Patient Information

Patient Information
Mrs. Hogan is a 38-year-old woman brought to a walk-in health care center by her neighbor. Mrs. Hogan is in obvious respiratory
distress. She is having difficulty breathing with audible high-pitched wheezing and is having difficulty speaking. Pausing every few words
to catch her breath, she tells the nurse “I am having a really bad asthma attack. My chest feels very tight and I cannot catch my breath. I
took my Albuterol and Vanceril, but they are not helping.” Mrs. Hogan hands her neighbor her cell phone and asks the neighbor to dial a
telephone number. “That number is my husband’s boss. My husband just started working for an asbestos removal company about a
month ago. He is usually on the road somewhere. Can you ask his boss to get a message to him that I am here?”
VS: 142/96 BP, 88 pulse, 34 respiratory rate, 86% SPO2 (oxygen saturation).

Priority 1 Priority 2 Priority 3

Nursing diagnosis: related to Nursing diagnosis: related to Nursing Diagnosis: related to

acute pain as evidenced by abnormal breathing pattern acute confusion as evidenced
tightening of the chest and as evidenced by pausing by taking Albuterol and
difficulty breathing between every few words to Vanceril yet the asthma
catch breath attack did not lessen

m
er as
co
Outcome: Outcome: Outcome:

eH w
By the end of the situation, By the end of this situation, By the end of this situation, the

o.
patient will be able to understand
the patient will show signs of the patient will have regular
no pain. rs e breathing patterns.
more than before, preventing her
ou urc
from voluntarily panicking and
raising up her heart rate making it
even more difficult to breathe
making her take more breaths.
o
aC s
vi y re

Nursing Interventions:
Nursing Interventions: Nursing Interventions: {To ensure that the Vanceril and Albuterol actually
works}
~For chest pain: Assess respiratory status and Make sure that the patients was informed.
Assess HR and BP during breathing sounds q2-4h as ~ that her inhalers must be cleaned daily to spray
ed d

effectively
episodes of chest pain indicated by patient’s
ar stu

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Evaluation: condition{ auscultation]
~For difficulty breathing:
~ After the nursing intervention, we checked
Also make comment on the side effects, so that
she knows what to expect on the next time she
Weour
with placed Mrs.
patient and Hogan
asked if she stillon
felt any
uses them:
pain or discomfort{ we evaluated our patient
humidified oxygen via nasal Albuterol
is

to see if the problem was solved].

~cannula.
Our patient obtained optimal health with her •shakiness of hands or legs, fast heartbeat,
chest pain being gone and she no longer anxiety, upset stomach, headache , metallic taste
Th

having difficulty breathing. (rinse mouth)

~ Our patient then returned back to “normal”. Evaluation: Vanceril
*Note: When I say normal, it doesn’t mean ~ After the nursing intervention, we Evaluation:
that she will no longer have Asthma, it just •hoarseness; thrush; rinse mouth with water after
assessed our patient to check for ~ We used the “repeat after me” or
means that she’ll return the the way she was use
sh

any abnormality breathing signs “talk back” method when teaching

before she had the chest pains, and the
trouble breathing, etc. that might’ve still been present her how to clean her breathers and
~ Our patient obtained optimal what to expect when she uses them
health with her breathing patterns in order to prevent the breathers
going back to what it should’ve from malfunctioning and her
been. voluntarily panicking the next time
~ Our patient then returned back to if something like this happens again
“normal”.

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