Etiology/Pathophysiology

Narrowing of the airways due to various stimuli

Extrinsic or Intrinsic factors
Influenced by secondary factors
Antigen-antibody reaction
Extrinsic (External pollen, dander, keep dog outside)
Intrinsic (Internal physical/emotions stress) factors
Clinical
Manifestation/Assessment

Mild Asthma
Wheezing- high musical sound of air vibrating through narrowed
airways
Dyspnea on exertion
Acute Asthma Attack
Tachypnea
Expiratory wheezing; productive cough
Use accessory muscles; nasal flaring
Cyanosis



MEDICATIONS
MAINTENANCE THERAPY

SEREVENT INHALANT,
PROPHYLACTIC

CORTICOSTEROID INHALANT

AVOID ALLERGENS

ACUTE OR RESCUE THERAPY

PROVENTIL INHALANT
AMINOPHYLLINE IV

CORTICOSTEROID AND EPINEPHRINE
ORAL OR SUBCUTANEOUS

OXYGEN
Nursing Interventions
and Patient Teaching
Administering prescribe medications and ensuring
adequate fluid intake and optimal ventilation
To accomplish these goals, incorporate rest periods
into activities and interventions; elevate the head of the
bed; teach effective breathing techniques, such as
pursed-lip breathing and correct use of the peak
flowmeter; provide oxygen therapy as ordered.
Monitor VS and Electrolytes.

Educate the Pt and the family to identify s/s and
recognize ashtma triggers and avoid them or lessen
their effects to prevent recurrent attacks.
Instruct the Pt on relaxation techniques to manage
anxiety.