Materiały źródłowe

• #1 Asthma (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568760/

  Asthma (Nursing) […] […] […] List nurse management roles in asthma. […] […] […] Asthma is a common disease and has a range of severity, from a very mild, occasional wheeze to an acute, life-threatening airway closure. […] […] […] Nursing Management […] Check oxygen status […] Listen to lungs […] Assess for respiratory distress […] Position patient upright […] Administer medications as prescribed […] […] […] When To Seek Help […] Respiratory distress […] No air entry in lungs during auscultation […] Low oxygen saturation […] Patient cyanotic […] […] […] Outcome Identification […] Breathing normally […] Normal oxygen saturation […] No wheeze […] No respiratory distress […] […] […] Coordination of Care […] In many countries, including the US, asthma kills one out of every 100,000 persons. The worse the lung function, the higher the mortality. In addition, mortality has also been linked to poor management and lack of medication compliance, especially in young people.

• #1 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/

  Nurses can expect to have frequent contact with patients who have asthma. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] Nursing interventions and care are essential for the patients recovery. […] Education on medication adherence. Long-term control medications are taken daily or scheduled to control and prevent flares. […] Patients should receive an asthma action plan and understand when to contact their provider or seek emergency assistance. […] Once the nurse identifies nursing diagnoses for asthma, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Symptoms such as dyspnea and fatigue during an asthma exacerbation deplete energy and prevent the ability to carry out tasks.

• #2 Asthma Nursing Care Management and Study Guide

  https://nurseslabs.com/asthma/

  Learn about the nursing care management of patients with asthma in this nursing study guide. […] The immediate care of patients with asthma depends on the severity of the symptoms. […] Assessment of a patient with asthma includes the following: Assess the patients respiratory status by monitoring the severity of the symptoms. Assess for breath sounds. Assess the patients peak flow. Assess the level of oxygen saturation through the pulse oximeter. Monitor the patients vital signs. […] Based on the data gathered, the nursing diagnoses appropriate for the patient with asthma include: Ineffective airway clearance related to increased production of mucus and bronchospasm. Impaired gas exchange related to altered delivery of inspired O2. Anxiety related to perceived threat of death. […] To achieve success in the treatment of a patient with asthma, the following goals should be applied: Maintenance of airway patency. Expectoration of secretions. Demonstration of absence/reduction of congestion with breath sounds clear, respirations noiseless, improved oxygen exchange. Verbalization of understanding of causes and therapeutic management regimen. Demonstration of behaviors to improve or maintain clear airway. Identification of potential complications and how to initiate appropriate preventive or corrective actions.

• #2 Asthma Nursing Care Management and Study Guide

  https://nurseslabs.com/asthma/

  The nurse generally performs the following interventions: Assess history. Obtain a history of allergic reactions to medications before administering medications. Assess respiratory status. Assess the patients respiratory status by monitoring the severity of symptoms, breath sounds, peak flow, pulse oximetry, and vital signs. Assess medications. Identify medications that the patient is currently taking. Administer medications as prescribed and monitor the patients responses to those medications; medications may include an antibiotic if the patient has an underlying respiratory infection. Pharmacologic therapy. Administer medications as prescribed and monitor patients responses to medications. Fluid therapy. Administer fluids if the patient is dehydrated. […] To determine the effectiveness of the plan of care, evaluation must be performed. The following must be evaluated: Maintenance of airway patency. Expectoration or clearance of secretions. Absence/reduction of congestion with breath sound clear, noiseless respirations, and improved oxygen exchange. Verbalized understanding of causes and therapeutic management regimen. Demonstrated behaviors to improve or maintain clear airway. Identified potential complications and how to initiate appropriate preventive or corrective actions.

• #2 Asthma Exacerbation Nursing Care Plan

  https://www.thenursingjournal.com/post/asthma-exacerbation-nursing-care

  Once youve obtained a thorough medical history, you can move on to the physical assessment to get a better understanding of the patients physiological status. […] During an Asthma Exacerbation, the airways swell up and spasm narrowing the lumen and more often than not they will be plugged by mucus and secretions. […] Instruct your patient to sit in an elevated position, either on the chair or by elevating the bed and have the chin parallel to the floor or tilted slightly upwards to obtain an open airway. […] Next up, you should administer the prescribed medication. […] Oxygen Therapy might be necessary if the patients oxygen saturations decrease, and Antibiotics are prescribed if the exacerbation was triggered by a respiratory infection. […] In continuation with the previous point, ineffective respirations could be a result of ineffective airway clearance.

• #2 Asthma for Med-Surg Nursing – LevelUpRN

  https://leveluprn.com/blogs/medical-surgical-nursing/respiratory-4-asthma?srsltid=AfmBOoo819M2w-XwMfX_gFX9TnuTp0DngcROQfZsLnlM86_e9BmBFoPn

  Asthma is a chronic inflammatory disorder of the airway, and it is intermittent and reversible. […] The main treatment for asthma is bronchodilators which can include control therapy as well as reliever drugs. […] A patient with asthma will likely be prescribed bronchodilators. […] Anticholinergics that may be prescribed for asthma include ipratropium, which goes by the brand name Atrovent. […] Corticosteroids that may be prescribed for asthma include beclomethasone, mometasone, budesonide, or fluticasone. […] Leukotriene receptor antagonists include the drugs montelukast and zafirlukast which work to decrease the effect of leukotrienes, which reduces airway inflammation and bronchoconstriction. […] There are some important teaching tips to remember for patients with asthma. […] Patients can monitor their asthma using a peak flow meter.

• #2 Asthma Nursing Care Management and Study Guide

  https://nurseslabs.com/asthma/

  A major challenge is to implement basic asthma management principles at the home and community level. […] Patient teaching is a critical component of care for patients with asthma. Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique. Instruct patient and family about peak-flow monitoring. Obtain current educational materials for the patient based on the patients diagnosis, causative factors, educational level, and cultural background. […] Nurses should emphasize adherence to the prescribed therapy, preventive measures, and the need to keep follow-up appointments with health care providers. Teach patient how to implement an action plan and how and when to seek assistance. […] Home visits by the nurse to assess the home environment for allergens may be indicated for patients with recurrent exacerbations.

• #2 Asthma Nursing Care Management and Study Guide

  https://nurseslabs.com/asthma/

  Documentation is a necessary part of the nursing care provided, and the following data must be documented: Related factors for individual client. Breath sounds, presence and character of secretions, and use of accessory muscles for breathing. Character of cough and sputum. Respiratory rate, pulse oximetry/o2 saturation, and vital signs. Plan of care and who is involved in planning. Teaching plan. Clients response to interventions, teaching, and actions performed. Use of respiratory devices/airway adjuncts. Response to medications administered. Attainment or progress towards desired outcomes. Modifications to the plan of care.

• #3 Nurses’ Role in the Control and Treatment of Asthma in Adults: A Systematic Literature Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11130916/

  Several studies analyzed show the importance of the role of nurses in empowering individuals with asthma to self-manage the disease. […] For self-management of the disease by individuals with asthma, it is essential to use written action plans carried out jointly between the health team and the patient. […] The results also reveal that the peak expiratory flow (PEF) was pointed out by the analyzed articles as being important for the evaluation of people with asthma. […] Another role evidenced by the articles analyzed was the establishment of a supportive therapeutic relationship between nurses and asthma patients. […] Furthermore, only one of the articles analyzed referred to the importance of seasonal influenza vaccination. […] In addition to the surveillance consultation, nurses also play an important role in the management of asthma-related emergencies.

• #3 Nursing Diagnosis for Asthma: 8 Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/asthma-nursing-care-plans/

  Early treatment and education, including written action plans, are key in managing asthma exacerbations. Quick-acting medications relieve airflow obstruction, while systemic corticosteroids reduce airway inflammation. Oxygen supplementation may be required for severe cases. Monitoring lung function helps assess treatment response. […] Anxiety is the strongest predictor of breathlessness in asthma and has a stronger association with asthma-related health conditions than lung function. Anxiety can enhance symptom perception and negatively impact cognition and coping behaviors. […] Educational inequalities have been linked back to underinvestment in early education and low-quality early education, which is perpetuated by lower home values and concentrated poverty. The Centers for Disease Control and Prevention defines individual health literacy as the degree to which individuals have the ability to find, understand, and use information and services to inform health-related decisions and actions for themselves and others.

• #3 Asthma: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/asthma/?srsltid=AfmBOoo5YH2H_VHzYl1nWge75Sd4WAxzadwLCTRduXbMcp4ppSm0MR7D

  Asthma Nursing Care Plan […] Use the nursing process to develop a plan of care for individuals. The nursing assessment (with common findings listed), diagnosis, interventions, expected outcomes, and education for individuals with asthma are listed below. […] Nursing Diagnosis/Risk For […] Impaired gas exchange related to mucosal swelling and spasm of bronchial tubes […] Ineffective airway clearance related to altered gas exchange […] Ineffective breathing pattern related to mucosal swelling and spasm of bronchial tubes […] Deficient knowledge related in managing the condition […] Activity intolerance related to altered gas exchange […] Anxiety related to not being able to breath adequately. […] Interventions […] Maintain open airway. […] Perform chest percussion and suctioning, as needed, per order.

• #3 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/

  Impaired gas exchange in asthma occurs due to the narrowing of the airways and increased mucus production, resulting in airway occlusion and worsening of airflow obstruction. […] Airway inflammation, bronchial hyperresponsiveness, and mucus secretion lead to airway obstruction. […] Narrowing of the airways results in inadequate pulmonary ventilation and an ineffective breathing pattern. […] Children may take an interest in managing their asthma and making their own decisions.

• #3 Nursing Diagnosis for Asthma: 8 Nursing Care Plans – Nurseslabs

  https://nurseslabs.com/asthma-nursing-care-plans/

  Following a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with asthma based on the nurses clinical judgement and understanding of the patients unique health condition. […] Goals and expected outcomes may include: The client will maintain an optimal breathing pattern, as evidenced by relaxed breathing, normal respiratory rate or pattern, and absence of dyspnea. The client will display normal arterial blood gas results. The client will be free of cyanosis and other signs and symptoms of hypoxia. The client will experience no signs of respiratory compromise or complications. The client will demonstrate improved ventilation and adequate oxygenation of tissues by normal ABGs. The client will be free of symptoms of respiratory distress. The client will participate in the treatment regimen within the level of ability and situation. The client will verbalize understanding of the cause and therapeutic management regimen. The client will maintain airway patency as evidenced by clear breath sounds, improved oxygen exchange, normal rate and depth of respiration, and ability to effectively cough out secretions. The client will demonstrate behaviors to improve airway clearance.

• #3 Asthma: Nursing Diagnoses, Care Plans, Assessment & Interventions | NurseTogether

  https://www.nursetogether.com/asthma-nursing-diagnosis-care-plan/

  Nurses can expect to have frequent contact with patients who have asthma. […] Nurses can support patients in the management of their disease by providing education on symptoms, triggers, and medications. […] Nursing interventions and care are essential for the patients recovery. […] Education on medication adherence. Long-term control medications are taken daily or scheduled to control and prevent flares. […] Patients should receive an asthma action plan and understand when to contact their provider or seek emergency assistance. […] Once the nurse identifies nursing diagnoses for asthma, nursing care plans help prioritize assessments and interventions for both short and long-term goals of care. […] Symptoms such as dyspnea and fatigue during an asthma exacerbation deplete energy and prevent the ability to carry out tasks.

• #3 Asthma: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/asthma/?srsltid=AfmBOoo5YH2H_VHzYl1nWge75Sd4WAxzadwLCTRduXbMcp4ppSm0MR7D

  Prepare for intubation, if needed. […] Provide humidified air. […] Provide supplemental oxygen, as needed, per order. […] Insert and maintain IV, per order. […] Administer medications as ordered. […] Have immediate access to code cart. […] Continually educate and reassure individual about situation, tests, and treatments. […] Encourage family and caregiver communication. […] Encourage individual to express feelings. […] Maintain calm environment. […] Remove source of allergen or trigger, if possible. […] Monitor the individuals: […] Vital signs […] Respiratory status […] Intake and output […] Lab test results […] Level of consciousness […] Oximetry values […] Signs and symptoms of complications […] Signs and symptoms of drug toxicity or adverse effects

• #3 Asthma Care Plan and Nursing Diagnosis

  https://simplenursing.com/asthma-nursing-diagnosis-care-plan/

  An asthma care plan for an ineffective breathing pattern includes many monitoring interventions to help stabilize the patient’s breathing pattern, including watching for: […] Encourage rest and use calm, deep breathing when with the patient. […] A nursing asthma care plan for anxiety can help provide the patient with coping skills, minimize anxiety-related symptoms, and establish calmer conduct and behavior. […] For asthma management, establish an oxygen saturation baseline and monitor for dips that may increase the risk of hypoxia. […] As a nurse working with asthmatic patients, understanding and recognizing asthma-related signs and symptoms can help improve patient outcomes.

• #3 Asthma Exacerbation Nursing Care Plan

  https://www.thenursingjournal.com/post/asthma-exacerbation-nursing-care

  Once youve obtained a thorough medical history, you can move on to the physical assessment to get a better understanding of the patients physiological status. […] During an Asthma Exacerbation, the airways swell up and spasm narrowing the lumen and more often than not they will be plugged by mucus and secretions. […] Instruct your patient to sit in an elevated position, either on the chair or by elevating the bed and have the chin parallel to the floor or tilted slightly upwards to obtain an open airway. […] Next up, you should administer the prescribed medication. […] Oxygen Therapy might be necessary if the patients oxygen saturations decrease, and Antibiotics are prescribed if the exacerbation was triggered by a respiratory infection. […] In continuation with the previous point, ineffective respirations could be a result of ineffective airway clearance.

• #3 Video: Asthma-IV: Nursing Management

  https://www.jove.com/science-education/16364/asthma-iv-nursing-management

  Implementation: Nursing interventions may include: Administering prescribed medications like bronchodilators and corticosteroids and monitoring their effectiveness. […] Educating the patient on proper inhaler technique and explaining the importance of adhering to the medication regimen. […] Teaching techniques to reduce anxiety, such as deep breathing and relaxation exercises. […] Encouraging avoidance of asthma triggers and promoting a healthy lifestyle, such as smoking cessation and regular exercise. […] Finally, the nurse regularly evaluates the patient’s progress toward goals. These include monitoring for decreased frequency and severity of symptoms and for improved ability to perform daily activities. The nurse will also continue to educate the patient about asthma and its management. The nurse may use tools such as symptom diaries, peak flow meters, and patient feedback to assess these changes. Based on this ongoing evaluation, the plan of care will be changed as necessary.

• #3 Asthma and nursing managements | PPT

  https://www.slideshare.net/slideshow/asthma-and-nursing-managements-17127578/17127578

  *Nursing managements:- 6-) the nurse must following physician order to:- -Administer inhaled rapid acting bronchodilators to open up the airways. -Administer corticosteroids such as prednisone to reduce inflammation in the airways. -Administer low flow humidified oxygen to prevent hypoxemia. -Administer intravenous fluids to prevent dehydration and oral intake looses secretions in the airways. 7-)-the nurse has to ensure that long term asthma medications like inhaled corticosteroids long acting bronchodilators are administered as prescribed by the physician. […] *Patient Teaching :- *Providing information that will help prevent asthmatic episodes and teaching patients skills required to administer asthmatic medications properly. These skills and information are as follows 1-)The need to identify and eliminate any actual or potential allergen, substance or condition that could precipitate an asthma attack. 2-)The need to permit no smoking around 3-)The need to report frequent use of rapid acting bronchodilators. The need to take long term medication as prescribed even when there are no asthma attacks. 4-)How to use an inhaler and a spacer. 5-)How to use a peak flow meter and the significance of the readings. 6-(Assisting the patient to create an asthma management and emergency plan. 7-)When to contact a healthcare provider or seek emergency services.

• #3

  https://journals.lww.com/nursing/fulltext/2022/02000/asthma_management_updates.9.aspx

  The new guidelines have changed the recommendation for the daily administration of inhaled long-term corticosteroids as first-line treatment, with research supporting these individuals had fewer incidences of hospitalizations, exacerbations, and death. […] The SABA albuterol works in an acute situation by relaxing the muscle around the airways. […] In 2021, GINA guidelines no longer recommend SABAs such as albuterol as daily initial treatment of asthma in adolescents and adults. […] For individuals living with mild-to-moderate persistent asthma and allergic asthma, biologic medications (subcutaneous, sublingual, or I.V. route) are recommended. […] The most common adverse reactions to these medications include myalgia, arthralgia, headache, fatigue, localized erythema at the injection site, pharyngitis, and a rare risk for anaphylaxis. […] Bronchial thermoplasty is a newer invasive procedure reserved for uncontrolled moderate-to-severe asthma in adults 18 years of age or older who have failed conventional asthma therapy.

• #3 Asthma Nursing Care Plan & Management – RNpedia

  https://www.rnpedia.com/nursing-notes/medical-surgical-nursing-notes/asthma/

  Ineffective airway clearance related to obstruction from narrowed lumen and thick mucus OUTCOMES. Respiratory status: Gas exchange; Respiratory status: Ventilation; Symptom control behavior; Treatment behavior: Illness or injury; Comfort level INTERVENTIONS. Airway management; Anxiety reduction; Oxygen therapy; Airway suctioning; Airway insertion and stabilization; Cough enhancement; Mechanical ventilation; Positioning; Respiratory monitoring […] The immediate nursing care of patients with asthma depends on the severity of symptoms. The patient and family are often frightened and anxious because of the patients dyspnea. Therefore, a calm approach is an important aspect of care. […] Teach patient and family about asthma (chronic inflammatory), purpose and action of medications, triggers to avoid and how to do so, and proper inhalation technique.

• #3 How to Create a Nursing Care Plan for Asthma Patients

  https://vcareathome.com/blogs/nursing-care-plan-for-asthma

  When we create a nursing care plan for asthma, our goal is always clearto help the patient breathe better, feel safe, and live as normally as possible. […] One common mistake in a nursing care plan for asthma is focusing only on medications and oxygen levels, while forgetting how the patient feels inside. […] When we personalize care, we dont just treat the conditionwe care for the person. […] Its a mistake to assume theyll just follow instructions without understanding why. […] A well-documented nursing care plan for asthma acts like a roadmapclear, updated, and ready for anything. […] When patients feel safe, they are more likely to trust the plan and stay committed to it. […] Regular reassessments are crucial in ensuring that the nursing care plan for asthma is still effective.

• #3 Asthma Exacerbation Nursing Care Plan

  https://www.thenursingjournal.com/post/asthma-exacerbation-nursing-care

  Teach your patient how to cough up secretions effectively and how to perform deep breathing exercises to maximise ventilation. […] During an Asthma Exacerbation, most patients will have severe dyspnoea which can interfere with their eating habits. […] Ensure that the patient gets a rest period before and after eating, position them upright and maintain a clear airway. […] Assess the patients needs and figure out what their concerns are, and then find coping mechanisms that work for that patient. […] As their nurse, you should create a safe space where your patient can voice their feelings and express their concerns. […] In some cases, exacerbations can be avoided but its almost impossible to avoid them if the patient doesnt understand the disease in the first place. […] After having gone through all the diagnoses and management, you will need to re-evaluate the situation and see if theres been any improvement or deterioration in your patient.

• #3 Correctional Nurse Clinical Update: Asthma II: Nursing Assessment and Patient EducationFacebookInstagramPinterestRSS

  https://correctionalnurse.net/correctional-nurse-clinical-update-asthma-ii-nursing-assessment-and-patient-education/

  Patient education for the asthmatic patient should include the following: Basic facts about asthma – The contrast between airways of a person who has and a person who does not have asthma; the role of inflammation and what happens to the airways during an asthma attack. Trigger avoidance – This seems so obvious, but may help the most in asthma management. Role of Medication – Quick-relief medications: Short-acting beta2 agonists (SABAs) relax airway muscles to provide prompt relief of symptoms. Do not expect them to provide long-term asthma control. Using SABA >2 days a week indicates the need for starting or increasing long-term control medications. Role of Medication – Long-term control medications: Must be taken daily. They prevent symptoms, often by reducing inflammation. Do not expect them to give quick relief. Review of the Asthma Action Plan with the patient to ensure understanding after it has been developed by the Provider/Chronic Care Nurse in partnership with the patient. Encourage patient self-monitoring, including the self-assessment of asthma control and the identification of symptoms of worsening asthma, and the importance of reporting all changes to nursing staff. Encourage hydration, as this helps thin secretions and mucous. If the site has a SAM/KOP program, ensure that patient understands the importance of informing the nurse about their rescue inhaler usage before it becomes problematic. Smoking cessation. Most facilities are smoke-free, and incarceration is a great time for patients to begin their smoking cessation. For those that have e-cigarettes available, remember to educate that they are still inhaling chemicals into their lungs!

• #3 Asthma – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/asthma/diagnosis-treatment/drc-20369660

  Prevention and long-term control are key to stopping asthma attacks before they start. […] Treatment usually involves learning to recognize your triggers, taking steps to avoid triggers and tracking your breathing to make sure your medications are keeping symptoms under control. […] The right medications for you depend on a number of things your age, symptoms, asthma triggers and what works best to keep your asthma under control. […] Preventive, long-term control medications reduce the swelling (inflammation) in your airways that leads to symptoms. […] Quick-relief inhalers (bronchodilators) quickly open swollen airways that are limiting breathing. […] Long-term asthma control medications, generally taken daily, are the cornerstone of asthma treatment. […] These medications keep asthma under control on a day-to-day basis and make it less likely you’ll have an asthma attack.

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh2704

  Take your asthma medicines exactly as prescribed. Talk to your doctor right away if you have any questions about how to take them. […] Use your quick-relief medicine when you have symptoms of an asthma attack. Some people need to use quick-relief medicine before they exercise to prevent asthma symptoms. […] Take your controller medicine every day, not just when you have symptoms. Controller medicine usually includes an inhaled corticosteroid. The goal is to prevent problems before they occur. […] If your doctor prescribed corticosteroid pills to use during an attack, take them exactly as prescribed. It may take hours for the pills to work, but they may make the episode shorter and help you breathe better. […] Keep your quick-relief medicine with you at all times. […] Talk to your doctor before using other medicines. Some medicines, such as aspirin, can cause asthma attacks in some people.

• #3 Asthma: Nursing Diagnosis & Interventions | Nurse.com

  https://www.nurse.com/clinical-guides/asthma/?srsltid=AfmBOoo5YH2H_VHzYl1nWge75Sd4WAxzadwLCTRduXbMcp4ppSm0MR7D

  Treatment response. […] Expected Outcomes […] Maintain open airway and adequate ventilation […] Maintain fluid volume balance […] Decreased anxiety. […] Individual/Caregiver Education […] Ability to recognize early signs and symptoms of an asthma attack and when to seek help […] Medications and potential side effects […] How to use inhaler and other medications properly and as directed […] How to use peak flow meter properly and as directed […] Need for medical alert bracelet in cases of moderate to severe asthma […] Need for skin testing to confirm specific allergen that may trigger asthma attacks.

• #3

  https://www.rcn.org.uk/magazines/Clinical/2024/Aug/Asthma-clinical-explainer

  Every nurse should understand the roles of different kinds of inhalers, says La Toya, so they can explain how they work to their patients. […] Any member of nursing staff could encounter a patient with asthma, so ensuring you can support patients with their inhaler technique is a vital skill, says Callum. […] Nursing staff should know what someones action plan says, recognising when their symptoms are deteriorating and an attack is likely, or when they might need to escalate, Callum adds. […] Its really important we remind our patients that asthma can still be life-threatening, without unnecessarily alarming them. When people are feeling well, they often ask, do I need to continue with my inhalers. But its about preventive therapy. The aim is for them to remain symptom-free.

• #3 Asthma (Nursing) Article

  https://www.statpearls.com/articlelibrary/nursingarticle/17920

  Evidence shows that teaching patients about this disorder and the importance of compliance are critical for good outcomes. The patient should be taught about monitoring technique, inhaler use, and modifying the environment. […] Patient education about the disease and modifying behavior is vital. The patient should also be encouraged to change lifestyle and control the environmental trigger factors. […] Take medications as prescribed […] Avoid triggers like pet dander, tobacco and dust. […] Control the environment and avoid triggers to reduce asthma episodes.

• #3 Asthma for Med-Surg Nursing – LevelUpRN

  https://leveluprn.com/blogs/medical-surgical-nursing/respiratory-4-asthma?srsltid=AfmBOoo819M2w-XwMfX_gFX9TnuTp0DngcROQfZsLnlM86_e9BmBFoPn

  Patients should identify and avoid environmental triggers and irritants to the extent possible. […] For exercise-induced asthma, patients should use a bronchodilator 30 minutes before exercise. […] Patients should always carry an emergency inhaler with them in case they need to use it. […] Status asthmaticus is a life-threatening complication of asthma wherein airway obstruction is unresponsive to the usual therapies described above. […] If a patient is experiencing status asthmaticus, the nursing care steps you should take are to administer oxygen, prepare for emergency intubation and mechanical ventilation.

• #3 Asthma Exacerbation Nursing Care Plan

  https://www.thenursingjournal.com/post/asthma-exacerbation-nursing-care

  Asthma Exacerbation Nursing Care Plan […] Asthma is a chronic inflammatory disease of the airways, that causes hyperresponsiveness, increased mucus production and mucosal oedema. […] The condition is characterised by an ongoing disease pathway that alternates between periods of mild symptoms which are barely noticeable, and periods where these symptoms flare up and cause an Exacerbation. […] In these notes, well be going over the Asthma Exacerbation Nursing Care […] […] Asthma Exacerbations are usually triggered by outside factors, with the most common being Viral Respiratory Infections such as the human rhinovirus, influenza and coronavirus. […] Other factors that can cause an Asthma Exacerbation include Environmental allergens (mould, dust, animal dander) and Air Pollutants (tobacco smoke, occupational dust, exhaust and dirt particles in the air).

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh2704

  If you have a peak flow meter, use it to check how well you are breathing. This can help you predict when an asthma attack is going to occur. Then you can take medicine to prevent the asthma attack or make it less severe. […] Do not smoke or allow others to smoke around you. Avoid smoky places. Smoking makes asthma worse. If you need help quitting, talk to your doctor about stop-smoking programs and medicines. These can increase your chances of quitting for good. […] Learn what triggers an asthma attack for you, and avoid the triggers when you can. Common triggers include colds, smoke, air pollution, dust, pollen, mould, pets, cockroaches, stress, and cold air. […] Avoid infections such as COVID-19, colds, and influenza( flu). Wash your hands often. Talk to your doctor about getting a pneumococcal vaccine. If you have had one before, ask your doctor if you need a second dose. Get a flu vaccine every fall. Stay up to date on your COVID-19 vaccines.

• #3

• #3 Asthma self-care: 10 tips to breathe easier | Northwell Health

  https://www.pbmchealth.org/news-events/blog/10-self-care-tips-asthma-patients

  Avoid foods that are high in sugar or fried fats. […] To keep the air clean in your home, make sure to regularly clean or change your air filters. […] A simple routine of dusting, vacuuming and cleaning fabric surfaces can help prevent dust buildup. […] Fragrance sprays, including perfumes, air fresheners and cleaning mists, are significant triggers for respiratory problems. […] Regular physical activity is essential for lung health and overall well-being, but individuals with exercise-induced asthma need to take precautions. […] Having quick access to your inhaler is crucial for effectively managing asthma symptoms and ensuring your safety in case of an emergency. […] Finally, be aware of your triggers and symptoms of an oncoming attack, and act quickly if you notice that something is wrong.

• #3 Asthma – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/asthma/diagnosis-treatment/drc-20369660

  If you have an asthma flare-up, a quick-relief inhaler can ease your symptoms right away. […] But you shouldn’t need to use your quick-relief inhaler very often if your long-term control medications are working properly. […] Taking steps to reduce your exposure to asthma triggers is a key part of asthma control. […] Taking care of yourself can help keep your symptoms under control. […] Regular exercise can strengthen your heart and lungs, which helps relieve asthma symptoms. […] Work with your doctor to create an asthma action plan that outlines in writing when to take certain medications or when to increase or decrease the dose of your medications based on your symptoms. […] Your doctor may also recommend tracking your asthma symptoms or using a peak flow meter on a regular basis to monitor how well your treatment is controlling your asthma.

• #3 Asthma Action Plan

  https://portal.ct.gov/dph/health-education-management–surveillance/asthma/asthma-action-plan

  What is an Asthma Action Plan (AAP)? The Centers for Disease Control and Prevention (CDC) states „All people with asthma should have an Asthma Action Plan. An Asthma Action Plan (also called a management plan) is a written plan that you develop with your doctor to help control your asthma.” […] The Asthma Action Plan (AAP) lists all medications with instructions on when they should be taken. It is a simple plan that describes how to achieve long-term control and what to do when asthma symptoms arises. […] Healthcare Provider Instructions for Completing the Asthma Action Plan.

• #3 Managing Asthma (for Parents) | Nemours KidsHealth

  https://kidshealth.org/en/parents/asthma-mgmt.html

  Triggers are things that can bother airways and lead to an asthma flare-up. Common triggers are allergens like pollen and mold, weather changes, and viral infections (like the common cold). […] The COVID-19 and flu vaccines are recommended for all kids ages 6 months and up, especially those with asthma. […] After your child has had a few flare-ups, you may start to notice when one is going to happen. Early warning signs can help you spot a flare-up hours or even a day before obvious symptoms (such as wheezing and coughing) start. […] Know when your child’s symptoms call for medical care, or even a trip to the emergency room (ER). […] An asthma diary can help you predict if a flare-up is on its way by allowing you to keep track of asthma symptoms (when they happen), need for medicines, and more.

• #3 Your asthma action plan | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/manage/your-asthma-action-plan

  Using an asthma action plan makes it easier to look after your asthma every day, so you’re less likely to need hospital treatment for an asthma attack. […] Your asthma action plan tells you: which medicines to take every day, what to do if your asthma symptoms get worse, what to do if you have an asthma attack. […] Having clear instructions written down on an asthma action plan makes it easier for you and others to know what to do if you have an attack. […] Take your asthma action plan along to all your asthma appointments so your GP or nurse can make sure it’s up to date.

• #3 Asthma — Know When to Go to the ER

  https://www.emergencyphysicians.org/article/know-when-to-go/asthma

  Asthma patients must manage their condition on a daily basis. […] Asthma attacks that appear to be severe or that do not respond to the patients normal medication require immediate medical attention. […] Asthma patients should go to the emergency department if they have severe asthma symptoms, especially if these symptoms are accompanied by severe sweating, faintness, nausea, panting, rapid pulse rate, and pale, cold, moist skin. […] Seek immediate medical attention for the following symptoms and warning signs associated with this potentially life-threatening condition: Persistent shortness of breath or breathlessness experienced even while lying in bed. […] Emergency department treatment of asthma typically includes oxygen, inhaled bronchodilators (such as albuterol), and systemic corticosteroids (such as prednisone).

• #3

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=uh2704

  Call your doctor or nurse advice line now or seek immediate medical care if: Your symptoms do not get better after you have followed your asthma action plan. You have new or worse trouble breathing. Your coughing and wheezing get worse. You cough up dark brown or bloody mucus (sputum). You have a new or higher fever. […] Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You need to use quick-relief medicine on more than 2 days a week within a month (unless it is just for exercise). You cough more deeply or more often, especially if you notice more mucus or a change in the colour of your mucus. You are not getting better as expected.

• #3 Nurses’ Role in the Control and Treatment of Asthma in Adults: A Systematic Literature Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11130916/

  Finally, the studies analyzed also show that integrating the role of the nurse with the role of the physician in the management of asthma results in significant benefits for asthma patients. […] As most of the studies analyzed support the role of nurses as integrated providers of asthma-related care, and this practice is not yet common in Portuguese PHC, this SRL has several implications for practice. […] This study revealed that PHC nurses play a crucial role in the management and treatment of asthma in adults.

• #3 Content – Health Encyclopedia – University of Rochester Medical Center

  https://www.urmc.rochester.edu/encyclopedia/Content?contentTypeID=134&ContentID=253

  A health care team will help you manage your asthma. You and your team will create your Asthma Action Plan. Your team may include: Nurses. […] A nurse may: Teach you about your condition. Organize your care among your providers. […] Nurses can get extra training to become a certain type of advanced practice registered nurse, including: Clinical nurse specialist, such as an asthma nurse specialist or respiratory nurse specialist. […] You’re part of the team, too. Make sure to: Stick to your Asthma Action Plan. Work with your team members to create this plan. It should include how to prevent symptoms. And what to do if you have an asthma attack.

• #3 Asthma Care Plan and Nursing Diagnosis

  https://simplenursing.com/asthma-nursing-diagnosis-care-plan/

  A variety of factors may cause asthma. With a full assessment, health care providers can help patients narrow down environmental triggers and provide suggestions on how to best minimize exposure. […] Asthma symptoms and signs can range from mild to life-threatening. […] Asthma symptoms can interfere with daily activities, affect a person’s quality of life, and cause further complications. […] Although an incurable condition, asthma symptoms can be managed and controlled with routine changes and medication. When treating a patient with an asthma diagnosis, you can create a plan of care to minimize symptoms and reduce asthma attacks. […] Some nursing interventions to improve air patency and clearance include: […] Administer prescribed medication (e.g., nebulizers, bronchodilators, steroids, and inhalers).

• #3 Asthma

  https://www.nhs.uk/conditions/asthma/

  Asthma usually starts in children, but it can happen at any age. […] If you have asthma you’ll be supported by a care team including a GP or nurse, and sometimes a specialist hospital doctor. […] Your care team will explain how and when to use your medicines, how to monitor your asthma, ways to avoid triggers and reduce your symptoms, and what to do if your symptoms get worse. […] You should have check-ups at least once a year to see how well your treatment is working. […] The main treatment for asthma is medicines you breathe in using an inhaler. […] If inhalers are not enough to stop your symptoms, your care team may also recommend a stronger inhaler or tablets that make breathing easier, such as montelukast. […] If you have a severe asthma attack that does not get better, you may need to be treated in hospital. […] If you have asthma there are things you can do to help prevent symptoms and reduce the risk of asthma attacks. […] It’s important to manage asthma in pregnancy to keep you and your baby well. […] An asthma attack can be life-threatening. But getting the right asthma treatment reduces the risk.

• #3 Patient-Centered Asthma Care – MN Dept. of Health

  https://www.health.state.mn.us/diseases/asthma/professionals/healthcareprofessionals.html

  Providing guideline-driven, top-notch asthma care and improving the quality of life for every person who lives with asthma should be the goal of health care professionals treating asthma patients. […] Asthma care is a partnership and a shared responsibility between the patient, the health care provider, and the systems supporting them. […] Using the patient-centered care model approach, The National Asthma Education Prevention Program (NAEPP) identifies specific components of asthma care: […] Educate for a partnership in care by working directly with the patient/family to provide asthma self-management education and to develop a written asthma action plan. […] Health care systems, clinics, and providers struggle with sufficient time to provide asthma education in the clinic setting and they don’t have the opportunity to see what triggers may be affecting their patients asthma in the patient home.

• #3 Specialist asthma care | Asthma + Lung UK

  https://www.asthmaandlung.org.uk/conditions/asthma/specialist-asthma-care

  Specialist asthma care is when youre referred to an asthma specialist or a specialist care centre for asthma treatment. Most people with asthma are more likely to get referred to a specialist in their local hospital or clinic, rather than a specialist centre. […] Specialist asthma centres aim to: confirm your asthma diagnosis and the type of asthma you have, identify any work-related asthma triggers, diagnose any other conditions that might be giving you asthma-like symptoms, diagnose and treat any conditions you have alongside your asthma that could be making your symptoms harder to manage, treat any conditions linked to your severe asthma, such as sleep apnoea, help you with any side effects, look at ways to help you avoid long-term use of high-dose oral steroids, provide access to specialist treatments if you could benefit from them, make sure youre supported to cut your risk of asthma attacks, and reduce the need for hospital stays, including taking all your asthma medicines as prescribed, help you find ways to remember to take your asthma medicine. […] If you have severe asthma, you may need to stay under the care of a specialist asthma centre. If youve had an asthma attack that meant you needed intensive care, your specialist consultants may recommend that you benefit from specialist asthma care long term.

• #3 School Health Care Plans for Asthma and Allergies | AAFA.org

  https://aafa.org/asthma/living-with-asthma/school-health-care-plans-for-asthma-and-allergies/

  A school health care plan is a written set of documents that outlines your child’s medical condition and needs. The plan usually lists information about your child’s asthma or allergies, how they should be managed, and what to do in an emergency. […] An IHCP addresses what the school will do to establish and maintain a safe school environment for the student with asthma. […] An IHCP outlines what the school will do to create and maintain a safe school environment for your child. For example, an IHCP will detail what school staff will do to reduce the risk of trigger or allergen exposure, recognize asthma symptoms or an allergic reaction, and give the appropriate treatment. […] A 504 plan addresses what the school will do to create and maintain a safe school environment for your child.

• #3 Asthma

  https://aci.health.nsw.gov.au/networks/eci/clinical/tools/respiratory/asthma

  Asthma remains a common ED presentation in Australia with around 40% of presentations resulting in a hospital admission. […] The majority of your ED exposure will be mild/moderate asthma presentations but these patients can deteriorate rapidly without timely initiation of treatment. Assessment and management must therefore occur concurrently to prevent severity progression. […] Summary of steps in the emergency care of an adult with acute asthma: Brief history and rapid primary assessment of asthma severity. If acutely distressed give oxygen and short acting bronchodilator (salbutamol) immediately. Take a more detailed history and complete secondary asthma severity assessment including spirometry. Follow the appropriate treatment pathway. Review response to treatment. Make disposition plan. If discharge criteria met ensure appropriate follow up arranged including a written asthma management plan and checking inhaler technique.

• #3 Asthma (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568760/

  […] […] Patient education about the disease and modifying behavior is vital. The patient should also be encouraged to change lifestyle and control the environmental trigger factors. […] […] […] Take medications as prescribed […] Avoid triggers like pet dander, tobacco and dust […] […] […] Control the environment and avoid triggers to reduce asthma episodes. […] […] […] If the patient requires nebulized salbutamol and is not ordinarily on home nebulizers, he or she should be admitted. Anyone who has presented with severe or life-threatening asthma should usually be monitored to ensure that the disease does not return when the medication has worn off. […] […] […] Many guidelines have been published for the diagnosis and management of asthma, but the most critical feature is patient education. The nurses are the last professionals to see the patient before discharge from the emergency department or the floors.

• #3 Asthma inpatient discharge education

  https://www.rch.org.au/rchcpg/hospital_clinical_guideline_index/Asthma_inpatient_discharge_education/

  It is important to ensure patients and parents/carers have an understanding of every medication prescribed, including Salbutamol, and if applicable Prednisolone and Preventers. […] All patients admitted to RCH with asthma should have the appropriate Inpatient Asthma Education elements added to their Education record in EPIC, if these have not been previously added. […] All patients with asthma should have a clear follow up plan on discharge. […] Anaphylaxis Asthma increases the risk of fatal anaphylaxis. Close monitoring of asthma and allergy follow-up is essential. […] Alternative education resources are essential for these families: Interpreter and NESB services should be utilised to provide inpatient asthma education.

• #3 School Health Care Plans for Asthma and Allergies | AAFA.org

  https://aafa.org/asthma/living-with-asthma/school-health-care-plans-for-asthma-and-allergies/

  The purpose of a 504 plan is basically the same as an IHCP. But a 504 plan is legally enforceable and offers safeguards a traditional IHCP doesn’t. […] Your child’s school health care plan may include: Signs and symptoms of an asthma episode or attack or an allergic reaction, List of all asthma triggers and allergies, Asthma Action Plan and/or Anaphylaxis Action Plan. […] A written school health care plan helps you, your child, and the school staff understand everyone’s roles in ensuring your child’s safety and care while at school. It can reduce miscommunication, as well.

• #3 Asthma (Nursing) – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK568760/

  […] […] Despite great awareness of the disease, asthma still results in high morbidity and even mortality. There are universal guidelines on managing the disorder, but patient compliance with medications remains a big problem. Hence, all healthcare workers have a responsibility in encouraging medication compliance and close follow up with the primary care physician.

• #3 Asthma – Care of the Patient Course | CNA Ceu | CEUfast

  https://ceufast.com/course/care-for-the-patient-with-asthma

  The patient usually has long-term medication, such as an inhaler, to reduce inflammation, which is taken daily. However, they can also use quick-relief inhalers during asthma attacks. The quick-relief medication relaxes the muscles of the airway, relieving symptoms. The patient should also know when to contact emergency services for needed help. […] Asthma can be scary when the patient is not able to breathe correctly. Remember that asthma is a serious condition that needs to be controlled and treated. Helping patients identify triggers and develop a plan of action is a good way for them to maintain control over this disease. The patient should be taught to recognize their symptoms and use their inhalers. This disease disrupts the patients quality of life. It can affect work, school, and social activities. The patient needs to be active but understand that they need more breaks than the average person to regain their breath.

• #3 How to Create a Nursing Care Plan for Asthma Patients

  https://vcareathome.com/blogs/nursing-care-plan-for-asthma

  When nurses, doctors, and therapists work together, they provide a unified approach that creates the best outcomes for the patient. […] A good nursing care plan for asthma empowers the patient by giving them concrete tools for managing their asthma. […] The nursing care plan for asthma should include ongoing education about asthma triggers, medication adherence, and what to do in case of an emergency. […] By educating your patients, youre giving them a sense of power over their health, which can alleviate a lot of the fear and uncertainty that comes with living with asthma. […] A good nursing care plan for asthma empowers the patient by giving them concrete tools for managing their asthma.

• #3 Patient-Centered Asthma Care – MN Dept. of Health

  https://www.health.state.mn.us/diseases/asthma/professionals/healthcareprofessionals.html

  Projects conducted by MDH have repeatedly demonstrated the effectiveness of home-based services that include both asthma self-management education and home environmental assessments for people with asthma. […] The American Lung Association of Minnesota (ALAMN) offers training courses for health professionals who want to work towards becoming a Certified Asthma Educator (AE-C). […] The NAEPP Guidelines are the nations gold standard for asthma care and management. […] These guidelines detail the use of control medications like inhaled corticosteroids, the important components of a written action plan that guide patient asthma self-management, the importance of scheduling regular follow-up visits with a health care provider, and the impact and control of environmental triggers that can worsen the patients asthma. […] The guidelines outline competencies in environmental health relevant to pediatric asthma that should be integrated into routine asthma care by health care providers.

• #3

  https://www.who.int/news-room/feature-stories/detail/dont-let-asthma-hold-you-back-5-ways-to-make-sure-that-you-are-in-control-of-your-asthma

  Inhalers are the safest, most effective treatment for asthma and allow people with asthma to lead a normal, active life. […] Knowledge is power. Ask your doctor to explain how your inhaled medicines work and how you should use them. Make sure your friends and family also know what to do if your asthma is bad. By taking your inhalers early, when you first notice that your symptoms are worsening, you can avoid a serious attack. […] WHO is working to support countries to provide essential asthma interventions as part of universal health coverage, through technical tools and guidance. […] Uncontrolled asthma has major consequences for people living with asthma, their families and communities, health-care systems and national economies. It is shocking that every day children and adults suffer needlessly from symptoms that could be prevented with essential inhaled medicines, says Dr Bente Mikkelsen, Director of the Department of Noncommunicable Diseases at the World Health Organization.

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• #3 Nurses’ Role in the Control and Treatment of Asthma in Adults: A Systematic Literature Review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC11130916/

  Nurses play a crucial role in the control and treatment of asthma. […] The integration of an asthma nursing consultation in PHC defines the role of nurses as integrated providers of asthma-related care. […] The results reveal that, although the scientific evidence on the intervention of these professionals is poorly developed, nurses play a crucial role in the control and treatment of asthma. […] The evidence gathered from the articles analyzed allowed us to identify that nurses play a crucial role in the control and treatment of asthma. […] Of the interventions identified in this review, the largest consensus was on the education of individuals with asthma. […] Given the importance of the correct use of medication for asthma management, the articles analyzed reinforce that the role of nurses should go beyond simple education, and also include the verification and training of inhalation technique.

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