Nursing Care of Pneumonia Patients with Acute Respiratory Failure Receiving High-Flow Nasal Cannula Therapy: A Study of 2 Cases

Abstract

Objective :To study nursing care for pneumonia patients with acute respiratory failure treated with a high-flow nasal cannula.

       Study design: Comparative study of 2 patients with pneumonia with acute respiratory failure treated with High-flow nasal cannula admitted to Roi Et Center Hospital from September to October 2023. Data were collected from medical professionals. Patient records and 11 health status assessment forms by Gordon analyze data to determine nursing diagnoses. Plan nursing action and evaluate nursing outcomes, including critical, semi-critical, and preparation for discharge home.

       Results: Patient 1 had a history of asthma. The second patient has a history of high blood pressure. and chronic kidney disease There was a history of being bedridden for 1 year. Both patients were admitted with fever, cough with phlegm, and shortness of breath. Patient 1 was treated in critical condition. They were put on a ventilator for two days, after which both patients received treatment with a high-flow nasal cannula to increase oxygen in the body. The nursing diagnosis is the same. Gas exchange is reduced due to lung infection and mucus expulsion is ineffective because sticky mucus cannot be coughed out on its own. until symptoms improve There is no hypoxia. and can be safely sold back home

       Conclusions: High-flow nasal cannula treatment in pneumonia patients with acute respiratory failure can help treat patients with mild hypoxia and prevent re-intubation. Therefore, nurses need to have knowledge, skills and close monitoring of symptoms. To prevent oxygen depletion and complications