MindMap Gallery Care of patients with bronchial asthma (asthma)
This is a mind map about the care of patients with bronchial asthma (asthma). It is an essential review material to share. If you need it, collect it quickly!
Edited at 2024-04-05 15:34:29Ce calendrier annuel, créé avec EdrawMax, présente une disposition claire et organisée des mois de janvier à décembre. Chaque mois est affiché dans un cadre distinct, montrant les jours de la semaine et les dates correspondantes. Les weekends (samedis et dimanches) sont mis en évidence pour une meilleure visibilité. Ce format est idéal pour la planification et l'organisation des activités tout au long de l'année, offrant une vue d'ensemble rapide et facile à consulter.
This quarterly calendar overview for 2026, created with EdrawMax, presents a structured and colorful layout of the entire year divided into four quarters. Each quarter is displayed in a separate column, showcasing the months within that quarter in a clear grid format. The days of the week are labeled, and each date is marked within its respective cell, allowing for easy identification of dates across the year. This calendar is an excellent tool for long-term planning, providing a comprehensive view of the year at a glance.
This weekly calendar for 2026 is designed using EdrawMax to provide a detailed and organized view of each week, starting from January. The left side features a mini monthly calendar for quick reference, highlighting the current week in yellow. Below it, there's a section for weekly goals to help prioritize tasks. The main area is a time-grid from 6:00 AM to 12:00 AM, divided into half-hour slots, allowing for precise scheduling of daily activities throughout the week. This layout is ideal for managing a busy schedule efficiently.
Ce calendrier annuel, créé avec EdrawMax, présente une disposition claire et organisée des mois de janvier à décembre. Chaque mois est affiché dans un cadre distinct, montrant les jours de la semaine et les dates correspondantes. Les weekends (samedis et dimanches) sont mis en évidence pour une meilleure visibilité. Ce format est idéal pour la planification et l'organisation des activités tout au long de l'année, offrant une vue d'ensemble rapide et facile à consulter.
This quarterly calendar overview for 2026, created with EdrawMax, presents a structured and colorful layout of the entire year divided into four quarters. Each quarter is displayed in a separate column, showcasing the months within that quarter in a clear grid format. The days of the week are labeled, and each date is marked within its respective cell, allowing for easy identification of dates across the year. This calendar is an excellent tool for long-term planning, providing a comprehensive view of the year at a glance.
This weekly calendar for 2026 is designed using EdrawMax to provide a detailed and organized view of each week, starting from January. The left side features a mini monthly calendar for quick reference, highlighting the current week in yellow. Below it, there's a section for weekly goals to help prioritize tasks. The main area is a time-grid from 6:00 AM to 12:00 AM, divided into half-hour slots, allowing for precise scheduling of daily activities throughout the week. This layout is ideal for managing a busy schedule efficiently.
Care of patients with bronchial asthma (asthma)
Overview
Definition: airway inflammation caused by a variety of cells and tissue → airway hyperresponsiveness → reversible airflow limitation
Differences Between COPD: Is Airflow Limitation Reversible?
Features
① Aggravated in the early morning and at night (vagus nerve excitement at night → smooth muscle contraction) ② Most can be relieved by themselves
Cause
own factors
Polygenic inheritance (family aggregation)
environmental triggers
Dust (wet cleaning of wards), dust mites, fungi, oil fume, Pollen, irritating gases, food allergies (high protein: fish, shrimp, crab), drugs...
Pathogenesis
airway inflammation
airway hyperresponsiveness
airway remodeling
care
nursing assessment
health history
① Family history (asthma) ② Past history: rhinitis, etc. ③ Environmental exposure history
physical symptoms
symptom
① Expiratory dyspnea accompanied by wheezing (dry rales), chest tightness and cough during the attack, severe cases sitting upright; ② Intensified at night or early in the morning ③❶Exercise-type asthma: attacks during exercise; ❷Atypical asthma: no wheezing symptoms, only paroxysmal cough, chest tightness and other symptoms ❸Variant asthma: only cough symptoms ❹Atypical asthma/chest tightness Variant asthma: only chest tightness symptoms)
physical signs
①View: Sitting with forward leaning ②Touch: Breathing, rapid heartbeat, odd pulse (pulse disappears when inhaling) ③Buckle: Too voiceless (a lot of gas), severe cases show silent lung (gas can’t go in and out) ④Listen: wheezing sound
Auxiliary inspection
Pulmonary function tests
1. Pulmonary ventilation function test: FEV1↓, FEV1/FVC%↓, residual volume↑
2. Bronchial provocation test: : airway hyperresponsiveness
3. Bronchodilation test: : Reversible airflow limitation
4. Peak expiratory flow (PEF): day and night PEF≥20%
Gold index for asthma diagnosis: day and night PEF ≥ 20%; provocation/relaxation test
Sputum test/blood routine
Eosinophils ↑ (allergic reaction)
blood gas analysis
①During hypoxia: PaO2↓②During hyperventilation: Excessive CO2 exhalation, PaO2↓, PH↑, respiratory alkalosis ③Severe asthma, CO2 retention, PaO2↑, PH↓, respiratory acidosis
Checking for specific sources of variation
IgE; skin variation source detection/inhalation variation source detection
Diagnostic criteria
Atypical persons (at least one of the three items is sexual): ① Diurnal PEF variation rate ≥ 20%; ② Diastolic test ③ Provocation test
Grading and Staging
installment
Acute attack stage: sudden exacerbation, characterized by decreased expiratory flow
Chronic duration: Symptoms appear at different frequencies and to varying degrees within a week
Clinical remission period: one year without any symptoms (i.e. asthma control level is achieved)
Control level classification
Mild: shortness of breath when walking upstairs; concatenating words into sentences when speaking
Moderate: Shortness of breath when doing a little activity; speaking and speaking.
Severe: Shortness of breath when resting, unable to speak a single word when speaking
Critical: unable to speak
Asthma control level classification
Complete control: no seizures at night
Partial control: No attacks at night
psychosocial status
Nursing diagnosis
Inefficient respiratory patterns associated with bronchospasm
Ineffectiveness in clearing the respiratory tract is related to bronchial mucosal edema and increased secretions
anxiety
Activity intolerance is related to hypoxia
Treatment plan is ineffective
Potential complications: Aspiration Fluid depletion (water and electrolyte imbalance) (profuse sweating)
Planning and Implementation
general care
① Get rid of allergens and adjust your body position ② Keep the ward quiet and tidy with wet cleaning ③ Avoid high-protein diet and eat light and easy-to-digest food
Maintain open airways and effective breathing patterns
body position
cough deep breath
Oxygen inhalation: When PaO2<60, PaCO2>50, perform mechanical ventilation
Test respiratory and circulatory functions
Medication and Care
anti-inflammatory drugs
Glucocorticoids (anti-inflammatory → relieve airway edema and airway hyperresponsiveness)
Inhalation: ① long-term asthma treatment medication ②Adverse reactions: ❶Oral fungal infection (gargle, check) ❷Gastrointestinal ulcer ❸Diabetes ❹Obesity ❺Hypertension ③Do not reduce the dosage or stop the medication on your own
oral intravenous
leukotrienes
Long-term treatment and prevention
Adverse reactions: gastrointestinal reactions
Sodium cromoglycate and sodium nidonate (inhibiting the release of mediators from hypertrophic cells)
Cromoglycate sodium: chest tightness
Sodium Nidonate: dizziness and drowsiness (cannot be taken when working at heights or driving for a long time)
Antispasmodic and antiasthmatic drugs
B2 receptor agonists
Short-acting: asthma acute attack drugs; efficacy 4-5 hours (albuterol, terbutaline)
Long-acting: formoterol, salmeterol; effective for more than 12 hours
Precautions: ① Intermittent administration ② Do not use it for a long time, single or excessively; otherwise there will be: arrhythmia, hypokalemia, skeletal muscle tremor
Aminophylline
Function: relax bronchial smooth muscle; strengthen heart; diuretic (detect urine output and heart rate)
Mode of administration: slow intravenous infusion of low concentration (intravenous boosting is prohibited)
The "therapeutic window" is narrow and blood drug concentration is detected
Adverse reactions: gastrointestinal reactions, respiratory center excitement, convulsions and even death in severe cases
Anticholinergic drugs (inhibit vagal N, relax bronchial smooth muscle)
Acute attack of moderate to severe asthma
Adverse reactions: dry mouth (drink more water), bitter mouth
Maintain fluid and electrolyte balance
Water intake 3000ml
keep body clean
Oral Care Skin Care
reduce anxiety
health guidance