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[Gr. pleuritis] Inflammation of the visceral and parietal pleurae that surround the lungs and line the thoracic cavity. It may be primary or secondary; unilateral, bilateral, or local; acute or chronic; fibrinous, serofibrinous, or purulent. Common causes of pleurisy include viral infections, pneumonia, pulmonary embolism, rib fracture, and serositis from autoimmune diseases. SYN: SEE: pleuritis
SYMPTOMS Sharp stabbing pain exacerbated by breathing is characteristic.
PATIENT CARE Respiratory function is monitored by auscultation, observation of breathing pattern, and oximetry. The patient is positioned in the high Fowler position to facilitate chest expansion. Rest is encouraged. Deep breathing using incentive spirometry is encouraged every 1 to 2 hr to prevent atelectasis. To reduce discomfort when coughing, the patient should splint the chest with a pillow and administer analgesic drugs and use noninvasive measures, such as local application of warm or cool compresses. Respiratory toilet is provided if secretions are present. Rest is recommended. Prescribed medical regimens are carried out, with treatment directed at the underlying cause, and the patient's responses evaluated. Severe pain may be managed with intercostal nerve block. Thoracentesis may be required if pleural effusion is present.
Venes, Donald, editor. "Pleurisy." Taber's Medical Dictionary, 23rd ed., F.A. Davis Company, 2017. Nursing Central, nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/759175/all/pleurisy.
Pleurisy. In: Venes D, ed. Taber's Medical Dictionary. 23rd ed. F.A. Davis Company; 2017. https://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/759175/all/pleurisy. Accessed June 16, 2019.
Pleurisy. (2017). In Venes, D. (Ed.), Taber's Medical Dictionary. Available from https://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/759175/all/pleurisy
Pleurisy [Internet]. In: Venes D, editors. Taber's Medical Dictionary. F.A. Davis Company; 2017. [cited 2019 June 16]. Available from: https://nursing.unboundmedicine.com/nursingcentral/view/Tabers-Dictionary/759175/all/pleurisy.
* Article titles in AMA citation format should be in sentence-case
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T1 - pleurisy
ID - 759175
ED - Venes,Donald,
BT - Taber's Medical Dictionary
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PB - F.A. Davis Company
ET - 23
DB - Nursing Central
DP - Unbound Medicine