NURSING CARE PLAN- Bronchial Asthma

ASSESSMENT Subjective: I have a hard time breathing, said the patient. Objective: BP: 110/80 caused by various stimuli, which innervate the vagus nerve and beta adrenergic receptor cells of the airways, leading to bronchial smooth muscle constriction , hypersecret ion of mucus, and mucosal edema. nursing interventio Independent: ns, the Auscultate patient will breath demonstrat sounds. Encourage or e behaviors Note breath assist with to improve sounds like abdominal or airway wheezes, pursed lip clearance. crackles and breathing rhonci. exercises. RATIONALE Some degree of Elevate head bronchoplas of the bed, m is present have patient with lean on obstructions overhead in airway table or sit and may or on the edge may not be of the bed. manifested in adventitious Keep breath environment sounds. al pollution a minimum. Elevation of EX: dust, the bed smoke, and facilitates feather respiratory pillows. function by

DIAGNOSIS INFERENCE

Ineffective airway (1) Use of clearance accesso related to ry increased muscle. production of (2) Ab secretions. normal breath sounds.
(3) V/S

taken as follows: T: 37.3 P: 82 R: 25

Bronchial asthma is a chronic inflammator y disease of the airways, associated with recurrent, reversible airway obstruction with intermittent episodes of wheezing and PLANNIN dyspnea. G Bronchial hypersensiti After 3 INTERVENT vity is days of ION

NURSING CARE PLAN- Bronchial Asthma

use of gravity. able to demonstrat e behaviors to improve airway clearance. to 3000 ml/day. Provide warm or tepid liquids.

Precipitator s of allergic type of respiratory reactions that can trigger or exacerbate onset of acute episode. Provides patient with some means to cope with or contol dyspnea and reduce air tapping. EVALUATI ON After 3 days of nursing interventio n, the patient was

Collaborative : Administer bronchodilat ors as prescribed.

Assist with measures to improve effectiveness of cough effort. Incresed fluid intake Coughing is most effective in an upright

NURSING CARE PLAN- Bronchial Asthma

position after chest percussion. Hydration helps decrease viscosity of secretions, facilitating expectorati on. Using warm liquids may decrease bronchospa sm.

To reduce the viscosity of secretions.