NURSING CARE PLAN ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION Independent: Subjective: Nahihirapan ako Ineffective

airway clearance Bronchial asthma is a chronic After 3 days of nursing interventions, Auscultate breath sounds. Note adventitious Some degree of bronchospasm is present with After 3 days of nursing interventions, huminga as verbalized by the patient. Objective: Use of accessory muscle. Abnormal breath sounds. related to increased production of secretions. inflammatory disease of the airways, associated with recurrent, reversible airway obstruction with intermittent episodes of wheezing and dyspnea. Bronchial hypersensitivity is caused by various the patient will demonstrate behaviors to improve airway clearance. breath sounds like wheezes, crackles and rhonchi. Elevate head of

the bed, have patient lean on overbed table or sit on edge of the bed. Keep environmental obstructions in airway and may or may not be manifested in adventitious breath sounds. Elevation of the bed facilitates respiratory function by use of gravity. Precipitators of allergic type of the patient was able to demonstrate behaviors to improve airway clearance. V/S taken as follows: T: 37.3 P: 82 R: 25 stimuli, which innervate the vagus nerve and beta adrenergic receptor cells of the airways, pollution to a minimum like dust, smoke and feather pillows, according to individual respiratory reactions that can trigger or exacerbate onset of acute episode. BP: 110/80 leading to bronchial smooth muscle constriction, hypersecretion of mucus, and mucosal edema. situation. Encourage or assist with abdominal or pursed lip

breathing exercises. Provides patient with some means to cope with or control dyspnea and reduce air Assist with measures to improve effectiveness of cough effort. tapping. Coughing is most effective in an upright position after chest percussion.

 Increased fluid intake to 3000 ml/ day. Provide warm or tepid liquids. Collaborative: Administer bronchodilators as prescribed. Hydration helps decrease the viscosity of secretions, facilitating expectoration. Using warm liquids may decrease bronchospasm. To reduce the viscosity of secretions. Increased fluid intake to 3000 ml/ day. Provide warm or tepid liquids. Collaborative: Administer bronchodilators as prescribed. Hydration helps decrease the viscosity of secretions, facilitating expectoration. Using warm liquids may decrease bronchospasm. To reduce the viscosity of secretions.