Nursing Care Plan for Asthma

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:
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.