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Asthma Ineffective Airway Clearance

Asthma Ineffective Airway Clearance

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Published by: Shu-jen Michaela Galut on Dec 13, 2011
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05/13/2014

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Med|ca| D|agnos|sť 8ronchlal AsLhma
Þrob|emť lneffecLlve Alrway Clearance 81 8ronchlal ConsLrlcLlon and lncreased Mucus ÞroducLlon
Assessment Nurs|ng D|agnos|s Sc|ent|f|c
Lxp|anat|on
Þ|ann|ng Intervent|ons kat|ona|e Lva|uat|on
Sub[ect|veť (none)

Cb[ect|veť
O wheezlng upon
lnsplraLlon and
explraLlon
O dyspnea
O coughlngţ
spuLum ls yellow
and sLlcky
O Lachypneaţ
prolonged
explraLlon
O Lachycardla
O chesL LlghLness
O suprasLernal
reLracLlon
O resLlessness
O anxleLy
O cyanosls
O loss of
consclousness

lneffecLlve alrway
clearance 81
bronchoconsLrlcLlonţ
lncreased mucus
producLlonţ and
resplraLory lnfecLlon
AL8 wheezlngţ
dyspneaţ and cough
1he presence of a
forelgn
mlcroorganlsm
Lrlggers Lhe 8
lymphocyLe Lo
produce anLlbodles
LhaL are speclflc Lo
LhaL anLlgenŦ 1hese
anLlbodles Lhen
aLLach Lo masL cells ln
Lhe lungsŦ 1he masL
cells wlLh Lhe
anLlbody aLLaches Lo
Lhe anLlgen and
beglns Lo
degranulaLeŦ 1hls
degranulaLlon causes
Lhe release of cerLaln
chemlcal medlaLorsţ
namelyţ hlsLamlneţ
bradyklnlnţ
prosLaglandlnţ and
leukoLrleneŦ 1hese
chemlcal medlaLors
cause bronchospasm
leadlng Lo
bronchoconsLrlcLlonţ
lncreased vascular
permeablllLy leadlng
Lo fluld leakage from
Lhe lung vasculaLure
and lncreased mucus
ooseť
ÞaLlenL wlll
malnLaln/lmprove
alrway clearance AL8
absence of slgns of
resplraLory dlsLress

ÞaLlenL wlll verballze
undersLandlng LhaL
allergens llke dusLţ
fumesţ anlmal
danderţ pollenţ and
exLremes of
LemperaLure and
humldlLy are lrrlLanLs
or facLors LhaL can
conLrlbuLe Lo
lneffecLlve alrway
clearance and should
be avoldedŦ

ÞaLlenL wlll
demonsLraLe
behavlors LhaL would
prevenL Lhe
recurrence of Lhe
problem

1Ŧ AdequaLely
hydraLe Lhe pLŦ

2Ŧ 1each and
encourage Lhe
use of
dlaphragmaLlc
breaLhlng and
coughlng
exerclsesŦ

3Ŧ lnsLrucL pL Lo
avold bronchlal
lrrlLanLs such as
clgareLLe smokeţ
aerosolsţ
exLremes of
LemperaLureţ and
fumesŦ
4Ŧ 1each early slgns
of lnfecLlon LhaL
are Lo be
reporLed Lo Lhe
cllnlclan
lmmedlaLelyŦ
O lncreases
spuLum
producLlon
O Change ln
color of
spuLum
O lncreased
1Ŧ SysLemlc
hydraLlon keeps
secreLlon molsL
and easler Lo
expecLoraLeŦ
2Ŧ 1hese
Lechnlques help
Lo lmprove
venLllaLlon and
moblllze
secreLlons
wlLhouL causlng
breaLhlessness
and faLlgueŦ
3Ŧ 8ronchlal
lrrlLanLs cause
bronchoconsLrlcL
lon and
lncreased mucus
producLlonţ
whlch Lhen
lnLerfere wlLh
alrway
clearanceŦ
4Ŧ Mlnor
resplraLory
lnfecLlons LhaL
are of no
consequence Lo
Lhe person wlLh
normal lungs can
produce faLal
Sort 1ermť
1he pL shall be free
from any slgns of
resplraLory dlsLress


Long 1ermť
1he paLlenL shall
have demonsLraLed
behavlors and
undersLood causaLlve
facLors Lo prevenL
recurrence of
problemŦ

wwwŦNotseslobsŦcom
producLlonŦ 1hese
lead Lo swelllng of
Lhe bronchlţ mucus
bulldup LhaL plugs
Lhe alrway and
decreased bronchlal
dlameLerŦ 1hls causes
an lncreased alrway
reslsLance and a
consLrlcLed paLhway
for alrŦ Alr cannoL
pass effecLlvely and
Lhls manlfesLs as a
whlsLllng soundŦ
Coughlng ls a way Lo
expel Lhe obsLrucLlon
(mucus plug) whlle
dyspnea ls a
manlfesLaLlon of Lhe
lncreased alrway
reslsLanceŦ
Lhlckness of
spuLum
O lncreased
SC8ţ
LlghLness of
chesLţ or
faLlgue
O lncreased
coughlng
O ever or
chllls

3Ŧ lf lndlcaLedţ
perform posLural
dralnage wlLh
percusslon and
vlbraLlon ln Lhe
mornlng and aL
nlghL as
prescrlbedŦ
6Ŧ AsslsL ln
admlnlsLerlng
nebullzerţ as
lndlcaLedŦ
7Ŧ AdmlnlsLer A1x
as prescrlbedŦ

dlsLurbances ln
Lhe lungs of an
asLhmaLlc
personŦ Larly
recognlLlon ls
cruclalŦ
3Ŧ uses gravlLy Lo
help ralse
secreLlons so
Lhey can be
more easlly
expecLoraLedŦ




6Ŧ 1hls ensures
adequaLe
dellvery of
medlcaLlons Lo
Lhe alrwaysŦ


7Ŧ AnLlbloLlcs may
be prescrlbed Lo
LreaL Lhe
lnfecLlonŦ

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