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Showing posts with label Asthma. Show all posts
Showing posts with label Asthma. Show all posts

Functional Health Patterns and 8 Nursing Diagnosis for Asthma

Nursing Care Plan for Asthma : Functional Health Patterns - Nursing Diagnosis

1. Health Perception – Health Management Pattern
  • Clients complain of shortness of breath, coughing, mucus difficult out.
  • Complain easily tired and dizzy.
  • Drug usage data.
  • Clients know / do not know the cause of the attack.
2. Nutritional – Metabolic Pattern
  • Nausea, vomiting, no appetite.
  • Shows signs of dehydration, dry mucous membranes.
  • Cyanosis, a lot of sweat.
3. Elimination Pattern

4. Activity – Exercise Pattern
  • Activity is limited because of wheezing and shortness of breath.
  • Smoking habits.
  • Cough and mucus that is difficult to remove.
  • Use of accessory muscles during inspiration.
5. Cognitive – Perceptual Pattern
  • The extent to which the client's knowledge about the disease.
  • The ability to overcome the problem.
  • The weakening process of thinking.
6. Sleep – Rest Pattern
  • Lack of sleep complaints.
  • Tired from the attack of shortness of breath and cough.
7. Self-perception – Self-concept Pattern
  • Clients likely to reveal the strategy to overcome the attack, but was unable to cope if the attack comes.
8. Role – Relationship Pattern
  • Disruption role in the attack.
  • Feel embarrassed if there is an attack.
9. Seuality – Reproductive Pattern

10. Coping – Stress Tolerance Pattern
  • Deny.
  • Angry.
  • Desperate.
11. Value – Belief Pattern






Nursing Diagnosis for Asthma

  1. Ineffective Airway Clearance r / t increased production of secretions.
  2. Impaired gas exchange r / t O2 supply disruption.
  3. Activity intolerance (in performing self-care) r / t shortness of breath, and physical weakness.
  4. Risk for imbalanced Nutrition: less than body requirements r / t input inadequate: nausea, vomiting and loss of appetite.
  5. Anxiety r / t shortness of breath and scared.
  6. Ineffective breathing pattern r / t decline in lung expansion during acute attacks.
  7. Risk for infection r / t inadequate primary defense (cilia work and persistence decrease secretions).
  8. Knowledge deficit r / t lack of information.

Impaired Gas Exchange related to Asthma

Nursing Care Plan for Asthma

Impaired Gas Exchange : Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane

Defining Characteristics:
  • Visual disturbances;
  • decreased carbon dioxide;
  • dyspnea;
  • abnormal arterial blood gases;
  • hypoxia;
  • irritability;
  • somnolence;
  • restlessness;
  • hypercapnia;
  • tachycardia;
  • cyanosis (in neonates only);
  • abnormal skin color (pale, dusky);
  • hypoxemia;
  • hypercarbia;
  • headache on awakening;
  • abnormal rate, rhythm, depth of breathing;
  • diaphoresis;
  • abnormal arterial pH;
  • nasal flaring

Asthma is a chronic, or life long, disease that can be serious—even life threatening. There is no cure for asthma. The good news is that it can be managed so you can live a normal, healthy life.

Asthma is a lung disease that makes it harder to move air in and out of your lungs. There are three things that you should know about asthma:
  1. Asthma is chronic. In other words, you live with it every day.
  2. It can be serious – even life threatening.
  3. There is no cure for asthma, but it can be managed so you live a normal, healthy life.


Nursing Diagnosis for Asthma

Impaired Gas Exchange related to CO2 retention, increased secretion, increased respiration, and a disease process.

1) Goal
  • The client will maintain adequate gas exchange and oxygenation.

2) Expected Outcomes
  • Frequency of breathing 16-20 times / min
  • Pulse frequency 60-120 times / min
  • Normal skin color, no dipnea and blood gas analysis within normal limits

3) Interventions
  • Monitoring of respiratory status every 4 hours, blood gas analysis, income and output.
  • Place client in semi-Fowler position.
  • Give intravenous therapy as directed.
  • Give oxygen through a nasal cannula 4 l / min, then adapt the results of PaO 2.
  • Give the medication that has been prescribed and observe if there are signs of toxicity.

4) Rational
  • To identify the indications towards progress or deviations from the client.
  • Upright position allowing better lung expansion.
  • To enable rapid rehydration and can assess the situation for vascular administration of emergency drugs.
  • Giving oxygen to reduce the burden of respiratory muscles.
  • Treatment to restore bronchial conditions as the previous conditions.
  • For ease breathing and prevent atelectasis.