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Definition
Reversible inflammation lung condition due to hypersensitivity leading to narrowing of smaller airway.
EPIDEMiOLOGY
- 2009 300 million with asthma worldwide 250 000 died - <18 y/o - More men gets asthma than women
TYPES OF ASTHMA
Extrinsinc Asthma Intrinsinc Asthma Mixed asthma
-It cause by anything except allergen Causes: Hereditary, drugs, foods, physical and emotional stress
CLINICAL MANIFESTATION
1. Cough- non productive to productive 2. dyspnea 3. Wheezes 4. Restlessness 5. Hypoxemia 6. Cyanosis 7. Tachycardia 8. Diaphoresis
To measure the PH and the level of O2 and CO2 and also to check how long the O2 are able to move going to the blood and removing CO2 from the blood.
Zone Green
Reading 71 to 100% of the usual or normal peak flow readings are clear. 50 to 70 %of the usual or normal peak flow readings
Yellow
Red
ndicates a medical emergency. Severe airway narrowing may be occurring and immediate action needs to be taken. This would usually involve contacting a doctor or hospital.
DRUGS
energy. b. Semi fowler for the lung expantion. c. Inc. OFI to liquify the mucus and easy to expelled by coughing. d. Nebulizer to liquify the mucus and easy to loosen the mucus. e. suction if needed.
NURSING MANAGEMENT
NURSING DIAGNOSIS
1. Ineffective airway clearance related to increase mucus production as manifested by wheezing, difficulty of breathing 2. Impaired gas exchange r/t altered delivery of oxygen as evidenced by restlessness 3. Ineffective breathing pattern related to obstruction of airway as manifested by tachycardia, difficulty of breathing
CHRONIC BRONCHITIS
DEFINITION
BRONCHITIS called BLUE BLOATERS inflammation of bronchus due to hypertrophy or hyperplasia of goblet mucus producing cells leading to narrowing of smaller airways.
EPIDEMEOLOGY
2005
12 million
National Heart, Lungs, Blood, Institution -125 000 died every year - Most common in adult women
CLINICAL MANIFESTATION
1. Productive cough 2. Dyspnea 3. Rhonchi 4. Hypoxemia 5. Cyanosis 6. Prolonged expiration grunt 7. Pulmonary HPN
DIAGNOSTIC TEST
SPIROMETRY To measure the airflow obstruction by getting the ratio of FEV1/FVC.
To measure the PH and the level of O2 and CO2 and also to check how long the O2 are able to move going to the blood and removing CO2 from the blood.
DRUGS
Meter Dose Inhaler a. Beta2 agonist b. Corticosteroids c. Anticholinergic
Nebulizer
a. Beta2 agonist b. Corticosteroids c. Anticholinergic
energy. b. Semi fowler for the lung expantion. c. Inc. OFI to liquify the mucus and easy to expelled by coughing. d. Nebulizer to liquify the mucus and easy to loosen the mucus. e. suction if needed.
NSG. MGT
NURSING MANAGEMENT
1. Ineffective airway clearance related to bronchial inflammation as manifested by rhonchi, difficulty of breathing 2. Impaired gas exchange r/t altered delivery of oxygen as evidenced by inability to move secretion 3. Ineffective breathing pattern related to obstruction of airway as manifested by tachycardia, difficulty of breathing 4. Nutritional Imbalance r/t fatigue as manifested by weight loss.