MISSION:

VISION:
“MABINI COLLEGES shall cultivate Mabini Colleges shall provide quality instruction,
a MABINI COLLEGES, INC. research and extension service program at all
educational
CULTURE OF EXCELLENCE In
education”
Daet, Camarines Norte levels as its monumental contribution to national
growth
College of Nursing and Midwifery and development, producing God-fearing,
nation-loving, earth-caring, law-abiding, productive
and globally competitive graduates.

NURSING CARE PLAN (PEDIATRIC ASTHMA)

a
Name: Nelson Mentok Age: 9 years old Address: Purok 5, Brgy. Pamorangon Daet Camarines Norte

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NURSING
ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION

e d
Subjective: Activity intolerance After 5 hours of After 5 hours of

ar
may be related to therapeutic and therapeutic and
“Ayaw ko po imbalance between nursing interventions, nursing interventions,

sh
magparakibo. Ang oxygen supply and the client will be able the client was able to
pagod kasi. I don’t demand, as to show positive show positive
feel like playing with evidenced by progress in energy progress in energy

as
my friends kasi I feel lethargy, fatigue, pale and show enthusiasm and has shown
weak po ate. skin and exertional compared to gloomy enthusiasm compared
Nahihirapan po ako dyspnea. mood before. The to gloomy mood

w
huminga ng maayos child will also be before. The child was
so please talk to able to engage in also able to engage in

m e
mommy muna po. normal activities with normal activities with
Mapahinga muna po
ako.” as verbalized
co rc absence of fatigue.
On the other hand,
absence of fatigue.
On the other hand,
o. ou
by the patient. both the client and both the client and
parents will be able parents understood
“Nako yung papa to understand what what ways could be
er res

niya kasi ganiyan din ways could be done done to alleviate the
kapag inaatake ng to alleviate the situation.
asthma e. Wala ako situation.
maggawa
se dy

pinapagpahinga ko More specifically, the

nalang din siya kaya parents and the client
ur tu

ganon din ginagawa will be able to:

ko kay nonoy.” as
s

verbalized by the 1. Identify the extent 1. The nurse will 1. When dyspnea and This is evidenced by
H
is
Th

This study source was downloaded by 100000807808943 from CourseHero.com on 11-23-2021 04:29:53 GMT -06:00
 MISSION:
VISION:
“MABINI COLLEGES shall cultivate Mabini Colleges shall provide quality instruction,
a MABINI COLLEGES, INC. research and extension service program at all
educational
CULTURE OF EXCELLENCE In
education”
Daet, Camarines Norte levels as its monumental contribution to national
growth
College of Nursing and Midwifery and development, producing God-fearing,
nation-loving, earth-caring, law-abiding, productive
and globally competitive graduates.

watcher. of weakness and assess the presence of work of breathing the following:
fatigue caused by the weakness and fatigue tires down these 1. Identified the
Objective: airway problem. caused by airway energy reserves energy reserve of the

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- tired appearance problem. overtime. Assessment patient.
- lethargy offers information 2. Patient and parents

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- prolonged dyspnea about these reserves. are able to
due to asthma attack understand the

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- uninterested to talk concept of breathing
2. Incorporate 2. The nurse will 2. These exercises exercises and

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practice of breathing teach the client to do helps in performing establishes it for

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exercises. pursed-lip breathing efficient breathing by better recovery.
and diaphragmatic- maximizing the 3. Follows the

sh
VS taken as follows: breathing exercise. expansion of the suggested
Buteyko or Papworth lungs. The Buteyko comprehensive plan
T: 37.2 method of breathing breathing exercises on a daily basis and

as
BP: 100/70 may be introduced as and the Papworth understands its
RR: 27 bpm well. Have the method incorporate importance

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OSL: 90% client’s parent guide many different forms 4. Guidelines and
PR: 100 bpm the him in doing this of breathing with goals for each
exercises. calming training activity are fully

m e
techniques. It shows understood and there

co rc the client how to

breathe gently and
is an open
communication
o. ou
evenly through her between the
nose and diaphragm. healthcare provider,
er res
Client will also learn parents and client.
to manage her tension Positive
so that it does not encouragement is
interfere with her also observed.
se dy

breathing. These two

aid in the alleviation ____ Met
of asthma symptoms. ____ Partially Met
ur tu

3. Receive ____ Not Met

therapeutic 3. Create a 3. Creating a
s
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is
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This study source was downloaded by 100000807808943 from CourseHero.com on 11-23-2021 04:29:53 GMT -06:00
 MISSION:
VISION:
“MABINI COLLEGES shall cultivate Mabini Colleges shall provide quality instruction,
a MABINI COLLEGES, INC. research and extension service program at all
educational
CULTURE OF EXCELLENCE In
education”
Daet, Camarines Norte levels as its monumental contribution to national
growth
College of Nursing and Midwifery and development, producing God-fearing,
nation-loving, earth-caring, law-abiding, productive
and globally competitive graduates.

suggestions from the comprehensive plan comprehensive plan

nurse and healthcare as to what activities will allow the parents
provider on how to may be done while and the client to be

a
manage activity the child is still guided on what things
intolerance due to resting and should be done in a

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respiratory problem. recovering. daily basis while the
child is still

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3.1 Schedule and recovering. Having a
provide rest periods schedule promotes

e
in a calm, peaceful adequate rest and

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environment. Explain decreases stimuli.
the reason for the When the nurse

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need to conserve explains the reason
energy and avoid behind the need for
fatigue to parents and energy conservation,

as
child. this promotes
understanding of the

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3.2 The nurse will effect of activity on
inform parents to breathing and the
disturb client only

m e
need for rest to
when necessary, prevent fatigue. On
co rc perform all care at
one time instead of
the other hand,
avoiding unnecessary
o. ou
spreading over a long disturbances allows
period of time, avoid increase of energy
er res
doing any care or conserves and limits
procedures during an interruption in rest.
attack. Exercising may also
provide preventive
se dy

3.3 The nurse may measures to offset

encourage activities possible attack. Quiet
such as quiet play, activities also avoid
ur tu

reading, watching change in respiratory

movies, games during status energy
s
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is
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This study source was downloaded by 100000807808943 from CourseHero.com on 11-23-2021 04:29:53 GMT -06:00
 MISSION:
VISION:
“MABINI COLLEGES shall cultivate Mabini Colleges shall provide quality instruction,
a MABINI COLLEGES, INC. research and extension service program at all
educational
CULTURE OF EXCELLENCE In
education”
Daet, Camarines Norte levels as its monumental contribution to national
growth
College of Nursing and Midwifery and development, producing God-fearing,
nation-loving, earth-caring, law-abiding, productive
and globally competitive graduates.

rest, however depletion due to

reinforce activity or excessive use of effort
exercise limitations if and energy. Dangling

a
these trigger attack; legs for several
advise physician minutes prevents

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approved activities. orthostatic
hypotension while

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3.4 The nurse may doing activities more
assist the client to slowly and taking

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dangle the legs from pauses while in it

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the bed side for 10 to helps increase
15 minutes. Have the tolerance for activity.

sh
patient perform the Clients that are
activity more slowly, dehydrated can
in a longer time with benefit from IV fluid

as
more rest or pauses, therapy.
or with assistance if Bronchodilators and

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necessary. inhaled
corticosteroids are
3.5 The nurse will two medications that

m e
administer IV fluids can be recommended.

co rc and medication as
ordered. Also,
Hypoxemia, which
can be caused by
o. ou
administer oxygen as residual respiratory
needed. On the other secretions, can be
er res
hand, the nurse may treated with oxygen
also suggest for the therapy. It can also
parents to buy make it easier for the
Primatene Mist for a client to breathe. On
se dy

handy and portable the other hand, the

inhaler for sudden suggested Primatene
asthma attacks in Mist is the only FDA-
ur tu

case the client is approved, over-the-

outside hospital or counter asthma
s
H
is
Th

This study source was downloaded by 100000807808943 from CourseHero.com on 11-23-2021 04:29:53 GMT -06:00
 MISSION:
VISION:
“MABINI COLLEGES shall cultivate Mabini Colleges shall provide quality instruction,
a MABINI COLLEGES, INC. research and extension service program at all
educational
CULTURE OF EXCELLENCE In
education”
Daet, Camarines Norte levels as its monumental contribution to national
growth
College of Nursing and Midwifery and development, producing God-fearing,
nation-loving, earth-caring, law-abiding, productive
and globally competitive graduates.

home. inhaler. It provides

fast relief of mild
symptoms of sudden

a
asthma attacks
including wheezing,

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tightness of chest and
shortness of breath

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4. Gain motivation
and begin 4. The nurse will 4. Motivation and

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cooperation for the establish guidelines cooperation are

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betterment of the and goals of activity enhanced if the
client’s medical with the patient and patient participates in

sh
condition. parents. She will also goal setting. Open
encourage communication helps
verbalization of the patient to cope.

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feelings regarding Acknowledgment that
limitations. The nurse living with activity

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will additionally intolerance is both
provide emotional physically and
support and positive emotionally difficult.

m e
attitude regarding Providing moral

co rc abilities. support will

encourage the client
o. ou
to think positively and
enhance confidence
er res
over the situation by
lessening anxiety and
fear.
se dy
ur tus
H
is
Th

This study source was downloaded by 100000807808943 from CourseHero.com on 11-23-2021 04:29:53 GMT -06:00
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