- 17 y/o athletic Male
- Newly diagnosed with asthma
- Patient is concerned about how asthma will affect his social life.
- Hopes to attend University on a sports scholarship.
Further Assessment:
- Assess patient’s daily physical activity routines and how his breathing is during those activities.
- Assess patient for previous health history involving asthma.
- Assess patient for any allergies which could be possible triggers.
1. Ineffective airway clearance related to bronchospasm and increased pulmonary secretions.
(Carpenito, 2013, p. 811)
2. Fear related to scholastic success as evidenced by stating he needs to get a sport’s scholarship to attend University because his parents are unable to afford tuition.
(Carpenito, 2013,
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Place on oxygen to increase O2Sat levels if it is low.
Place on medicated nebulizer if patient is displaying signs of acute respiratory distress.
Discuss and explain to the patient what asthma is and the signs and symptoms of an asthma attack.
- Asthma is a chronic disorder of the airways. Inflammation causes varying degrees of obstruction in the airways, resulting in recurring incidents of wheezing, cough, breathlessness, and chest tightness.
(Lewis et al, 2013 p.710)
- Asthma attack s&s include: excessive wheezing, coughing and chest tightness, sweating, anxiety and fear, unable to complete sentences due to shortness of breath, and blue lips/nails.
(“Asthma emergency”)
Discuss with the patient the use of his inhalers and how they benefit
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- Relievers: also known as “rescue” medication, it’s used to ease asthma symptoms and are used as needed.
(Lewis et al, 2013 p.720)
- To prevent oropharyngeal candidiasis, hoarseness and dry cough, rinse mouth after use of inhalant medication
(Lewis et al, 2013 p.723)
How to use an inhaler:
1. Remove the cap and shake inhaler vigorously.
2. Breathe out to the end of a normal breath (not forced).
3. Position the mouthpiece so your lips are closed around it, keeping teeth apart and tongue flat.
4. At the same time you start to breathe in slowly, press the canister into the mouthpiece to release one puff of medication.
5. Continue to breathe in slowly until lungs are full (about 5 seconds) and hold for 10 seconds.
(Lewis et al, 2013 p.726)
Discuss and demonstrate breathing exercises.
- Breathing retraining: is breathing through the nose, rather than the mouth, using the abdominal muscles rather than the upper-chest and accessory muscles.
(Thomas & Bruton, 2014)
- It works best to take slow shallow breaths, instead of deep breaths during an asthma attack.
(Weil, 2012)
Patient’s respiratory assessment is clear throughout all lung fields, and O2Sat is sustained at
Asthma is a chronic inflammatory disease of the airway that impacts a person’s and their family’s quality of life. In people with asthma, their airway becomes constricted with swelling and excessive mucous. This constriction or narrowing of the airway makes it difficult for the person with asthma to breath (Massachusetts Department of Public Health, 2009). If asthma is left uncontrolled, it leads to further wheezing, coughing, shortness of breath, tiredness, and stress. (Massachusetts Department of Public Health, 2009).
Asthma is a long-term lung disease. Those with asthma have sensitive airways in their lungs which triggers a flare up. When this flare up happens the muscle around the airways squeeze tight and the airways swell, become narrows and produce more mucus. (Anon., 2016) All these things make it harder for a person to breathe. Asthma effects the human body’s respiratory system. Asthma causes a spasm and constriction of the bronchial passages and the swelling and the inflammation of the mucous lining. The body responds by defence cells from the immune system, which causes the airways to swell and the muscles surrounding the airways to contract. Which is what cuts off the airflow. While a person is in asthma attack, the asthmatic cannot breathe which
After assessing the victim?s airway, now you should check for breathing. To check for breathing, place your ear over the mouth looking toward the chest. This will allow you to listen for air movement, feel for air movement on your cheek, and look for chest rise. If the victim is breathing adequately, you should roll him or her on their left side. By doing so this puts them in the recovery position and permits him or her to breathe adequately. This also prevents aspiration if the victim vomits. If the victim is not breathing, give two breathes, watching for chest rise. Give breathes over a second, wait a second, then give another breathe. While doing so, you should not hyperventilate the victim.
Check for normal breathing, taking no more than 10 seconds: Look for chest motion, listen for breath sounds, and
Asthma affects 1 in every 12 Americans. According to the American Academy of Allergy Asthma & Immunology, Asthma is affects “About 1 in 9 (11%) non-Hispanic blacks of all ages and about 1 in 6 (17%) of non-Hispanic black children had asthma in 2009, the highest rate among racial/ethnic groups.” As a mother of child with asthma, I know how scary it can be to deal with asthma attacks and learning how to treat the symptoms and minimize risk factors.
The MDI may be placed in the mouth with the lips sealed around it, placed 1 to 2 inches away from the opened mouth, or attached to a spacer or holding chamber with the end of the device placed in the mouth and the lips sealed around it.
Asthma is a chronic condition affecting the respiratory system and has a considerable impact on both individuals and a population. Everybody is susceptible to asthma, some more than others, depending of a variety of factors including, age, sex, geographical location and income. Asthma is particularly prevalent in younger children and the elderly and while it can be fatal, most people have mild cases of asthma that are relatively easy to treat. The condition mainly impacts an individual’s physical ability to contribute to a community.
The goal for treatment of an asthma attack is to keep the oxygen saturation >90%. The other
According to the National Heart, Lung, and Blood Institute, Asthma is a chronic lung disease that affects the airways, which is comprised of tubes that carry air in and out of the lungs. People who experience difficulties breathing have inflamed airways. The inflammation causes the tubes to swell and become sensitive, especially when inhaling strong substances. As a result, the airways tighten and the muscles around the tubes become swollen and narrower. In addition, cells in the airways might produce more mucus. This sticky and thick mucus makes it even more difficult for air to pass into the lungs.
During the clinical experience, I was able to care for a patient with the diagnosis of adult onset asthma. J. D. was a twenty-year-old with a one-year history of mild persistent asthma. His body mass index was 30, and he was a former 1/2 pack per day smoker for one year. Also, other lifestyle factors included social alcohol drinking (1-2 drinks per/day) over the last year since he moved out on his own. He did not regularly exercise, and he admitted to not using his daily Qvar. He lives with a roommate that does smoke in the apartment. His sister was the only family member with asthma and was diagnosed in childhood. He was being treated with a low dose inhaled daily corticosteroid (Qvar 80 mcg/daily) and a short-acting
Medications may be taken to help reduce the risk of having an asthma attack. Controller
Breathing techniques such as inhaling through the nose and breathing out from the mouth slowly can be helpful for a patient to be aware of. Last, the patient should always have the physician’s information if asthma attacks become more frequent or they believe their inhaler to not be helping.
Asthma is a breathing condition and According to World Health Organisation about two hundred and thirty five million people suffer from asthma with this number continuing to grow. Asthma is a life-long disease which makes it hard for the person diagnosed with it to breath. People with asthma tend to have sensitive airways, which can provoke their asthma. The 3 main circumstances that cause the airway to narrow are: Inflammation causes on the inside lining of the airways, Extra mucus can block the airway making it harder to breath and ‘bronchoconstriction’ can happen, in this process the muscles around the airway tighten. Asthma cannot be ‘spread’ like common illness. People that are diagnosed with asthma may get it from family genes or they are one of the five people in every
Forced Expiration Technique: Forced expiratory manoeuvre causing compression and narrowing of the airways, it helps moving secretion from smaller to larger airways from where they can be cleared more easily
Place your hands on top of each other and place them in the center of the chest,between the two nipples. If it is an adult or child, use both of your hands. If it is an infant, use your two or three fingers of one hand on the