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Nursing care of a patient with severe pneumonia complicated with multiple disorders under a multidisciplinary team: A
Zhenzhen Yuan1, Yinhao Yang, Qun Liu
1Department of Critical Care Medicine, Xiangyang No.1 People's Hospital, Hubei University of Medicine, Xiangyang, Hubei, China.
Rationale:
Severe pneumonia is a critical stage in the course of pneumonia, which is accompanied by respiratory failure and obvious involvement of other systems in addition to common respiratory symptoms, with a high mortality rate. This study summarizes the nursing experience of a patient with severe pneumonia complicated with multiple disorders under a multidisciplinary team, aiming to provide a more comprehensive theoretical and practical reference for the nursing of patients with severe pneumonia complicated with multiple disorders.
Patient Concerns:
The patient, a 43-year-old male, was admitted to the hospital due to fever for 2 days and dyspnea for 6 hours.
Diagnoses:
The patient was admitted to intensive care unit (ICU) as severe pneumonia.
Interventions:
The key points of nursing included extracorporeal membrane oxygenation (ECMO) management, sequential anticoagulation, reasonable sedation and analgesia, prevention and control of multi-drug resistant bacteria, nutritional support and gastrointestinal reaction management, staged rehabilitation training and humanistic care.
Outcomes:
After 70 days of active treatment and careful nursing, the patient was successfully cured and discharged from the department for rehabilitation treatment. The patient returned to society in June 2024 and joined the ranks of directors again. A micro-film he directed and acted in will be released nationwide this year.
Lessons:
First, early recognition and timely intervention of severe pneumonia are essential. Second, in the face of complex disease, multidisciplinary team cooperation is conducive to improve the accuracy of diagnosis and the effectiveness of treatment. Third, it is very necessary to do a good job in family management. Last, the study of new business and technology should be strengthened in the future to improve the professional ability of medical staff and the treatment level of critically ill patients.
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