Question

What are 3 nursing diagnoses, interventions & scientific rationales for status asthmaticus in a 32 month yr old?

Answer 1

The chronic inflammation of lung tissue is known as asthma. It is triggered by allergens, physical exercise, cold weather, medications etc. and can cause obstruction of airways leading to breathing difficulty. Status astmaticus is the severe form of asthma which will not respond to usual treatment modalities and leading to serious effects.

Nursing diagnosis, interventions & scientific rationales for status asthmaticus in toddler.

Nursing diagnosis	Interventions	Scientific rationales
Ineffective airway clearance related to bronchospasms and mucosal edema as evidenced by adventitious lung sounds and dyspnea.	Asses vital signs, pulse oximetry, respiratory pattern, rate and rhythm Asses skin, lips and nails for color changes. Administer oxygen therapy Arrange for mechanical ventilation.	To know about the important changes in the respiratory pattern, oygen level in blood. Cyanosis is the indication of impaired breathing machanism and low tissue perfusion. To maintain tissue perfusion.
Activity intolerance related to dyspnea and fatigue as evidenced by inability to speak, eat and play.	Assess the level of physical activity . encourage quite play, games and watching movies. provide calm and quite environment and perform care all in one time and avoid unnecessary disturbance.	To know the level of fatigue and weakness caused by disease condition. to avoid excess physical activity and to reduce energy expenditure. To promote adequate rest and avoid asthma triggering stimulus.
Interrupted Family Processes related to sick child and emergent hospitalization as evidenced by parental stress and difficulty in making child-rearing decisions.	Assess the level of coping by parents. Encourage to ask questions and ventilate feelings. Provide access to community support groups and agencies and encourage their use.	To promote positive coping mechanisms. To reduce parental stress and to help adapting to the childs condition. To promote positive adaptation to the current situation and relieve stress.