Asthma - 7 Nursing Diagnosis and Interventions

Nursing Care Plan for Asthma : Nanda Nursing Diagnosis and Interventions

1. Ineffective airway clearance related to airway spasm, secretion retention, amount of mucus.

Goal: The patient showed the ability to maintain the cleanliness of the airway, with the expected outcomes:

• There is no secret
• Lungs clear sound

Intervention:
1. Airway menagement:

• Free the airway (suction)
• Monitor the chest wall retraction
• Monitor respiration rate
• Give a semi-Fowler position

2. Clear the airway:

• Listen to lung sounds
• Encourage the patient to drink warm
• Do suction
• Monitor oxygen delivery
• Evaluation of lung sounds after suction

2. Ineffective breathing pattern related to spasm of the airway, respiratory muscle fatigue.

Goal: Adequate patient's respiratory status, with the result criteria:

• Respiration rate is within normal limits
• Not seen the use of additional respiratory muscles
• No complaints of pain in breathing

Intervention:
1. Airway management:

• Monitor respiratory patients
• Monitor the use of additional respiratory muscles (chest wall retraction)
• Monitor Vitas signs; respiration, pulse, blood pressure, temperature
• Position the patient in semi-Fowler position

2. Oxygen Therapy:

• Provide oxygen according to program
• Give oxygen through a nasal or face mask canul
  • The flow of 1-6 liters / minute oxygen concentration produces 24-44%
  • The flow of 5-8 liters / minute oxygen concentration produces 40-60%
  • The flow of 8-12 liters / min oxygen concentration produces 60-80%
  • The flow of 8-12 liters / min oxygen concentration producing 90%

3. Collaboration for bronchodilator therapy.


3.Impaired gas exchange related to bronchospasme, damage to the alveoli.

Goal: effective gas exchange, with expected outcomes:

• Free from symptoms of respiratory failure, cianosis, nostril breath
• Blood gas analysis results within normal limits.

Intervention:
1. Airway management:

• Position the patient in a position semifowler
• Auscultation of breath sounds of patients
• Patient's fluid balance
• Monitor respiration rate
• Clear the airway of secretions (Suction)
• Teach the client to use an inhaler
  

2. Acid-base management:

• Monitor blood gas analysis
• Monitor electrolyte levels
• Monitor oxygen saturation
• Collaboration of medication to maintain the acid-base balance (sodium bicarbonate)
• Monitor hemodynamic status

4. Activity intolerance related to imbalance of oxygen supplied to the needs

Goal: The patient showed tolerant state of activity, with the expected outcomes:

• No shortness of breath on exertion
• Able to move up

Intervention:
1. Energy management:

• Determine the causes of fatigue
• Monitor respiratory (respiration, dyspnoea, pallor)
• Help clients choose the activities that can be done
• Recommended to increase the intake of nutrients

2. Monitor response of breathing during activity, assess abnormal response in respiration, blood pressure, pulse.


5. Knowledge deficit: about asthma, related to lack of information sources.

Goal: increase patient knowledge about asthma, the expected outcomes:

• Knowing trigger asthma
• Knowing about the things that need to be avoided
• Knowing the handling of the attack.

Intervention:
1. Assess the things that have been known to patients

2. Assess the patient's condition before health education, do not provide health education, while patients in the state of attack.

3. Education:

• Explain the meaning of asthma
• Explain the trigger factor
• Describe the things that need to be avoided: elergan factors, stress, excessive cold weather activity
• Explain how the handler during an asthma attack at home
• Evaluate what has been delivered.

6. Anxiety related to crisis situations: changes in health status

Goal: The patient can control anxiety and increase coping, with expected outcomes:

• Patient's expression relaxed
• Vital signs are within normal limits

Intervention:
1. Lower levels of anxiety:

• Listen to their patients
• Explain each will perform maintenance procedures
• Instruct the patient to accompany the family as a support system during an asthma attack

2. Teach termination worried if stress can not be avoided:

• Turning his attention upward
• Respiratory control by drawing a deep breath (relaxation)
• Position your body relax
• Make a relaxed mood, relaxed facial expression.

7. Imbalanced Nutrition, Less Than Body Requirements related to an increase in shortness of breath, intolerance to activity

Goal: Nutrition clients adequate, with expected outcomes:

• Increased oral input

Intervention:
1. Environmental Management:

• Provide a relaxed dining atmosphere
• Limit visitors during mealtimes
  

2. Manage your nutrition:

• Assess the client's food preferences and diet recommended
• Monitor oral intake, if not enough add parenteral nutrition
• Anjurrkan eat small meals but often
• Anjurrkan for clients favorite meals
• Collaboration with the nutrition.

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Asthma

NANDA Asthma

Nursing Diagnosis for Asthma

Asthma is a very serious condition so everyone should be aware of the symptoms. Asthma is a common respiratory disease that affects a person's airways. Asthma affects the individuals ability to breathe normally and can cause tightness in the chest, coughing and wheezing and shortness of breath, in more serious cases it can trigger asthma attacks that can be life threatening to the individual.

Around 7 percent of the US population has asthma, ranging from mild to chronic types. During an asthma attack, the bronchi constricts, obstructing the airflow. In chronic cases, it can cause long term lung inflammation.

When the bronchial tubes are constricted there is less room| for air to flow and you then have trouble breathing naturally. The airways in asthma sufferers can be sensitive and irritable, which means that a trigger can cause the airways to react and start the onset of symptoms. Such triggers vary, but usually it will be animal hair, dust/smoke and pollen.

There are a number of cases of asthma where the symptoms are so severe that they can be life-threatening if not controlled. Having access to the best medications which can be swiftly applied is necessary, which is why a lot of asthma sufferers carry inhalers that can easily dispense Salbutamol and relieve symptoms quickly. Long lasting drug treatments can also lessen the seriousness of attacks when they take place, so make sure that any medicine prescriptions are adhered to rigorously. These medicines are dispensed via the inhalers.

In mild cases, asthma may only manifest with just a few sneezes; though most asthma attacks usually go with wheezing, tightness in the chest, shortness of breath and coughing. These symptoms can be compounded by flu or colds and difficulty sleeping at night due to coughing. Asthma triggers vary from person to person. Allergens like dust, pollen and mold, sudden changes in temperature, stress, exercise, and air pollution can trigger an asthma attack. Early signs of asthma include irregular breathing, coughing, difficulty speaking, plus stuffy nose, fatigue, and itchy throat.

When it comes to treating Asthma symptoms, there are many choices available, from inhalers and medications to steroids and anti-inflammatory's. A nebulizer may be prescribed by your physician if symptoms are particularly bad. A nebulizer is a machine that allows the drugs normally taken as a liquid or through an inhaler to be converted to a mist that you breathe in using a mask for easy and quick absorption.

Asthma

Nursing Diagnosis for Asthma

1. Ineffective Airway Clearance


2. Fatigue


3. Imbalanced Nutrition: Less than Body Requirements


4. Deficient Fluid Volume


5. Anxiety


6. Interrupted Family Processes


7. Deficient Knowledge

Asthma Nursing Diagnosis Asthma

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