Asthma

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Asthma

  1. 1. Jurmaida H. Pagayao, BSN, RN
  2. 2. OVERVIEW
  3. 3. Definition• Often referred to as reactive airway disease (RAD)• An intermittent, reversible, obstructive disease of the lungs
  4. 4. • Characterized by bronchospasm and hyperactivity to a multitude of triggering agents: Allergens Antigens Irritants
  5. 5. Incidence• Can occur at any age• Affects about 5% of the population• Men are twice as likely as women to get asthma
  6. 6. Onset• Onset is usually sudden
  7. 7. Etiology• Triggers include: Allergens Infections Exercise Abrupt changes in the weather Exposure to airway irritants
  8. 8. Airway Irritants Tobacco smoke Perfume Cold air
  9. 9. Clinical Findings• Difficulty breathing• Wheezing• Cough Dry or productive of white, thick sputum• Chest tightness• Anxiety• Prolonged expiratory phase
  10. 10. NURSING FOCUS
  11. 11. • During an attack: Assess and maintain ABCs Notify RT/MD Implement collaborative care:  Meds, IV fluids as ordered
  12. 12. • Stay with the patient• Offer emotional support• Monitor vital signs• Document response to prescribed therapies
  13. 13. PATIENT TEACHING
  14. 14. • Provide patient and family with literature on asthma• Explain the actions, dosages, side effects, adverse reactions of asthma meds• Provide instruction on the proper use of metered-dose inhalers
  15. 15. • Provide instructions on the proper use of peak flow meter• Answer any questions about the patient’s asthma management plan• Instruct the patient to seek immediate medical attention if symptoms are not relieved with prescribed meds
  16. 16. • Teach the patient and family: About the kinds of triggering agents that precipitate an attack How to minimize their risk of exposure

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