Bronchial Asthma Nursing Care Plans

Definition
Bronchial asthma is a disease caused by increased responsiveness of the tracheobronchial tree to various
stimuli. The result is paroxysmal constriction of the bronchial airways. Bronchial asthma is the more
correct name for the common form of asthma.
Nursing diagnosis : Ineffective airway clearance RT bronchoconstriction, increased mucus production,
and respiratory infection AEB wheezing, dyspnea, and cough
Interventions Rationale
1. Adequately hydrate the pt.

2. Teach and encourage the use of diaphragmatic
breathing and coughing exercises.

3. Instruct pt to avoid bronchial irritants such as
cigarette smoke, aerosols, extremes of
temperature, and fumes.
4. Teach early signs of infection that are to be
reported to the clinician immediately.
Increases sputum production
Change in color of sputum
Increased thickness of sputum
Increased SOB, tightness of chest, or
fatigue
Increased coughing

Fever or chills
5. If indicated, perform postural drainage with
percussion and vibration in the morning and at
night as prescribed.
6. Assist in administering nebulizer, as indicated.
7. Administer ATX as prescribed.

1. Systemic hydration keeps secretion
moist and easier to expectorate.
2. These techniques help to improve
ventilation and mobilize secretions
without causing breathlessness and
fatigue.
3. Bronchial irritants cause
bronchoconstriction and increased
mucus production, which then
interfere with airway clearance.
4. Minor respiratory infections that are
of no consequence to the person with
normal lungs can produce fatal
disturbances in the lungs of an
asthmatic person. Early recognition is
crucial.
5. Uses gravity to help raise secretions
so they can be more easily
expectorated.
6. This ensures adequate delivery of
medications to the airways.
7. Antibiotics may be prescribed to treat
the infection.

Nursing diagnosis : Ineffective breathing pattern r/t presence of secretions AEB productive cough and
dyspnea
Interventions Rationale
1. Establish rapport.
2. assess pt.s condition
3. VS monitor and record
4. Auscultate breath sounds and assess airway
pattern
5. Elevate head of the bed and change
position of the pt. every 2 hours.
6. Encourage deep breathing and coughing
exercises.
7. Demonstrate diaphragmatic and pursed-lip
1. To gain pt.s trust.
2. To obtain baseline data
3. Serve to track important changes
4. to check for the presence of adventitious
breath sounds
5. To minimize difficulty in breathing

6. To maximize effort for expectoration.

7. To decrease air trapping and for efficient
breathing.
8. Encourage increase in fluid intake
9. Encourage opportunities for rest and limit
physical activities.
10. Reinforce low salt, low fat diet as ordered.

breathing.
8. To prevent fatigue.

9. To prevent situations that will aggravate
the condition

10. To mobilize secretions.






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Name : Deince Dianna
Class : 2C
NIM : 3013041030