Extrinsic or Intrinsic factors Influenced by secondary factors Antigen-antibody reaction Extrinsic (External pollen, dander, keep dog outside) Intrinsic (Internal physical/emotions stress) factors Clinical Manifestation/Assessment
Mild Asthma Wheezing- high musical sound of air vibrating through narrowed airways Dyspnea on exertion Acute Asthma Attack Tachypnea Expiratory wheezing; productive cough Use accessory muscles; nasal flaring Cyanosis
MEDICATIONS MAINTENANCE THERAPY
SEREVENT INHALANT, PROPHYLACTIC
CORTICOSTEROID INHALANT
AVOID ALLERGENS
ACUTE OR RESCUE THERAPY
PROVENTIL INHALANT AMINOPHYLLINE IV
CORTICOSTEROID AND EPINEPHRINE ORAL OR SUBCUTANEOUS
OXYGEN Nursing Interventions and Patient Teaching Administering prescribe medications and ensuring adequate fluid intake and optimal ventilation To accomplish these goals, incorporate rest periods into activities and interventions; elevate the head of the bed; teach effective breathing techniques, such as pursed-lip breathing and correct use of the peak flowmeter; provide oxygen therapy as ordered. Monitor VS and Electrolytes.
Educate the Pt and the family to identify s/s and recognize ashtma triggers and avoid them or lessen their effects to prevent recurrent attacks. Instruct the Pt on relaxation techniques to manage anxiety.