Nursing diagnosis
1. Ineffective airway clearance related
to airway spasm, secretion retention,
amount of mucus
2. Ineffective breathing pattern related
to spasm of the airway, respiratory
muscle fatigue
3. Activity intolerance related to
imbalance of oxygen supplied to the
needs
Goal
The patient showed the
ability to maintain the
cleanliness of the airway
Adequate patient's
respiratory status
The patient showed tolerant
state of activity
Intervention Patient out come
Airway menagement: expected outcomes:
 Free the airway (suction)  There is no secret
 Monitor the chest wall retraction  Lungs clear sound
 Monitor respiration rate
 Give a semi-Fowler position
2. Clear the airway:
 Listen to lung sounds
 Encourage the patient to drink warm
 Do suction
 Monitor oxygen delivery
 Evaluation of lung sounds after suction
Airway management: result criteria:
 Monitor respiratory patients  Respiration rate is
 Monitor the use of additional respiratory muscles (chest within normal limits
wall retraction)  Not seen the use of
 Monitor Vitas signs; respiration, pulse, blood pressure, additional respiratory
temperature muscles
 Position the patient in semi-Fowler position  No complaints of pain
2. Oxygen Therapy: in breathing
 Provide oxygen according to program
 Give oxygen through a nasal or face mask canul
 The flow of 1-6 liters / minute oxygen
concentration produces 24-44%
 The flow of 5-8 liters / minute oxygen
concentration produces 40-60%
 The flow of 8-12 liters / min oxygen
concentration produces 60-80%
 The flow of 8-12 liters / min oxygen
concentration producing 90%
3. Collaboration for bronchodilator therapy.
1. Energy management:  No shortness of breath
 Determine the causes of fatigue on exertion
 Monitor respiratory (respiration, dyspnoea, pallor)  Able to move up
 Help clients choose the activities that can be done
 Recommended to increase the intake of nutrients

4-Knowledge deficit: about asthma,
related to lack of information sources
5. Anxiety related to crisis situations:
changes in health status
Done by :- zainab salman al-ameen 210028075
increase patient knowledge
about asthma
he patient can control
anxiety and increase coping
2. Monitor response of breathing during activity, assess abnormal
response in respiration, blood pressure, pulse
Assess the things that have been known to patients  Knowing trigger
asthma
2. Assess the patient's condition before health education, do not  Knowing about the
provide health education, while patients in the state of attack. things that need to be
avoided
3. Education:  Knowing the handling
 Explain the meaning of asthma of the attack
 Explain the trigger factor
 Describe the things that need to be avoided: elergan
factors, stress, excessive cold weather activity
 Explain how the handler during an asthma attack at
home
 Evaluate what has been delivered
Lower levels of anxiety:  Patient's expression
 Listen to their patients relaxed
 Explain each will perform maintenance procedures  Vital signs are within
 Instruct the patient to accompany the family as a support normal limits
system during an asthma attack
2. Teach termination worried if stress can not be avoided:
 Turning his attention upward
 Respiratory control by drawing a deep breath (relaxation)
 Position your body relax
 Make a relaxed mood, relaxed facial expression