Astma IV: Verpleegkundig management

Nursing management of asthma encompasses assessment, diagnosis, planning, implementation, and evaluation.

First, the nurse gathers the patient's medical history, emphasizing asthma triggers, family history, and previous exacerbations. 

Next, a detailed respiratory assessment is conducted, including lung sounds, respiratory rate, and use of accessory muscles for breathing.

Based on the assessment, the nurse formulates nursing diagnoses. Here are some examples.

Ineffective airway clearance related to bronchospasm and tenacious secretions, as evidenced by an ineffective cough.

Anxiety related to difficulty breathing and fear of suffocation, as evidenced by restlessness and elevated vital signs.

Collaborative goals are set with the patient, focusing on maintaining a clear airway, reducing secretions, educating on asthma management, and maintaining normal vital signs.

The nurse then implements interventions to achieve these goals, such as administering bronchodilators and corticosteroids, educating correct inhaler and spacer usage, and teaching anxiety-reducing techniques like deep breathing exercises.

Lastly, the nurse evaluates the patient's progress and updates the care plan.