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Bronchial asthma is a chronic inflammatory disease of the airways. It is associated with recurrent, reversible airway obstruction with intermittent episodes of wheezing and dyspnea. After 2 days of nursing interventions, the patient will demonstrate behaviors to improve airway clearance.
Bronchial asthma is a chronic inflammatory disease of the airways. It is associated with recurrent, reversible airway obstruction with intermittent episodes of wheezing and dyspnea. After 2 days of nursing interventions, the patient will demonstrate behaviors to improve airway clearance.
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Bronchial asthma is a chronic inflammatory disease of the airways. It is associated with recurrent, reversible airway obstruction with intermittent episodes of wheezing and dyspnea. After 2 days of nursing interventions, the patient will demonstrate behaviors to improve airway clearance.
Drepturi de autor:
Attribution Non-Commercial (BY-NC)
Formate disponibile
Descărcați ca DOC, PDF, TXT sau citiți online pe Scribd
Ineffective Bronchial asthma is After 2 days of Independent: • Some degree of
airway a chronic nursing • Auscultate breath bronchospasm
clearance inflammatory interventions, sounds. Note is present with related to disease of the the patient will adventitious obstructions in increased airways, associated demonstrate breath sounds airway and may production of with recurrent, behaviors to like wheezes, or may not be secretions. reversible airway improve airway crackles and manifested in obstruction with clearance. rhonchi. adventitious intermittent • Elevate head of breath sounds. episodes of the bed, have • Elevation of the wheezing and patient lean on bed facilitates dyspnea. Bronchial overbed table or respiratory hypersensitivity is sit on edge of the function by use caused by various bed. of gravity. stimuli, which • Keep • Precipitators of innervate the vagus environmental allergic type of nerve and beta pollution to a respiratory adrenergic receptor minimum like reactions that cells of the airways, dust, smoke and can trigger or leading to bronchial feather pillows, exacerbate smooth muscle according to onset of acute constriction, individual episode. hypersecretion of situation. • Provides patient mucus, and • Encourage or with some mucosal edema. assist with means to cope abdominal or with or control pursed lip dyspnea and breathing reduce air exercises. tapping. • Assist with • Coughing is measures to most effective improve in an upright effectiveness of position after cough effort. chest percussion. • Increased fluid • Hydration helps intake to 3000 ml/ decrease the day. Provide viscosity of warm or tepid secretions, liquids. facilitating expectoration. Collaborative: Using warm • Administer liquids may bronchodilators decrease as prescribed bronchospasm. • To reduce the viscosity of secretions. Subjective: Decrease tissue SHORT TERM Independent: perfusion resulting Patient verbalized; Ineffective Tissue in the failure to After 8 hours of “Naabat gad ako Perfusion nourish the tissues nursing nga bagat interventions, client 1. Assess for signs at the capillary maghagkot tak mga r/t will: of decreased tissue level. Provides kamot ngan ti-il.” perfusion. alveolar collapse baseline data. Reduced arterial (e.g., cold clammy blood flow causes a. verbalize skin, cyanotic nail decreased knowledge of bed, lethargic, poor nutrition and treatment peripheral Objectives: oxygenation at the regimen, pulsation,etc) cellular level. including Management is medication/s and directed at their actions and Signals severe • RR:25cpm removing possible side 2. Note declining acidotic state • cold clammy skin vasoconstricting effects level of awareness which requires • cyanotic nail b. demonstrate factor(s), or consciousness. immediate beds adequate tissue improving attention. • nasal flaring perfusion as peripheral blood evidenced by: • lethargic flow, and reducing • • dyspnea normal RR (12-20 3. Monitor heart Dysrhythmias metabolic cpm) • poor peripheral rate/rhythm. that may occur demands on the • warm, dry skin pulsation are due to body. Decreased • normal capilliary • dysrrhythmia hypoxia and tissue perfusion refill electrolyte can be transient • (-) respiratory imbalances. with few or difficulty (e.g., nasal minimal flaring, dyspnea) Pallor, cool consequences to • (-) lethargy clammy skin are the health of the Palpable adequate late changes are patient. If the peripheral pulses associated with 4. Note skin color, severe of decreased temperature and advancing perfusion is acute moisture. hypoxemia. and protracted, it can have Promotes devastating participation and effects on the therapeutic patient. regimen and Diminished tissue may reduce recurrence of perfusion, which is 5. Discuss cause of disorder. chronic in nature, chronic condition invariably results and appropriate in tissue or organ interventions or Prevents damage or death. self-care activities. hypoxemia and This care plan its use prevents focuses on the problems in consequences of hospitalized longstanding patients. hypoxemia. This ( source:http://ww saturates w1.us.elsevierheal circulating COLLABORATIVE hemoglobin and th.com/MERLIN/Gu increases the lanick/Constructor/ 1. Administer effectiveness of index.cfm? oxygen as blood that is plan=55) indicated, using reaching the appropriate delivery ischemic tissues. means.