Pleural Effusion Diagnosis

Running head: PLEURAL EFFUSION
PLEURAL EFFUSION
Name of the Student
Name of the University
Author note

PLEURAL EFFUSION1
Answer 1
The vital signs (VS) for A.B diagnosis shows that he is suffering from Pleural Effusion.
He has high blood pressure, and pleural effusion frequently occurs in a patient with improper
heart activity. People suffer from hypertension due to improper heart activity and a common
cause of the pleural effusion is heart failure (Narsuk et al., 2016). A.B was suffering from high
fever, which is an important symptom of the disease. A.B was having Spo2 of 85%, which is
abnormal and is a serious sign of a respiratory problem. The pulse rate recorded was 118, which
is very abnormal and giving a sign for improper heart activity or an indication of heart failure.
Moreover, he was having breathing shortness that is another sign for pleural effusion.
Answer 2
The signs and symptoms of pleural effusion are chest pain, breathing shortness, fever, dry
cough, breathing difficulty, and sometimes coughing our blood (DeBiasi et al., 2015). The
pathophysiology of A.B’s diagnosis has shown that he is also suffering from chest pain, dry
cough, weakness, breathing shortness, improper pulse rate indicating inadequate functioning of
the heart. He had a body temperature of 102.1o F, which is a clear sign of high fever. The
respiration rate was 38 and the Spo2 was 85%, which means A.B is having a respiratory
problem; his lungs are showing abnormal results. Therefore, he is undergoing breathing
shortness and coughing. His chest x-ray showed pneumonia, which is one of the important
causes of pleural effusion.
Answer 3
Thoracentesis is a method where the needle is injected inside pleural space amid chest
walls and lungs. This process is suggested to remove extra fluid pleural effusion from the pleural

PLEURAL EFFUSION2
space making breathing easier (Garrido et al., 2014). The whole procedure takes about 10 to 15
minutes. The threat of thoracentesis is collapsed lungs or pneumothorax, bleeding, pain, infection
or bruising. Spleen and liver injuries cause some erratic difficulties (Olfert et al., 2017).
Answer 4
Calculation
{Volume (ml)}/ {time (min)}* drop fractor (gtt/ml) = IV flow (gtt/min)
Drop factor (gtt/ml)= { IV flow (gtt/min)}/ {Volume (ml)}/ {time (min)}
= 20/ {100/30}
= (20*30)/100 (gtt= no.of drops)
= 6 gtt/ml
Hence, 6 drops per minute is required for infusion.
Answer 5
Intervention needed to be executed for promoting pulmonary secretion clearing is the
suctioning the airway in A.B’s body so that it is cleared properly and there is no fluid
decomposition. The oxygen needs to be administered as per the doctor’s suggestion. The
spirometer can be used for measuring the air volume that is inhaled and exhaled through the
lungs (DeBiasi et al., 2015). A proper record of the lung function would prevent pleural effusion
as it maintains good ventilation. If A.B spirometer records any obstruction, doctor can easily
understand that there might be some blockage or obstruction present in the respiratory tract.