This report demonstrates the importance of the give’s role in diagnosing nursing problems accurately and correct prioritising of problems. Reasoning behind selection and impact on other diagnosed nursing problems will be addressed.
Finally the report will measure success of nursing interventions by evaluating nursing care and noting expected outcomes achieved.
*2.0 Acute asthma atta*ck
2.1 Case teach
enthalpy is a ten year old boy presenting at Emergency department three days agone pursuance a severe asthma attack. He has never been diagnosed with asthma and this is the first time he has had breathing difficulties. Henry is usually fit and well, although his mother is concerned about several(prenominal) months of coughing. On auscultation high pitched wheezes can be comprehend bilaterally. Pulse and respiration rates are well above normal range for his age. Despite being on sextette litres of oxygen via a Hudson mask, saturation levels are low at 93%.
3.
0 Assessment of needs
Initial assessment of acute exacerbation consists of a brief history and rapid sensible examination to assess Henry’s overall status, assisting in care management (National Heart, Lungs and Blood Institute, 2007).
3.1.2 Other relevant assessments
A chest xray taken during attack may establish hyperinflation of the lungs and show other complications of asthma including pneumothorax and atelectasis (Pilliteri, 2003, p 1183).
Henry is producing purulent unemotionality and has a fever. To rule out bacterial infection a sputum sample for culture and sensitivity should be collected.
3.1.2.3 arterial blood gases
3.2 Treatment
Treatment should begin present(prenominal)ly following recognition of respiratory exacerbation. The National Asthma Council (2006, p43) recommends giving immediate oxygen and a short acting beta2 agonist (SABA)...If you indispensability to get a full essay, order it on our website: Orderessay
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