NURS 201 PALS Tutoring Quiz 3
• Asthma
o Intermittent obstructive airways
o Reversible, not progressive
o Risk Factors:
▪ Tobacco use
▪ GERD
▪ Air Pollutants
• Smog
• Dust
• Pollen
▪ Smoking
▪ Allergies
▪ Genetics is the most common
• The more risk factors, the...
This study source was downloaded by 100000834306259 from CourseHero.com on 04-20-2022 01:51:32 GMT -05:00
https://www.coursehero.com/file/126175971/NURS-201-PALS-Tutoring-Quiz-3docx/NURS 201 PALS Tutoring Quiz 3
•Asthma
oIntermittent obstructive airways
oReversible, not progressive
oRisk Factors:
▪Tobacco use
▪GERD
▪Air Pollutants
•Smog
•Dust
•Pollen
▪Smoking
▪Allergies
▪Genetics is the most common
•The more risk factors, the more likely they will develop asthma
oSigns and Symptoms:
▪Wheezes
▪Chest tightness
▪Persistent cough
▪Dyspnea
oEarly Symptoms:
▪Increase pH
•Respiratory alkalosis
▪Restlessness
▪Agitation
▪Tachycardia
▪Tachypnea
▪Anxiety
oLate Symptoms:
▪Bradycardia
▪Cyanosis
▪Stupor
▪Body gets tired when body is undergoing respiratory alkalosis->
respiratory acidosis -> respiratory failure
oIf pt has chest tightness and coughing, what are some nursing interventions?
▪Give O2 in a hospital setting
▪Use a rescue inhaler if not in a hospital This study source was downloaded by 100000834306259 from CourseHero.com on 04-20-2022 01:51:32 GMT -05:00
https://www.coursehero.com/file/126175971/NURS-201-PALS-Tutoring-Quiz-3docx/oPatient
Teaching:
▪Prevention
•Ways to prevent developing an asthma attack
•Avoid triggers
oABG Interpretation/Analysis
▪pH 7.35-7.45
•Below: Acidosis
•Above: Alkalosis
▪HCO3 22-26
•Below: Acidosis
•Above: Alkalosis
▪CO2 35-45
•Below: Alkalosis
•Above: Acidosis
▪Uncompensated
•pH is out of range
▪Compensated
•pH is normal
•CO2 and HCO3 out of range
▪Partially Compensated
•Everything is out of range
oBest way to diagnose asthma
▪Pulmonary function test
•Uses incentive spirometry ->take the levels of bronchodilators -
> retake incentive spirometry -> of the levels increased = pt has
asthma
▪Patient Teaching:
•No bronchodilators and no smoking
o6-12 hours before
oMedications for Asthma
▪Beta 2 adrenergic agonists (bronchodilators)
•First line drug therapy
•Administered through a nebulizer or meter dosed inhaler
•Short acting agonists
oAlbuterol (rescue inhaler)
▪Can be administered through meter dose or dry powder
▪S/E
•Tachycardia
•Angina
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