Robina Naz

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Instructor:

Rubina Naz
Learning Objectives
 Define asthma?
 Discuss mechanism of asthma happens?
 Explain factors triggering asthma?
 Sign and Symptoms
 Diagnosis
 Management
 Nursing intervention
Definition of Asthma
Asthma is a chronic inflammatory disorder of the
airways in which many cells and cellular elements
play a role.

 It characterized by reversible airflow obstruction


causing cough, wheeze, chest tightness and
shortness of breath.
Mechanisms Underlying the Asthma
Risk Factors
(for development of asthma)

INFLAMMATION

Airway
Hyper responsiveness Airflow Obstruction

Risk Factors Symptoms


(for exacerbations)
The chronic inflammation

allergen
airway hyper responsiveness

airflow obstruction

wheezing
Breathlessness
chest-tightness
Coughing.
particularly at night or in the early morning
Factors that Exacerbate Asthma
 Indoor and outdoor Allergens
 Air Pollutants
 Respiratory infections
 Exercise and hyperventilation
 Weather changes
 Sulfur dioxide
 Food, additives, drugs
 Extreme emotional expression
 Household sprays
Clinical Features
History and symptoms Episodic

Wheezing Breathlessness

Cough Chest tightness


Making a diagnosis of Asthma

 Compatible clinical history plus either/or


 ≥15% improvement in FEV1 after administration
of a bronchodilator (Clenil & Atem) or
 ≥15% spontaneous change in PEF during 1 week
of home monitoring

FEV1: it is the volume of air that a person expelled in 1


second
Management of Asthma

 Educate the patient


 Avoidance from stimulus like dust and pollen
 Medication plan according to severity
 Proper regular follow up
Medication Plan
 First of all check the O2 saturation of patient.
 Attach the O2 if spo2 is less than 90%

 Nebulize the patient with bronchodilators like Clenil


& Atem)

 If not settled with nebulization give I/V steroids as inj


solu-cortef.

 If still not better than give I/V Theophyline


When the patient is stable:
When the patient is stable we can discharge the
patient on following drugs according to severity

 oral anti histamine drugs (Citrizine etc)


 Bronchodilator inhaler ( Foster inhaler, Tiovair)
 Steroid Inhalers (Bekson inhaler)
 Mixed Inhalers (Combivair rotacaps)
 Oral steroids ( Deltacortil tablet)
Nursing Intervention
 Provide neat and comfortable environment to patient
as dust itself is a stimulus for asthma.
 Attach oxygen and nebulization with new and clean
mask to avoid disease spread.
 Elevate the head end of bed to ease the breathing.
 If any I/V drug administration is required, always use
new and disposable syringes to avoid blood borne
diseases.
 Be polite to patient as it is a half cure that least we
can give as a nursing staff.
THANK YOU

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