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Asthma Exacerbation Concept Map - Coggle Diagram

- - - - Home medications Include Albuterol metered-dose Inhaler at 90 mcg 1-2 puffs Inhaled q2-4h and PRN for cough or wheezing, fluticasone proprionate metered-dose Inhaler at 88mcg 2 puffs Inhaled BID, OTC antihistamine if experiencing allergy symptoms, unknown Rx cream treatment for eczema
        
        Hospital medications: Albuterol nebulizer 5mg/ml, dexamethasone 20mg PO, oxygen 2L via nasal cannula
- - - - Clinical manifestations include wheezing, cough, dyspnea, and chest tightness. Decreased or absent breath sounds may signal a significant decrease in air movement resulting from exhaustion and an Inability to generate enough muscle force to breathe.
        
        In some people, compromised pulmonary function may lead to a state of continuous symptoms and chronic debilitation. Pneumonia, tension pneumothorax, status asthmaticus and acute respiratory failure are possible complications of an asthma exacerbation.
- - - - Interventions: 1. Instruct Gabriel and his mom to avoid environmental triggers such as pet dander, dust and pollen to prevent asthma exacerbation. 2. Instruct Gabriel and his mom to create and asthma action plan at school and having one additional rescue Inhaler available at the after-school program. 3. Instruct Gabriel and his mom to always have Gabriel carry an albuterol rescue inhaler with him. 4. Instruct the patient and Yvonne that Gabriel can engage In physical activity as long as he uses 2 puffs of the albuterol Inhaler 15 minutes before an activity. 5. Teach the Importance of a medication schedule that Incorporates his rescue inhaler and meets therapeutic goals.
        
        Goal met. Yvonne and Gabriel verbalized correct health management Interventions that will aid them In managing Gabriel's asthma.
  - - - Interventions: 1. Monitor oxygen saturation continuously using pulse oximetry. 2. Position client In high fowler's to promote gas exchange and lung expansion. 3. Administer oxygen via nasal cannula as ordered. 4. Observe color of tongue, oral mucosa and skin for signs of cyanosis. 5. Assess Gabriel for hemodynamic stability.
        
        Goal met: Gabriel Is displaying relaxed breathing patterns, Intercostal retractions, chest and neck soreness Is no longer present. Patient verbalized he no longer feels fatigued.