-
Asthma primary symptoms (8)
- breathlessness
- chest tightness
- cough
- prolonged expiration
- tripod position
- hypoxemia
- ^ BP
- respiration (30-40)
-
Asthma Chest Assessment (3)
- percussion: hyperresonance
- auscultation: wheezing
- silent chest - ominous ( no air movement at all)
-
Asthma Dx testing ( 6)
- CXR
- allergy skin test
- labs
- ABGs
- nitric oxide ^
- incentive spirometry
-
Acute Asthma Episode assessment (4)
- forcced expiratory volume
- peak expiratory flow rate
- compare to baseline
- monitor pulse ox
-
Acute Asthma Episode Treatment
- SABA: every 20 mins for an hour
- steroids if no response in 30 mins
- continue until pt is at baseline
- IV theophyline
-
Aminophyline (theophyline) Indications/ levels
- bronchodilator
- levels 10-20
- toxicity: HA, tremors, irritability, restlessness
-
Asthma Action Plan (5)
- determine best peak expiratory flow rate
- monitor daily before meds ( 2x a day if sick)
- Green: 80 - 100 %
- Yellow: 50 -79 % - quick release meds, repeat if doesn't imrove in 20mins
- Red: <50% - use quick release & call HCP; 2-6 puffs pregnisone (repeat 3x if doesn't work 10-20 mins)
-
Types of COPD ( 2)
- chronic bronchitis : productive cough @ least 3 months for 2 yrs - ineffective airway clearance r/t inflammation
- Emphysema : abnormal enlearment of air spaces. impaired gas exchange r/t CO2 retention
|
|
