- Interwencje: Pomoc w przyjmowaniu pozycji ułatwiającej oddychanie, nauka ćwiczeń oddechowych, monitorowanie saturacji tlenem
- Zaburzona wymiana gazowa związana z płytkim oddychaniem spowodowanym bólem
- Cel: Pacjent utrzyma saturację tlenem 95% lub więcej na powietrzu atmosferycznym
- Interwencje: Podawanie tlenu według potrzeb, zachęcanie do głębokiego oddychania i efektywnego kaszlu, monitorowanie parametrów oddechowych
- Nieefektywne oczyszczanie dróg oddechowych związane z bólem przy kaszlu
- Cel: Pacjent będzie efektywnie odkrztuszał wydzielinę z dróg oddechowych
- Interwencje: Nauczenie techniki podtrzymywania klatki piersiowej podczas kaszlu, nawodnienie, toaleta dróg oddechowych
- Lęk związany z bólem i dusznością
- Cel: Pacjent będzie wyrażał zmniejszenie lęku
- Interwencje: Zapewnienie wsparcia emocjonalnego, wyjaśnienie procedur i leczenia, techniki relaksacyjne
Wskazania do pilnej konsultacji medycznej
Pacjenci z zapaleniem opłucnej powinni być poinformowani o sytuacjach wymagających natychmiastowej konsultacji medycznej 3132:
- Nasilająca się duszność lub trudności w oddychaniu
- Gorączka 38°C lub wyższa
- Nasilający się ból w klatce piersiowej, który nie ustępuje po lekach przeciwbólowych
- Odkrztuszanie żółtej, zielonej lub krwistej wydzieliny
- Przyspieszone tętno lub uczucie kołatania serca
- Sine lub szare zabarwienie skóry lub warg
- Uczucie nadchodzącego niebezpieczeństwa lub omdlenia
Profilaktyka i zalecenia
Profilaktyka zapalenia opłucnej koncentruje się głównie na zapobieganiu infekcjom dróg oddechowych i leczeniu chorób podstawowych, które mogą prowadzić do tego schorzenia 3334:
- Coroczne szczepienia przeciwko grypie
- Szczepienia przeciwko pneumokokom, szczególnie dla osób starszych lub z obniżoną odpornością
- Wczesne i odpowiednie leczenie infekcji bakteryjnych dróg oddechowych
- Unikanie palenia tytoniu, które może nasilać podrażnienie płuc
- Utrzymywanie dobrej higieny rąk, aby zmniejszyć ryzyko infekcji wirusowych i bakteryjnych
- Regularne kontrole lekarskie dla osób z chorobami przewlekłymi mogącymi prowadzić do zapalenia opłucnej
Pacjentom z zapaleniem opłucnej zaleca się również 3536:
- Odpoczynek, szczególnie w pierwszych 2-3 dniach, jeśli objawy są nasilone
- Unikanie nadmiernego wysiłku, nawet gdy pacjent zaczyna czuć się lepiej
- Przyjmowanie leków zgodnie z zaleceniami lekarza
- Picie dużej ilości płynów
- Przestrzeganie terminów wizyt kontrolnych
Postępowanie po zabiegach diagnostycznych i terapeutycznych
W przypadku pacjentów, którzy przeszli torakocentezę lub mieli założony dren klatki piersiowej, opieka pielęgniarska obejmuje 3738:
- Monitorowanie miejsca wkłucia pod kątem oznak infekcji, krwawienia lub podskórnego przedostawania się powietrza
- Ocenę funkcji oddechowej po zabiegu
- Obserwację ilości, koloru i charakteru drenowanego płynu
- Utrzymanie drożności drenu i właściwego podciśnienia, jeśli jest stosowane
- Edukację pacjenta na temat ograniczeń aktywności i znaków ostrzegawczych wskazujących na powikłania
- Przygotowanie do wypisu i kontynuacji opieki w warunkach domowych
Rokowanie i powrót do zdrowia
Rokowanie w zapaleniu opłucnej zależy od czynnika wywołującego i ogólnego stanu zdrowia pacjenta. W większości przypadków, przy odpowiednim leczeniu, pacjenci z zapaleniem opłucnej osiągają pełny powrót do zdrowia 3940.
Zapalenie opłucnej spowodowane infekcją wirusową zwykle ustępuje w ciągu tygodnia, natomiast przypadki związane z infekcją bakteryjną mogą wymagać dłuższego czasu leczenia, ale również rokują dobrze po zastosowaniu odpowiednich antybiotyków 41.
Nieodpowiednio leczone zapalenie opłucnej może prowadzić do powikłań, takich jak wysięk opłucnowy, ropniak opłucnej czy tworzenie się zrostów opłucnowych, które mogą powodować przewlekły ból lub duszność. Dlatego wczesna diagnostyka i odpowiednie leczenie mają kluczowe znaczenie dla uniknięcia tych powikłań 42.
Podsumowanie opieki pielęgniarskiej
Opieka pielęgniarska nad pacjentem z zapaleniem opłucnej ma istotne znaczenie w procesie leczenia i powrotu do zdrowia. Pielęgniarka pełni rolę koordynatora opieki, edukuje pacjenta i jego rodzinę, monitoruje stan zdrowia oraz podejmuje interwencje mające na celu łagodzenie objawów i zapobieganie powikłaniom 43.
Skuteczna opieka pielęgniarska opiera się na holistycznym podejściu do pacjenta, uwzględniającym zarówno aspekty fizyczne, jak i psychologiczne schorzenia. Poprzez dokładną ocenę, planowanie, wdrażanie interwencji i ewaluację ich skuteczności, pielęgniarka może znacząco przyczynić się do poprawy jakości życia pacjenta z zapaleniem opłucnej i wspomóc proces jego powrotu do zdrowia 44.
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Materiały źródłowe
- #1 Pleurisyhttps://www.veteranshealthlibrary.va.gov/RelatedItems/3,40412
You have pain in your chest. Your healthcare provider has told you that you have pleurisy (pleuritis). Pleurisy is swelling (inflammation), irritation, or infection of the pleura. The pleura are 2 layers of thin, smooth tissue that surround the lungs and line your chest wall. […] Pleurisy occurs when inflammation affects the pleura. Normally, there is a small amount of fluid in between the pleura. This fluid helps the pleura move smoothly past each other when you breathe in and out. But when you have pleurisy, the swollen pleura rub against each other when you breathe. This is very painful. […] Pleurisy often causes sudden sharp and stabbing chest pain. Sometimes the pain may become a constant dull ache. It’s often worse when you take a deep breath, cough, or sneeze. Shortness of breath is also common. Based on the cause of pleurisy, you may also have fever, unexplained weight loss, and body aches.
- #2 Pleurisy – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/pleurisy/symptoms-causes/syc-20351863
Pleurisy occurs when the pleural lining two large, thin layers of tissue that separate your lungs from your chest wall becomes inflamed, causing chest pain. […] Treatment of pleurisy involves pain control and treating the cause. […] Call your healthcare provider or seek emergency care right away if you experience unexplained, intense chest pain during breathing. You might have a problem with your lungs, heart or pleura or an underlying illness for which you need prompt medical care.
- #3 Pleurisy | Saint Luke’s Health Systemhttps://www.saintlukeskc.org/health-library/pleurisy
Pleurisy is swelling (inflammation), irritation, or infection of the pleura. […] Pleurisy occurs when inflammation affects the pleura. […] Pleurisy often causes sudden sharp and stabbing chest pain. […] Treatment depends on what is causing the pleurisy. […] You may need medicines to reduce the inflammation or treat the infection, pain, and other symptoms caused by the condition. […] Call your healthcare provider right away if you have: A fever of 100.4F (38C) or higher, or as directed by your provider. […] Call 911 if any of these occur: Trouble breathing or wheezing.
- #4 What Is Pleurisy (Pleuritis)? – Pleurisy Symptoms | familydoctor.orghttps://familydoctor.org/condition/pleurisy-pleuritis/
Pleurisy is a medical condition that affects the lining of your lungs and chest. The lining can become inflamed or irritated. This happens when excessive fluid collects in the âpleural space.â Typically, there is a small amount of fluid in the space, which is normal. […] The main symptom of pleurisy is chest pain. It can be sharp and sudden. It is painful to cough or take a deep breath. Ongoing chest pain is common. Shortness of breath is common, too. You might develop a fever or other aches. More symptoms depend on the cause of pleurisy. […] Pleurisy treatment depends on the underlying cause. Your doctor may prescribe an antibiotic for a bacterial infection. He or she may prescribe an anti-viral medicine if you have a viral infection. For most viral infections, the infection will have to run its course. If your pleurisy is caused by something else, your doctor will treat that cause. You can ease symptoms with over-the-counter medicine. Acetaminophen (one brand: Tylenol) or Ibuprofen (two brands: Advil, Motrin) can reduce pain and inflammation. Cough syrup can control excessive coughing. However, donât stop coughing. This can cause pneumonia. Rest (lying on your painful side) can help. In rare cases, surgery may be necessary to remove fluid buildup. […] Discomfort is the main factor in living with pleurisy. You will have ongoing pain until the infection goes away or another cause is treated. Try to slow down and take it easy while you have pleurisy. Donât do any activity that will cause rapid breathing or excessive coughing.
- #5 Pleurisy | AAFPhttps://www.aafp.org/pubs/afp/issues/2007/0501/p1357.html
Pleuritic chest pain is a common presenting symptom and has many causes, which range from life-threatening to benign, self-limited conditions. […] Patients should be evaluated appropriately for these conditions before an alternative diagnosis is made. […] When these other significant causes of pleuritic pain have been excluded, the diagnosis of pleurisy can be made. […] Treatment of pleurisy typically consists of pain management with nonsteroidal anti-inflammatory drugs, as well as specific treatments targeted at the underlying cause. […] Pleurisy is inflammation of the parietal pleura that typically results in characteristic pleuritic pain and has a variety of possible causes. […] A thorough history and physical examination should be performed to diagnose or exclude life-threatening causes of pleuritic pain before making a diagnosis of pleurisy.
- #6 Pleurisy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK558958/
Pleurisy, or pleuritis, is an inflammation of the parietal pleura that causes sharp, localized chest pain, typically worsening with breathing, coughing, or sneezing. […] Healthcare professionals rely on clinical evaluation, including patient history, physical examination, imaging, electrocardiography, troponin assays, and clinical decision-making tools, to guide the diagnosis and treatment of pleurisy. Management focuses on controlling pain, often with nonsteroidal anti-inflammatory drugs, and addressing the underlying cause. […] This activity helps clinicians optimize patient care, reduce unnecessary testing, and improve outcomes by mastering pleurisy diagnosis. […] Treatment primarily focuses on pain management, typically with nonsteroidal anti-inflammatory drugs (NSAIDs), while addressing the underlying cause.
- #7 Pleurisy – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/pleurisy/diagnosis-treatment/drc-20351866
Your healthcare provider will likely start by asking about your medical history and doing a physical exam that includes listening to your chest with a stethoscope. […] To determine if you have pleurisy and identify the cause, your healthcare provider might recommend: […] Treatment for pleurisy focuses primarily on the underlying cause. For example, if bacterial pneumonia is the cause, an antibiotic can be prescribed to manage the infection. If the cause is a viral infection, pleurisy may go away on its own. […] The pain and inflammation associated with pleurisy is usually treated with nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others). Occasionally, your healthcare provider may prescribe steroid medication. […] The outcome of pleurisy treatment depends on the seriousness of the underlying cause. Early diagnosis and treatment of the condition that caused pleurisy can help you feel better. Depending on the cause and the condition, you may make a full recovery.
- #8 Pleural Effusion: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/pleural-effusion-nursing-diagnosis-care-plan/
Nursing interventions involve treating the underlying cause, which may come in the form of antibiotics for infection or diuretics for congestive heart failure. […] For larger pleural effusions or respiratory distress, procedures may be indicated to drain excess fluid. Such procedures include thoracentesis, tube thoracostomy (chest tube), pleurodesis, or pleural drains. Nurses are responsible for the assessment and monitoring of the patient before and after these procedures. […] Nurses can support patients through education by teaching infection prevention measures, how to manage chronic conditions, and when to seek emergency support for symptoms. […] The first step of nursing care is the nursing assessment, during which the nurse will gather physical, psychosocial, emotional, and diagnostic data.
- #9 Pleurisy Nursing Diagnosis & Care Plan – NurseStudy.Nethttps://nursestudy.net/pleurisy-nursing-diagnosis/
Monitor breathing patterns, lung sounds, and respiratory rate. Note any changes in breathing depth or use of accessory muscles. […] Document pain location, intensity, duration, and factors that worsen or relieve the pain. Use a standardized pain scale. […] Track temperature, heart rate, respiratory rate, blood pressure, and oxygen saturation levels. […] Watch for signs of pleural effusion, empyema, or respiratory distress. […] Evaluate chest X-rays, CT scans, blood work, and pleural fluid analysis if performed. […] Position the patient to minimize chest wall movement. Rationale: Reduces pain by decreasing pleural friction. […] Administer prescribed pain medications. Rationale: Provides comfort and enables deeper breathing. […] Teach splinting techniques during coughing. Rationale: Reduces pain during necessary respiratory functions.
- #10 pleurisy | Taber’s Medical Dictionaryhttps://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/759175/all/pleurisy?q=effusion
Inflammation of the visceral and parietal pleurae that surround the lungs and line the thoracic cavity. […] Common causes of pleurisy include viral infections, pneumonia, pulmonary embolism, rib fracture, and serositis from autoimmune diseases. […] Sharp stabbing pain exacerbated by breathing is characteristic. […] Respiratory function is monitored by auscultation, observation of breathing pattern, and oximetry. […] The patient is positioned in the high Fowler position to facilitate chest expansion. […] Rest is encouraged. […] Deep breathing using incentive spirometry is encouraged every 1 to 2 hr to prevent atelectasis. […] To reduce discomfort when coughing, the patient should splint the chest with a pillow and administer analgesic drugs and use noninvasive measures, such as local application of warm or cool compresses.
- #11 Pleurisy | AAFPhttps://www.aafp.org/pubs/afp/issues/2007/0501/p1357.html
Nonsteroidal anti-inflammatory drugs should be used to control pleuritic pain. […] Management of pleurisy has two primary goals: (1) control the pleuritic chest pain, and (2) treat the underlying condition. […] To achieve pain control, nonsteroidal anti-inflammatory drugs (NSAIDs) commonly are prescribed as the initial therapy. […] Supportive care with adequate pain control is the goal in the treatment of viral pleurisy. […] NSAIDs are first-line therapy for patients with postcardiac injury syndrome; corticosteroids are reserved for those who are intolerant of or experience no response to NSAIDs.
- #12 Pleurisy | Altru Health Systemhttps://www.altru.org/health-library/conditions/pleurisy
Pleurisy (PLOOR-ih-see) is a condition in which the pleura two large, thin layers of tissue that separate your lungs from your chest wall becomes inflamed. Also called pleuritis, pleurisy causes sharp chest pain (pleuritic pain) that worsens during breathing. […] Treatment of pleurisy involves pain control and treating the cause. […] Treatment for pleurisy focuses primarily on the underlying cause. For example, if bacterial pneumonia is the cause, an antibiotic can be prescribed to manage the infection. If the cause is a viral infection, pleurisy may go away on its own. […] The pain and inflammation associated with pleurisy is usually treated with nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others). Occasionally, your healthcare provider may prescribe steroid medication.
- #13 Pleuritic Chest Pain: Sorting Through the Differential Diagnosis | AAFPhttps://www.aafp.org/pubs/afp/issues/2017/0901/p306.html
Pleuritic chest pain is characterized by sudden and intense sharp, stabbing, or burning pain in the chest when inhaling and exhaling. […] Treatment is guided by the underlying diagnosis. Nonsteroidal anti-inflammatory drugs are appropriate for pain management in those with virally triggered or nonspecific pleuritic chest pain. […] Nonsteroidal anti-inflammatory drugs should be used to control pleuritic pain. […] After excluding the six serious causes of pleuritic chest pain that require emergent evaluation, there are two primary management considerations: controlling the pain and treating the etiology of the underlying condition. Initial pain control is best achieved with nonsteroidal anti-inflammatory drugs. […] In most cases of pleuritic chest pain from viral infection, pain and symptoms will resolve within two to four weeks. […] In patients diagnosed with pneumonia who smoke tobacco, have persistent symptoms, or are older than 50 years, it is important to document resolution of the abnormality with repeat chest radiography performed six weeks after initial treatment.
- #14 Pleurisy – StatPearls – NCBI Bookshelfhttps://www.ncbi.nlm.nih.gov/books/NBK558958/
The treatment of pleurisy focuses on 2 primary goalsâcontrolling pain and addressing the underlying cause. NSAIDs, such as indomethacin, are the mainstay of treatment for pain associated with pleurisy. […] Treatment modalities should be tailored to the underlying cause. […] Patients with empyema should undergo drainage via chest tube or catheter thoracostomy. […] Patients who smoke, are aged 50 or older, or have persistent symptoms should undergo a follow-up chest radiograph within 6 weeks to confirm resolution and rule out an obstructing lesion, such as malignancy, as the cause of pneumonia. […] By providing comprehensive education on risk factors, symptom awareness, and preventive strategies, clinicians can empower patients to take an active role in managing their health, reducing the likelihood of pleurisy, and improving overall outcomes.
- #15https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uf8396
Pleurisy is inflammation of the tissue that lines the inside of the chest and covers the lungs (pleura). Pleurisy can cause sharp chest pain that gets worse when you cough or take a deep breath. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line if you are having problems. […] Home treatment can help ease symptoms. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Call your doctor or nurse advice line now or seek immediate medical care if you have a new or higher fever. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you begin to cough up yellow or green mucus.
- #16 Pleurisy: Care Instructions | Kaiser Permanentehttps://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.pleurisy-care-instructions.uf8396
Pleurisy is inflammation of the tissue that lines the inside of the chest and covers the lungs (pleura). Pleurisy can cause sharp chest pain that gets worse when you cough or take a deep breath. […] Home treatment can help ease symptoms. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Take an over-the-counter pain medicine, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve). […] If your doctor prescribed antibiotics, take them as directed. Do not stop taking them just because you feel better. You need to take the full course of antibiotics. […] Avoid activities that make the pain worse. […] Watch closely for changes in your health, and be sure to contact your doctor if: You begin to cough up yellow or green mucus. You cough up blood. Your symptoms are not better in 3 or 4 days.
- #17 Pleurisy | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/pleurisy
Pleurisy is a condition whereby inflammation of the pleura causes the membranes to rub and grate against each other. […] Treatment options for pleurisy include addressing the underlying cause and taking medications such as anti-inflammatory medications, antibiotics and pain medications. […] Treatment for pleurisy may include: treating the underlying cause for example, treatment for tuberculosis; anti-inflammatory medications; other medications to manage the pain; antibiotics for a bacterial infection; draining off the excess fluid in the case of a pleural effusion; medications to stop the fluid from building up again. […] Apart from vaccination, treating any infection of the respiratory tract promptly can also reduce the risk of developing pleurisy.
- #18 Pleurisy (Diagnosis + Treatment) : Emergency Care BChttps://emergencycarebc.ca/clinical_resource/clinical-summary/pleurisy-diagnosis-treatment/
Pleurisy is inflammation of parietal pleura and commonly presents as pleuritic chest pain. […] It is essential to rule out life-threatening causes of pleuritic pain; pleurisy is a diagnosis of exclusion. […] To manage the pain associated with pleurisy, NSAIDs are the mainstay. Indomethacin 50 â 100 mg PO TID is the agent of choice. Otherwise, management depends on the cause. […] Pleural Effusion: Diagnostic and therapeutic thoracentesis should be done. […] Viral: Pain management and supportive care. […] Moderate quality evidence for use of NSAIDs to manage pain in the context of pleurisy.
- #19 Pleural Effusion: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/pleural-effusion-nursing-diagnosis-care-plan/
Nursing interventions and care are essential for the patients recovery. […] When known, it is advised to treat the underlying cause of the pleural effusion. […] Regardless of transudative or exudative, large effusions causing respiratory symptoms must be drained. […] Administer antibiotics for effusions with an infectious etiology. […] Surgical intervention is necessary when a needle or small-bore catheter cannot adequately drain parapneumonic effusions. […] A tube thoracostomy (chest tube) may be required for more complicated effusions or empyemas. […] Nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Acute pain in pleural effusion is caused by pleural inflammation of the parietal pleura which results from the movement-related friction between the two pleural surfaces. […] Nursing Diagnosis: Acute Pain […] Nursing Diagnosis: Impaired Gas Exchange […] Nursing Diagnosis: Impaired Spontaneous Ventilation […] Nursing Diagnosis: Ineffective Airway Clearance […] Nursing Diagnosis: Ineffective Breathing Pattern.
- #20 Pleurisy: What It Is, Symptoms, Causes & Treatmenthttps://resources.healthgrades.com/right-care/lungs-breathing-and-respiration/pleurisy
Seek immediate medical care (call 911) for serious symptoms, such as severe difficulty breathing, severe sharp chest pain, bluish lips or fingernails, fast heart rate, and anxiety. […] Seek prompt medical care if you are being treated for pleurisy but mild symptoms recur or are persistent. […] Treatment for pleurisy begins with seeking medical care from your healthcare provider. The goal of treatment for pleurisy is to decrease shortness of breath, remove fluid from the pleural space, and resolve infection if present. […] Treatment depends on the severity of the pleurisy and the cause. Pain medications can help ease discomfort and improve deep breathing. Antibiotics are an effective treatment for pleurisy that is caused by bacterial infection. […] Multiple treatment options are available for pleurisy including: Antibiotic treatment, if the pleurisy is due to a bacterial infection; Cough syrup, usually codeine, to ease cough; Incentive spirometer, a device to encourage and measure deep breathing; Insertion of a chest tube with suction to drain large amounts of fluid; Pain medications, such as acetaminophen (Tylenol), ibuprofen (Advil, Motrin), or naproxen (Aleve); Surgical removal of fluid, if other options are unsuccessful; Thoracentesis, a needle aspiration of small amounts of pleural fluid.
- #21 Pleurisy – Physicians Primary CarePleurisyhttps://www.ppcswfl.com/health-library/hw-view.php?DOCHWID=tj8148
Pleurisy is swelling (inflammation) of the thin layers of tissue (pleura) covering the lungs and the chest wall. […] When the pleura becomes inflamed, the layers rub together, causing chest pain. This is known as pleuritic pain. […] The symptoms of pleurisy are chest pain and difficulty breathing. […] For most cases of pain caused by pleurisy, your doctor will suggest that you use aspirin, ibuprofen, or another nonsteroidal anti-inflammatory drug (NSAID). […] If you have pleural effusion, you may need to have the fluid drained through a tube that the doctor inserts in your chest. […] In some cases of pleural effusion, you may need pleurodesis. During this procedure, a medicine is put into your chest cavity, which triggers an inflammatory reaction over the surface of the lung and inside the chest cavity. This causes the surface of the lung to stick to the surface of the chest cavity, which prevents more fluid from building up or reduces the amount of fluid.
- #22 Pleurisy | Nursing Timeshttps://www.nursingtimes.net/archive/pleurisy-08-03-2005/
– Assess respiratory function. […] – Administer analgesic. […] – Teach patient to support ribcage when coughing. […] – Help reposition to alleviate pain, such as lying on the affected side. […] – Assess level of anxiety and provide reassurances of safety.
- #23 Pleurisy Nursing Diagnosis & Care Plan – NurseStudy.Nethttps://nursestudy.net/pleurisy-nursing-diagnosis/
The patient will report pain reduction to 3/10 or less within 24 hours. […] The patient will maintain adequate respiratory function despite pain. […] The patient will maintain oxygen saturation 95% on room air. […] The patient will demonstrate an improved breathing pattern. […] The patient will demonstrate proper self-care techniques. […] The patient will identify signs requiring medical attention.
- #24 Pleurisy: Types, Symptoms, Causes, Diagnosis, Treatment and Morehttps://www.health.com/pleurisy-overview-7110453
Pleurisy, also known as pleuritis, is inflammation of the pleura two thin layers of tissue that line the lungs and chest. The inflammation can cause sharp chest pain, especially when breathing deeply or coughing. Common causes of pleurisy include blood clots in the lung, infections, and certain health conditions such as lupus, cancer, and rheumatoid arthritis. […] Treatment options for pleurisy vary depending on the underlying cause and may include pain relief medication, antibiotics, or corticosteroids. Pleurisy can affect people of all ages but is most common in those 65 and older. Preventive measures include quitting smoking, avoiding exposure to respiratory infections, and treating health conditions that increase the risk of pleurisy. […] Pain relief is an essential component of pleurisy treatment. Non-steroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce pain and inflammation. Corticosteroids may be prescribed if NSAIDs are ineffective or not well-tolerated.
- #25 pleurisy | Taber’s Medical Dictionaryhttps://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/759175/all/pleurisy?q=effusion
Respiratory toilet is provided if secretions are present. […] Rest is recommended. […] Prescribed medical regimens are carried out, with treatment directed at the underlying cause, and the patient’s responses evaluated. […] Severe pain may be managed with intercostal nerve block. […] Thoracentesis may be required if pleural effusion is present.
- #26 pleurisy | Taber’s Medical Dictionaryhttps://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/759175/4/pleurisy
Inflammation of the visceral and parietal pleurae that surround the lungs and line the thoracic cavity. […] Respiratory function is monitored by auscultation, observation of breathing pattern, and oximetry. The patient is positioned in the high Fowler position to facilitate chest expansion. […] Deep breathing using incentive spirometry is encouraged every 1 to 2 hr to prevent atelectasis. […] To reduce discomfort when coughing, the patient should splint the chest with a pillow and administer analgesic drugs and use noninvasive measures, such as local application of warm or cool compresses. […] Respiratory toilet is provided if secretions are present. […] Prescribed medical regimens are carried out, with treatment directed at the underlying cause, and the patient’s responses evaluated. […] Severe pain may be managed with intercostal nerve block. […] Thoracentesis may be required if pleural effusion is present.
- #27 Pleurisyhttps://saralmind.com/public/nursing/pcl-nursing/pcl-3-rd-year/child-health-nursing/childhood-morbidity-condition-and-their-nursing-management/pleurisy
„Pleurisy” refers to inflammation of the pleura (the membrane that surrounds and protects the lungs). Pleurisy, also known as pleuritis, is a disorder that affects the lining of the lung tissue and is often caused by an infection, illness, or injury to the respiratory system. […] Treatment of pleurisy is primarily focused on the treatment of underlying causes. So treatment includes: […] Nursing consideration: Assess the child’s level of pain and discomfort. Keep a child in an upright position if applicable. Provide painkillers as prescribed. Observe for signs and symptoms of pleural effusion. Advice to lie on the affected side. Instruct patient in the splinting chest while taking deep breathing or coughing. Auscultation of lungs to detect abnormal findings. Oxygen administration if difficulty in breathing. Reassure the parent and child. Give supportive care. Explain to the parents and the kid the significance of deep breathing and coughing exercises, as well as the signs and symptoms of pleural effusion, the medicine, the diet, the follow-up appointment, and the necessity of these things.
- #28 A Caregiver’s Guide to Pleurisyhttps://training.mmlearn.org/blog/a-caregivers-guide-to-pleurisy
Seniors are particularly susceptible to pneumonia due to a number of factors. Unfortunately, theyre also more vulnerable to complications from pneumonia, including pleurisy. If your aging loved one has recently been diagnosed with this painful condition due to pneumonia or another underlying cause, this guide can help you understand the ailment while helping to provide better care. […] The good news? In most cases, pleurisy leads to no long-term problems. Additionally, while pleurisy prevention depends on its causes, there are some ways to reduce your aging loved ones risk of developing pleurisy, including maintaining a healthy lifestyle, keeping conditions known to cause pleurisy under control, regular vaccinations for pneumonia and the flu, and smoking cessation. […] And while caregivers can’t make the pain go away, their efforts can still be invaluable when it comes to helping aging loved ones feel better. Advises the Honor Society of Nursing (STTI), The main thing for you to understand about pleurisy is that it is painful. Your loved one may be in constant pain, possibly even severe pain that prevents him or her from performing simple daily activities. Just be there to listen and support as well as to offer any assistance your friend or family member who has pleurisy may need.
- #29 Pleural Effusion: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/pleural-effusion-nursing-diagnosis-care-plan/
Nursing interventions and care are essential for the patients recovery. […] When known, it is advised to treat the underlying cause of the pleural effusion. […] Regardless of transudative or exudative, large effusions causing respiratory symptoms must be drained. […] Administer antibiotics for effusions with an infectious etiology. […] Surgical intervention is necessary when a needle or small-bore catheter cannot adequately drain parapneumonic effusions. […] A tube thoracostomy (chest tube) may be required for more complicated effusions or empyemas. […] Nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Acute pain in pleural effusion is caused by pleural inflammation of the parietal pleura which results from the movement-related friction between the two pleural surfaces. […] Nursing Diagnosis: Acute Pain […] Nursing Diagnosis: Impaired Gas Exchange […] Nursing Diagnosis: Impaired Spontaneous Ventilation […] Nursing Diagnosis: Ineffective Airway Clearance […] Nursing Diagnosis: Ineffective Breathing Pattern.
- #30 Pleurisy Nursing Diagnosis & Care Plan – NurseStudy.Nethttps://nursestudy.net/pleurisy-nursing-diagnosis/
Pleurisy, also known as pleuritis, is an inflammation of the pleural membrane that surrounds and protects the lungs. This condition causes sharp chest pain that worsens during breathing, coughing, or movement. As a nursing diagnosis, pleurisy requires careful assessment and management to ensure optimal patient outcomes. […] Pleurisy presents with distinctive symptoms that nurses should carefully assess and document. […] The following outcomes indicate successful management of pleurisy: The patient will report decreased chest pain, The patient will demonstrate improved breathing patterns, The patient will maintain optimal oxygenation, The patient will show normal vital signs, The patient will demonstrate effective pain management techniques, The patient will remain free from complications.
- #31 Pleurisyhttps://www.veteranshealthlibrary.va.gov/RelatedItems/3,40412
Treatment depends on what is causing the pleurisy. Serious conditions are treated in the hospital. You may need fluid, air, or blood removed from the pleural space. You may need medicines to reduce the inflammation or treat the infection, pain, and other symptoms caused by the condition. […] Call your healthcare provider right away if you have: A fever of 100.4F (38C) or higher, or as directed by your provider, Unexplained weight loss, Chest pain that doesn’t go away after treatments, Fast heartbeat. […] Call 911 if any of these occur: Trouble breathing or wheezing, Shortness of breath or chest pain that gets worse after treatments, Unable to talk, Feeling faint or dizzy, Skin or lips that turn blue, purple, or gray, Feeling of doom.
- #32 Should You Go to the ER for Pleurisy? Understanding When Urgent Care is Necessary | iCarehttps://www.icare-er.com/should-you-go-to-the-er-for-pleurisy/
Although urgent care is often sufficient for managing pleurisy, certain circumstances require immediate evaluation and care at the emergency room. If you experience any of the following symptoms, it is essential to seek emergency medical attention: Severe Chest Pain: If the chest pain is excruciating, intense, and unrelenting, especially on one side of the chest, it could be a sign of a more severe condition that requires urgent evaluation. […] Pleurisy is a painful condition that can be indicative of various underlying health issues. For mild to moderate cases, visiting an urgent care center can be a practical and efficient option for evaluation and treatment. However, in cases of severe chest pain, shortness of breath, high fever, fainting, or the presence of chronic health conditions, heading to the emergency room is crucial.
- #33 Pleurisy | Healthifyhttps://healthify.nz/health-a-z/p/pleurisy/
You can care for yourself by doing these things: Take painkillers or any other medicines as directed. […] Get medical advice if youre not improving or your symptoms are getting worse. […] Have an annual flu vaccination. […] If you are an older person, have a long-term condition or reduced immunity, talk to your healthcare provider about being vaccinated against pneumonia. […] Good hygiene reduces the risk of getting viral and bacterial infections.
- #34 Pleurisy: What It Is, Symptoms, Causes & Treatmenthttps://resources.healthgrades.com/right-care/lungs-breathing-and-respiration/pleurisy
Pleurisy is a respiratory disease characterized by inflammation of the moist, dual-layered outer lining of the lungs. This inflammation, along with fluid buildup (pleural effusion), creates friction (commonly referred to as a pleural rub, when heard using a stethoscope) during breathing, resulting in sharp chest pain, usually when inhaling. […] Treatment for pleurisy includes pain and cough control; treating the underlying cause, possibly with antibiotic therapy or by removing fluid from the pleural space; and prevention of complications such as lung collapse. […] Healthy lifestyle practices can reduce the risk of lung infection for people with pleurisy, including good hand washing, drinking plenty of fluids, eating a well-balanced diet, getting plenty of rest, and refraining from smoking.
- #35 Pleurisy – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/pleurisy/diagnosis-treatment/drc-20351866
These steps might help relieve symptoms related to pleurisy: […] Take medication as recommended by your healthcare provider to relieve pain and inflammation. […] Get plenty of rest. Find the position that causes you the least discomfort when you rest. Even when you start to feel better, be careful not to overdo it. […] Don’t smoke. Smoking can cause more irritation to your lungs. If you smoke and can’t quit on your own, ask your healthcare provider for help.
- #36 Pleurisy | Altru Health Systemhttps://www.altru.org/health-library/conditions/pleurisy
The outcome of pleurisy treatment depends on the seriousness of the underlying cause. Early diagnosis and treatment of the condition that caused pleurisy can help you feel better. Depending on the cause and the condition, you may make a full recovery. […] These steps might help relieve symptoms related to pleurisy: Take medication as recommended by your healthcare provider to relieve pain and inflammation. […] Find the position that causes you the least discomfort when you rest. Even when you start to feel better, be careful not to overdo it. […] Smoking can cause more irritation to your lungs. If you smoke and can’t quit on your own, ask your healthcare provider for help.
- #37 Pleurisy and Pleural Effusion Treatments | Northwestern Medicinehttps://www.nm.org/conditions-and-care-areas/pulmonary/pleural-effusion/treatments
Treatment for pleurisy and pleural effusion will depend on the underlying cause. […] For pleurisy, treatment may also include anti-inflammatory medication to help to reduce the inflammation. […] Discharge Instructions for Thoracentesis. […] Thoracentesis removes the extra fluid from pleural space. Find out how to take care of yourself for the next several days after the procedure.
- #38 Pleurisy (Inpatient Care)https://www.drugs.com/cg/pleurisy-inpatient-care.html
Pleurisy happens when the pleura becomes irritated or swollen. The pleura is a thin piece of tissue made of 2 layers. One layer lines the inside of your chest cavity, and the other surrounds your lungs. There is a small amount of fluid between the layers that helps them move easily when you breathe. When the pleura is irritated or swollen, the layers rub together as you breathe. […] You may need extra oxygen if your blood oxygen level is lower than it should be. You may get oxygen through a mask placed over your nose and mouth or through small tubes placed in your nostrils. Ask your healthcare provider before you take off the mask or oxygen tubing. […] Antibiotics may treat pleurisy caused by bacteria. […] You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment.
- #39 How Long Does Pleurisy Last? What to Expecthttps://www.healthline.com/health/how-long-does-pleurisy-last
Pleurisy should be identified and treated as soon as possible. Since the underlying cause of pleurisy can be quite serious, you need to understand why you’re having these symptoms. […] If the condition that causes pleurisy is found and treated, many people with pleurisy can expect a full recovery. […] Treatment involves relieving symptoms while treating the underlying condition. Sometimes procedures may help drain excess fluid or air from the lungs.
- #40 Pleurisy: What It Is, Symptoms, Causes & Treatmenthttps://resources.healthgrades.com/right-care/lungs-breathing-and-respiration/pleurisy
Complications of untreated pleurisy can be serious, even life-threatening in some cases. You can help minimize your risk of serious complications by following the treatment plan you and your healthcare professional design specifically for you. […] People with pleurisy usually recover completely when they receive prompt diagnosis and treatment. In cases when pleurisy is caused by a bacterial infection, patients usually feel better within a week of taking antibiotics.
- #41 Pleurisy: What Is It, Symptoms, Causes, and Morehttps://www.healthline.com/health/pleurisy
Treatment complications depend on the specific treatment and the underlying cause of pleurisy. Once you have a specific diagnosis, check with your doctor regarding your planned course of treatment and any potential side effects. […] Since so many different conditions can cause pleurisy, the best prevention strategy involves closely monitoring your health and undergoing timely checkups. […] Pleurisy is an inflammation in the pleura of the lungs sometimes accompanied by pleuritic pain. In some cases, it can progress to pleural effusion, which is when fluid builds up inside the lungs.
- #42 Pleurisy Symptoms, Treatment, Causes & Recovery Timehttps://www.emedicinehealth.com/pleurisy/article_em.htm
Medical treatment for pleurisy can include thoracentesis (a hollow, plastic chest tube inserted to remove fluid or air from the pleural space) or pleurodesis (layers of the lung lining are fused together to eliminate the pleural space). […] Most pleurisy is caused by infection and is unavoidable. You can avoid severe pleuritic chest pain by early diagnosis and treatment with anti-inflammatory drugs. […] Pleurisy prognosis depends on finding and treating the underlying cause. Most cases are treatable and resolve in days or weeks. Pleurisy caused by viral infections usually lasts about seven days and goes away. Pleuritis from other conditions, such as cancer, may continue indefinitely.
- #43 Pleurisy | PPThttps://www.slideshare.net/slideshow/pleurisy-252296966/252296966
Pleurisy is inflammation of the pleura, the thin lining of tissue that surrounds the lungs. It causes sharp chest pain that worsens with breathing. […] Treatment focuses on the underlying cause through antibiotics, anti-inflammatories, pain medication, and procedures to drain fluid from the lungs. […] Nursing management includes obtaining a history of previous pulmonary conditions, assessing for dyspnea and shortness of breath, and monitoring respiratory rate. […] Nursing diagnoses may include acute pain related to the inflammatory process, ineffective breathing pattern related to bacteria-caused pleurisy, and anxiety related to pain and dyspnea. […] Nursing management involves reducing pain through deep breathing exercises, maintaining an effective breathing pattern, and improving gas exchange. […] Administering oxygen and providing emotional support are also key components of nursing care for patients with pleurisy.
- #44 Pleural Effusion: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogetherhttps://www.nursetogether.com/pleural-effusion-nursing-diagnosis-care-plan/
Nursing interventions and care are essential for the patients recovery. […] When known, it is advised to treat the underlying cause of the pleural effusion. […] Regardless of transudative or exudative, large effusions causing respiratory symptoms must be drained. […] Administer antibiotics for effusions with an infectious etiology. […] Surgical intervention is necessary when a needle or small-bore catheter cannot adequately drain parapneumonic effusions. […] A tube thoracostomy (chest tube) may be required for more complicated effusions or empyemas. […] Nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Acute pain in pleural effusion is caused by pleural inflammation of the parietal pleura which results from the movement-related friction between the two pleural surfaces. […] Nursing Diagnosis: Acute Pain […] Nursing Diagnosis: Impaired Gas Exchange […] Nursing Diagnosis: Impaired Spontaneous Ventilation […] Nursing Diagnosis: Ineffective Airway Clearance […] Nursing Diagnosis: Ineffective Breathing Pattern.