Case Report on Congestive Cardiac Failure with Pneumonia with Bronchial Asthma

Introduction: Congestive cardiac failure is a pathophysiologic state when the heart is not able to maintain its cardiac output to meet the demand of metabolizing tissues. Pneumonia is the inflammation of parenchyma of lungs. Bronchial Asthma is a diseases of airway produced by hypersensitivity inflammatory response of tracheobronchial tree to a variety of stimuli resulting in reversible narrowing of the air passages.

Clinical Finding: Patient having pain in chest since 2-3 days and it radiating to back and shoulder. Patient is experiencing breathlessness even at rest stage. Patient is also having a diagnosis of Asthma since 1 year.

Diagnostic Evaluation: Patient had undergone the Respective Diagnostic evaluation. Complete Blood Count, MRI, chest X- ray and 2D Echo.

Therapeutic Intervention: Patient have been prescribed the following Medication. Inj. Lasix 400mgX BD, Inj. Sodabicarb in 100ml saline stat, Inj. Doxy 100mgX BD, Inj. Piptaz 20mgX BD, Inj. PAN 40mgX TDS, Tab. Flucon 150 mg X OD.

Outcome: After the providing the nursing care the pain level in chest had been minimized and patient is not having any breathlessness in resting stage and his condition also has been improved after the care provided.

Conclusion: The patient was admitted in Medicine Intensive Care Unit [MICU] AVBRH, Sawangi (Meghe), Wardha with the known case of Congestive Cardiac failure with Pneumonia and Bronchial Asthma. After providing appropriate nursing care his condition has been improved.