oxygen (Athma)

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An 8-year-old child with a history of asthma is brought to the emergency department because of respiratory distress. The nurse immediately places the child in a bed with the head of the bed elevated and administers oxygen by means of a face mask. The health care provider admits the child to the pediatric unit. Which orders should the nurse carry out first?

Administer the nebulizer treatment.

blocks the function of Leukotriene

Montelukast

The nurse is teaching a child with asthma breathing exercises using techniques in play situation, and the child performs a repeat demonstration for the nurse. Which technique indicates the child needs further teaching?

Moving a cotton ball when inhaling

peak flow meter reading

Record the highest of the three readings in your daily asthma diary.

A client is experiencing an acute episode of bronchial asthma. The nurse would focus on which goal when creating the client's plan of care?

Removing mucous secretions from the chest

omalizumab

blocking immunoglobin Ige sub-Q

Budesonide

inhale corticosteroid asthma maintenance spacer, thrush rinse mouth

Cromolyn

mastcell inhibitor block histamines side effect burning nose, horrible taste

pathophysiology of an asthma attack

mucosa lining : severe inflammation goblet cells: produce excessive amounts of mucous

theophylline

no caffeine

Which diagnostic testing is most useful in evaluating the effectiveness of treatment for asthma?

pulmonary function test

how to use salmeterol and Fluticasone

salmetrol first and then wait 5mins before inhaling the fluticasone salmeterol (LABA, open up ,bronchodilator ) flucticasone( inhale cortidosteroids, anti-inflammatory)

trigger an asthma

sulfate GERD

A client is prescribed albuterol to relieve severe asthma. Which adverse effects will the nurse instruct the client to anticipate? Select all that apply. One, some, or all responses may be correct.

tremor palpitation

Which assessment findings would indicate a possible asthma exacerbation? Select all that apply. One, some, or all responses may be correct.

wheezing tachycardia Bronchial constriction with mucus production causes wheezing. With the decrease in arterial oxygenation associated with asthma, the heart rate will increase (tachycardia). An increased temperature is characteristic of infection, not asthma. Stridor is usually caused by foreign body obstruction and/or upper airway obstruction (such as croup), not asthma. Hypertension, not hypotension, may occur with asthma.

early warning signs of asthma attack

•Easily fatigued with activity •Night-time cough •Wheezing with activity •Reduced peak flow meter reading


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