Asthmatic 8yo male

difficulty breathing

asthma

prior hospitalizations due to asthma attack

coughing

difficulty breathing

wheezing

chest pressure

fast heart rate

Airway inflammation

intermittent airway obstruction

bronchial hyperresponsiveness

Expiratory wheezing

inspiratory wheezing

Intercostal sites of retraction

speaking in partial sentences

Ineffective airway clearance related to increased production of mucus and bronchospasm.

Patient will maintain clear, open airway as evidence by normal breathe sounds, normal rate and depth of respirations and ability to cough up secretions after treatments.

-teach patient proper ways to cough. Take deep breathe hold for 2 seconds and then cough 2 or 3 times.
-position patient upright
-encourage patient to increase fluid intake

-use of incentive spirometry

-educate patient on optimal positioning

-provide suctioning as needed

Impaired gas exchange related to altered delivery of inspired oxygen

Patient will have improved o2 saturations by the end of shift.

-position patient in semi fowlers position
-monitor o2 saturations
-administer humidified oxygen as prescribed

-encourage slow deep breathing

-administer medications as prescribed

Proventil (albuterol)

treat bronchospasms

Flovent HFA (fluticasone)

prevent symptoms of asthma, reduces swelling in the airway taken daily

Dexamethasone (Ozurdex)

used to treat inflammation