oxygen (Athma)
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
