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This work develops the nursing care process (PAE) for a pediatric patient, with the objective of identifying problems and managing the integral care of an infant with Bronchial Obstructive Syndrome (BOS)-Pneumonia diagnosed and hospitalized in the emergency area. Single case study, qualitative approach, PAE method. Data collection was carried out through the observation technique, physical examination and as an instrument the assessment framework by 11 functional patterns of Marjory Gordon, identifying 5 Nursing Diagnoses prioritizing three of them: Ineffective airway clearance related to excessive mucus, evidenced by abnormal breath sounds crackling, wheezing, persistent cough with abundant yellowish and dense secretions in regular quantity, respiratory frequency 46 breaths per minute. Impaired gas exchange associated with alveolar-capillary membrane changes, evidenced by dyspnea, decompensated respiratory alkalosis Ph: 7.50, pCO2: 33 mm Hg, hypoxemia pO2: 88 mm Hg and tachycardia HR: 126 x', oxygen saturation 86%.