What is the nursing care plan for asphyxia?
Patient: A 35-year-old male with a history of asthma who presents to the emergency department after an asthma attack. He is experiencing shortness of breath, wheezing, and chest tightness. His oxygen saturation is 88% on room air.
Nursing Diagnosis: Ineffective Breathing Pattern related to airway obstruction
Goals:
* Patient will maintain an oxygen saturation of greater than 90%.
* Patient will report decreased shortness of breath and wheezing.
* Patient will demonstrate improved breathing patterns.
Interventions:
* Administer oxygen at 10-15 L/min via face mask.
* Monitor oxygen saturation and adjust oxygen flow rate as needed.
* Encourage the patient to sit in an upright position and lean forward.
* Provide the patient with a bronchodilator inhaler and teach him how to use it.
* Encourage the patient to take slow, deep breaths.
* Monitor respiratory rate and depth.
* Auscultate lung sounds for wheezes, rales, or rhonchi.
* Encourage the patient to rest.
* Provide emotional support to the patient and his family.
Evaluation:
The patient's oxygen saturation increases to 95%. He is breathing comfortably and without wheezing. He reports feeling less short of breath.
Documentation:
The nurse documents the patient's assessment findings, interventions, and patient response in the patient's medical record. The nurse also notifies the physician of the patient's progress.
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