- Patho - Increased constriction of smooth muscle - airway obstruction - bronchospasms - can be caused by allergen, exercise,
- TREATMENT:
Bronchodilator, corticosteroids, aerosol therapy, antihistamines
-
INEFFECTIVE BREATHING PATTERN
-
S/SX
-
SIGNS/SYMPTOMS
- PT FINDINGS
- Dyspnea
- Nasal Flaring
- Accessory Muscle Use
- Respiratory Depth Changes
- Cough
- Wheezing
-
NIC
-
NURSING INTERVENTIONS
- PT RESPONSE
- Assess Respiratory Pattern
- Assess for Dyspnea
- Assess v/s
- Monitor O2 Sat
- Encourage slow deep breathing, pursed-lip breathing
- Administer medications as ordered
- Keep head of bed elevated
-
INEFFECTIVE AIRWAY CLEARANCE
-
S/SX
-
SIGNS/SYMPTOMS
- PT FINDINGS
- Abnormal Lung Sounds
- Cough
- Changes in Respiratory Depth or Rate
- Chest Tightness
- Dyspnea
- Abnormal ABGs
-
NIC
-
NURSING INTERVENTIONS
- PT RESPONSE
- Assess Lung Sounds
- Assess for Respiratory Changes
- Assess Cough - Sputum Production
- Monitor Labs - CBC, ABG, CXR
- Assess Changes in Color
- Teach effective coughing techniques & encourage the patient to cough
-
ANXIETY
-
S/SX
-
SIGNS & SYMPTOMS
- PT FINDINGS
- Restless
- Increased HR
- Complains of inability to breath
- Diophoresis
- Apprehensive
-
NIC
-
NURSING INTERVENTIONS
- PT RESPONSE
- Assess Anxiety Level
- Teach Relaxation Techniques
- Explain Importance of Staying Calm
- Explain All Procedures
- Make Patient as Comfortable as Possible