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The Disease
and adolescents aged 5-17 years, asthma accounts for a loss of 10 million school
days annually and costs caretakers $726.1 million per year because of work absence.
(Netina, 2009).
expiratory flow rates. These changes lead to a decreased ability to expel air and may
There are four categories of asthma based on their symptom indicators and
the disease severity. These categories are intermittent, mild persistent, moderate
with nocturnal asthma tend to cough after midnight, during the early hours
of morning.
Shortness of breath
nocturnal asthma.
Therapeutic management
The overall goals of asthma management are to maintain normal activity levels,
provide accurate drug therapy with minimum to no adverse effects, and assist the
Pharmalogical Treatment
Pharmacologic asthma management includes the use of agents for control and
agents for relief. Control agents include the following: (Bhattacharjee, 2014).
Inhaled corticosteroids
Long-acting bronchodilators
Theophylline
Nursing Care
The goal of nursing care in a child having an asthma attack is to make sure there
is adequate oxygen intake. To do this, the nurse does the following as ordered by the
physician:
airways.
child's airways.
in the airways.
Prepare for mechanical ventilation if the child cannot breathe on their own.
ASTHMA 5
Long term care of the asthmatic child involves taking certain medications on
a regular basis even when no symptoms are present. In this case, the nurse has to
ensure that long term asthma medications like inhaled corticosteroids, long acting
removing any potential allergen or trigger from the child's environment like
flowers or perfumes
respiratory rate
or deterioration
Patient Education
Discharge planning for an asthmatic plan involves providing the child and his
parents with information that will help prevent asthmatic episodes and teaching
them skills required to administer asthmatic medications properly. These skills and
ASTHMA 6
3. The need to report frequent use of rapid acting bronchodilators. The need to
take long term medication as prescribed even when there are no asthma
attacks.
5. How to use a peak flow meter and the significance of the readings.
References
Bhattacharjee R, Choi BH, Gozal D, Mokhlesi B. Association of adenotonsillectomy
with asthma outcomes in children: a longitudinal database analysis. PLoS Med. 2014
Nov. 11.