LESSON PLAN ON
lung abscess
SUBJECT: MEDICAL AND SURGICAL NURSING - I
Submitted to: Submitted by : Mrs.P.Latha Teresa madam Ms .N. Dhoraka Rani Associate professor M.sc nursing
1styear Dept :Obestrics &Gynocological Dept :medical and surgical nursing NRI college of nursing. NRI college
of nursing.
Name of the Teacher : Dhoraka Rani .N
Class : B.Sc nursing 3rdyear
Subject : Medical and surgical nursing
Topic : lung abscess
Date and Time :
Duration : 1hour
Venue :
Previous knowledge of the group : These third year group had already equipped with the knowledge of lung
abscess.
Method of teaching : Lecture cum discussion,
Audio-visual aids : PPT slides
General objectives : The students will gain an in depth knowledge about definition, pathophysiology, clinical
manifestation, diagnostic evaluations, prevention and management of lung abscess.
SPECIFIC OBJECTIVES : by the end of the lecture the students will able to :
∙ Introduction of lung abscess
∙ Define lung abscess
∙ List out the risk factors and causes of lung abscess
∙ Write about the classification of lung abscess
∙ Explain the pathophysiology of lung abscess
∙ State the clinical manifestations of lung abscess
∙ Enlist the diagnostic evaluations of lung abscess
∙ Discuss about the management of lung absces
Specific
bjectives CONTENT AV
Time Teacher Student Activities AIDS EVALUATION
2mts Introduction INTRODUCTION ∙ A Lung Abscess is a localized necrotic recall about lung
∙ Dear students today we are going to lesson of the lung parenchyma
learn containing
about lung abscess purulent material that collapse and
forms
a cavity
abscess
∙ It is generally caused by aspiration of
anaerobic bacter
3mts Define lung Teacher Teacher shows the slides and explains
interacts with students asking can you the definition of lung abscess
abscessDEFINITION:
lung abscess
Student take the notes with help of
slide
PPT slides What is the definition of
5mts
5mts
List out the risk factors of lung abscess
Write down the classification of lung abscess
RISK FACTORS / CAUSES:
∙ Most Lung Abscess are caused by aspiration of materials from the GI tract into the lungs
1) Risk factors for Aspiration include ∙ Alcoholism
∙ Seizure disorder
∙ Neuromuscular disorder
∙ Drug overdose
∙ General anaesthia
∙ Stroke
2) Infections agents generally cause lung abscess . The organisms involves
generally caused infection and necrosis of the lung tissue
CLASSIFICATION:
∙ Lung abscess can be classified based on duration and likely etiology
∙ Based on etiology
Teacher
explains the risk factors of lung abscess by
showing the
slides
Students will take the notes with the help of slides
Teacher
explains the
classification with the help of slides
Students takes
PPTslides PPT slides
What are the risk factors of lung abscess
What is the
classification of lung abscess
the notes
1) Primary Lung Abscess:-
∙ Used when abscess develops in
individuals prone to aspiration or in
general good health.
∙ 80% of lung abscess is primary(50% of
these associated with putrid sputum)
2) Secondary Lung Abscess:-
∙ Obstructive airway neoplasm as a
compilication of intra- thoracic surgery or
systematic condition / treatment that
compromises host immune defence
mechanism.
∙ Based on Duration
1. Acute Abscesses:- Less than 4 to 6
weeks old
2. Chronic Abscesses: - These are longer
Duration.
10mts Explain about PATHOPHYSIOLOGY Teacher explain PPT Write about the
the cleared by the patients host. dependent area. necrotic lung tissues.
pathophysiology of lung Defense mechanism the
abscess Initially, the aspirated pathophysiology with the
Lung abscess arises as a Abscess generally develop material settles in the help of slides
complication of aspiration in the right lung and digital bronchial system and
pneumonia caused by mouthinvolves the posterior develops into localized Student will take the notes
and anaerobes segment of the right upper pneumonities. with the help of
lobe, the superior segment slides
A bacterial inoculums from of the lower lobe, or both. Within 24 to 48 hours, A Slides patho
the gingival crevice reaches large area of inflammation physiology of
the lower airways, & This is due to gravitation of results, consisting of lung abscess
infection is initiated infectious material from the exudates, blood and
because the bacteria aren’t oropharynx into this
The abscess frequently connects with bronchus
and partially empties.
5mts
pain Students take the notes TDS if there is foul
State the ∙ Weakness PPT slides smell of the
clinical ∙ Anorexia sputum
manifestation of ∙ Dyspnea ∙ Oral administration of
ling abscess ∙ Weight loss antibiotic therapy is
continued for an
DIAGNOSTIC additional 4 to 8 weeks
EVALUATION
Surgical management
∙ History collection
∙ Physical examination 10mts Discuss about ∙ Percutaneous catheter
∙ Chest x-ray the management drainage or surgical
∙ Fiberoptic brochoscopy of the lung resection is usually
PPT slides abscess considered ∙ Lobectomy
Teacher explain the
Write about the clinical ∙ Sputum culture
5mts Enlist the
clinical
manifestations of lung ∙ CT Scan
diagnostic
evaluations of manifestation by
showing the abscess ∙ Blood test (CBC,
lung abscess troponin I, II, HB
CLINICAL slides
MANIFESTATION
Students take the notes
MANAGEMENT
∙ Mild productive cough with the help of
to acute illness ∙ Fever slides
Medical management
∙ Productive cough with
Teacher
moderative copious ∙ Clindamycin is the explains the
amount of foul smelling treatment of choice
Teacher explain the management of lung
and bloody sputum.
∙ Leukocytosis diagnostic findings by What are the diagnostic ∙ Pencilin + flagyl abscess by showing the
evaluation of lung ∙ Metroniidazole 400mg slides
∙ Pleurisy or dull chest showing the abscess PO X Students will take the
slides
notes with the help of abscess
slides
PPT slides
What is the
management of lung
s
∙ Pneumonectomy
Nursing management
∙ Because of the need for the
prolonged antibiotic therapy the
patient must be aware of the
importance of continuing the
medication for the prescribed
period
∙ The patient must know about the
side effects that need to be
informed to the health care
members
∙ Sometimes patients are asked to
come for routine check ups
∙ The patient should be taught how
to cough effectively, and how chest
physiotherapy and postural
drainage are helpful in their disease
process
∙ Rest, good nutrition and adequate
fluid intake are all supportive
measures to facilitate recovery
2mts SUMMARY:
diagnostic findings and abscess
management of lung abscess ∙ Write about the management
of
ASSIGNMENT : lung abscess
3mts Recapitulate and review
topic
as a whole
So far we have been learning Review the topic by asking
about lung abscess, questions to the students.
classification ,causes ,
pathophysiology, ∙ Write about the Students will respond with the
clinical manifestations, pathophysiology of lung answers
CHALK BOARD ACTIVITIES:
∙ Introduction
∙ Definition
∙ Classification
∙ Risk factors
∙ Pathophysiology
∙ Clinical manifestations
∙ Diagnostic findings
∙ Management
STUDENT REFERENCES:
1 Brunner & Suddarth’s text book of medical and surgical nursing , Lippincott Williams & Wilkins
publications, 12th edition, 2010: 572-573
2 www.slideshare.net.>mobile>lung
3 en.m.wikipedia.org/wiki/lung abscess.
4 www.ncbi.nlm.gov/pmc/articles/PMC4
TEACHERS REFERENCES
1 Brunner & Suddarth’s text book of medical and surgical nursing , Lippincott Williams & Wilkins
publications, 12th edition, 2010: 572-573
2 www.slideshare.net.>mobile>lung
3 en.m.wikipedia.org/wiki/lung abscess.
4 www.ncbi.nlm.gov/pmc/articles/PMC4
