Question

PN 200 Fundamentals of NursingII Asthma - Albuterol M. MZ is a 66 year-old male, lives in a two story home in rural Vermont. He complains of shortness of breath, wheezing and cough, primarily at night. MZ telis the nurse that he takes multiple asthma medications, and one of them is albuterol which is administered via a nebulizer. He is 5 feet 11 inches tall and weighs 118 pounds. He admits to loss of appetite and reports "I eat enough to keep going." 1. In reporting that he takes "multiple asthma medications" what is the first question you need to ask him? What questions would you ask him regarding his home? 2. 3. Mr. MZ reports administering his albuterol via nebulizer. What patient teaching would you do? 4. Why would his cough be mostly at night and what recommendations would you make to ensure he gets sufficient rest? Based on his weight and his height, what dietary recommendations could you make for this patient? 5. st levant ausing dagnoses for this patient? Reviewed 12/18

Answer 1

1, First question you have to ask the patient regarding his multiple medications " do you have the medication list or prescription?
2, Ask a question to the patient regarding airborne substance near to his home like pollen, dust mites, spores, pet particles, etc. Exposure to various irritants like this can trigger allergies and increase the signs and symptoms of asthma.
3, Take Albuterol medicine using a facemask with the nebulizer. Take it 3 to 4 times daily for about 5 to 15 minutes. You must use this medicine only through the nebulizer. should not mix this medicine with other medicine in a nebulizer to prevent infections.
4, coughing at night with asthma called nocturnal asthma. It is serious condition that needs proper diagnosis and effective treatment. in the case of asthma during sleep the airway will be narrow and increase airflow resistance. can cause nighttime coughing and tightening the airway. allergen exposure occurs in the evening than morning times, it increases the sensitivity and severity during nighttimes.
The prescription inhaler can stop a cough at night due to asthma. it opens the airway and make breathing easier and clear the airway.
5, the patient needs 1600kcal/day as per his weight and height. Patients with asthma need to maintain their body weight to relieve symptoms and chronic conditions. Diet with fruits and vegetables and vitamin C and E, beta carotene, flavonoids, magnesium, selenium, omega 3 fatty acids can lower the asthma attack. Antioxidants can protect the cell from getting damage. loss of appetite can be prevented with small meals to avoid gastroesophageal reflux disease.
6, Ineffective airway clearance due to cough and wheezing.
Deficient knowledge for medication intake
Ineffective breathing pattern due to shortness of breath
Health -seeking behavior: prevention of Asthma attack due to environmental factors.