Asthma | Nursing Care for Asthma Patient in 2 Minutes
28
August

By Adem Lewis / in , , , , , , , , , , , , , , , , /


Hey guys. This is Jon with 2-minute RN from NRSNG.com. Today, we re gonna talk about asthma. Okay. So, let s get into it real quick. Asthma, is basically chronic inflammation
of the airways which leads to intermittent obstruction. This can be due to allergens, sinusitis, cold
and dry air, medications, food additives, hormones, and basically allergies to different
things. So, what can happen is, if the patient becomes
unresponsive to treatment, if the airways becomes unresponsive to treatment, then this
could actually lead to status asthmaticus, which is a very emergent situation. Okay, so, let s talk really quick about assessment
findings. If you have a patient who comes in complaining
of asthma, some of the things that you re gonna see are you gonna see dyspnea, or being
short of breath. You re gonna hear wheezing on expiration. So, if the patient is just wheezing air when they’re exhaling air, that’s a good sign that it could be asthma, just a (wheezing sound) kinda wheezing sound like that when they expire. They’re gonna complain of chest tightness. They re gonna
have tachypnea which is breathing very fast and being short of breath. They re gonna have
diminished breath sounds. Okay. They re gonna have this airways full of mucus, that they
re gonna have a hard time, you re gonna have hard time hearing the breath. They re gonna
have decreased PaO2, Partial Pressure of Oxygen, and so you may see respiratory alkalosis.
Okay, what does that mean? Well, alkalosis, you re gonna have your pH just gonna be above
7.45. With pH of above 7.45, that means our O2 of course is gonna be lower. So, with that,
as well, you know, your CO2 is gonna be lower. To manage this, what are we gonna do? We re
gonna give medications to manage it. Okay, so, some of the meds that we re gonna give,
are gonna be beta agonists. Some of the beta agonists are gonna be bronchodilators, anticholinergics,
and theophylline. Theophylline is a medication, it is not given very often nowadays, so we
won t talk about it much, but maybe we ll get into that a little bit later. Bronchodilators,
of course, are gonna expand the airways, open them up and you should always give bronchodilators
before other meds. Okay. Why? Because as we give those bronchodilators, we re gonna expand
the airways and that s gonna allow things like our corticosteroids, our anti-inflammatory
and our O2 to actually get into there. Okay, so, other things you re wanna do, you re wanna
want to identify precipitating factors, you re gonna ask the patient where they work,
if they ever had allergies before, if they ever experienced chest tightness when they
re outside or in specific seasons, etc. You gonna wanna teach proper inhaler use. For
example, you wanna teach the patient to take deep breaths to ensure the medication gets
in. They re gonna wanna shake the inhaler up before they take it. And they re gonna
wanna allow, once they inhale the medication. They re gonna wanna hold their breath first
as long as they can, in about 10 seconds to allow the medication to distribute throughout
the lungs. They re gonna teach patients about Peak-Flow Meter, this is a device they can
take at home and they can kinda monitor their own asthma reactions. So, peak flow meters,
they re gonna wanna achieve 80% – 100% of their peak amount. And, that s something they
can do at home to kinda determine if they re experiencing exacerbations of asthma. Let s look at the normal bronchioles. You
re gonna have, notice that you have a lot of space here for the air to get in. What
happens with asthma, this becomes closed in, and they have less space for air to get in.
And that can be due to excessive mucus you can see swelling from allergens and things
like that. This can be very intimidating and terrifying to patients because they are not
able to breath. It becomes very very scary to them. This is just a little picture of
an inhaler. A lot of asthma medications are given, especially for kids and things, are
given via nebulizer. The reason for the nebulizer type things, this is an inhaler, not necessarily
a nebulizer, but giving it in this form allows it to get more into the lungs. Okay, some
of the medications that you re gonna see are gonna be the different brochodilators, Albuterol,
things like that, Spiriva, and then you re gonna see Montelukast, things like that. Those
are gonna be the medications that you re gonna see most often with these patients. Alright, that s the quick overview of asthma.
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7 thoughts on “Asthma | Nursing Care for Asthma Patient in 2 Minutes

  1. so I just quit smoking and started vaping. I was vaping e cigarettes pens and now I'm sub omhing. which is,more vapor than e cigarette a lot more. I would be at home vaping on my my rda and all of the sudden my chest tightens up and my breathing constricts and I can't breath and breathing fast too. why am I doing this??? smoking cigarettes has never done this to me and I was a pack a day smoker

  2. Not every brochodilator is to be used first. LABA's are brochodilators and the patient needs to be taught that they are not rescue drugs.

  3. I used to have asthma and needed an inhaler when I was younger. Hated it, gross taste, used to only pretend to use it. Id rather struggle breathing than taste it lol

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