Let’s take a look at our concept map. So this person was admitted to the hospital because they are having serious issues with breathing due to their asthma. This person enjoys jogging. The risk factors that led up to this attack include allergens, cold weather and exercise. We will educate this patient to avoid triggers like allergens and cold weather as much as possible and to use their inhalers as ordered by the doctor.

In the hospital, the doctor will order an albuterol nebulizer treatment scheduled and prn to help open up those airways. They will likely receive an hour long treatment while in the emergency room. They will receive methylprednisolone 125 mg IV to help decrease inflammation in the lungs. ABGs may be ordered to obtain an accurate oxygen and CO2 level to determine if they are in need of a BIPAP to blow off CO2.

Our first nursing diagnosis for this patient is disruption of gas exchange because of the inflammation, tightening, and spasms of the bronchioles. The nursing interventions include auscultating lung sounds, monitoring pulse oximetry levels, and administering oxygen as needed. The desired outcome is that this patient will have improved gas exchange as evidenced by normal pulse oximetry levels.

Our next nursing diagnosis is ineffective airway clearance because the irritation and inflammation in the airways is causing excess mucus production. The nursing interventions include encouraging coughing and deep breathing, positioning in high-fowler’s to assist with breathing, and administering decongestants as ordered by the physician. The desired outcome is that the patient will effectively clear the airways.
The last nursing diagnosis for this patient is anxiety from the feeling of breathlessness and chest pain. Our interventions include providing physical comfort and emotional support, along with administering any medications ordered by the doctor to help them relax such as alprazolam. The desired outcome is decreased anxiety and increased comfort.

Here is a cleaned up version of our concept map. 

We love you guys! Go out and be your best self today! And as always, Happy Nursing!