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RNSG 1533 Asthma Cheat Sheet
- Course
- RNSG 1533
- Institution
- San Antonio College
This is a comprehensive and detailed simple nursing template; cheat sheet on Asthma for RNSG 1533.
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RespiratoryAsthma
Pathophysiology Teaching - Peak Expiratory Flow Rate
• A chronic inflammatory disorder in the major Sort of like a weather forecast - we want to anticipate
pathways of the lungs: Bronchi & Bronchiole a Severe asthma attack - before it happens!
• Asthma comes & goes with flare-ups in the fo
of asthma attacks & these ARE REVERSIBLE! Green zone
• Green means go.
Memory Trick: • Asthma is around 80 - 100% under control.
A - Asthma
A - Acute Attacks that come & go Yellow zone
Yellow means mellow.
Asthma is NOT under control here! So there is a
HUGE need for additional medication
1. Rescue drug every 4 hours for 1-2 days
2. Call HCP (provider)
NEED additional meds or change in treatment
S Red zone
• Red means Really bad!
mmediately if the level
fter taking rescue drugs!
Correct Order - Peak Flow Meter
1. Stand or sit in upright position
900
800
700
600
500
400
300
200
00
2. Put the flow meter scale to 0 or
lowest value
3. Inhale deeply
4. Put the mouthpiece in mouth &
A 3 A’s create a seal with the lips
100
200300
Absent Breath Sounds (Silent Chest) PRIORITY
400
500
600
700
800
900
5. Exhale as quickly & forcibly as
Acidosis (CO2 retention) possible & record reading
320
Air trapping - Prolonged exhalation 6. Repeat 2 more times, with a
break of 5 -10 seconds between
7. Record 1 score = the HIGHEST
of the 3 attempts
Hypercapnic respiratory failure = HIGH CO2
Hyper Capnic = High Carbon dioxide
S S - Smoking (second hand cigarette smoke)
S - Stress (emotional, physical)
ABG (Arterial Blood Gas)
pH less than 7.35 = Acidosis 0₂
0₂
0₂
0₂ K
PaCO2 - Over 45 = Acidosis when which statement is made?
PaO2 - Less than 80! = Hypoxic “Stress does not cause
my asthma attacks”
* 1st Sign of Hypoxia = Mental Status Change
1. Agitation
PRIORITY • S - Sickness (Influenza, URI)
2. Restlessness NCLEX TIP
• S - Severe weather (cold)
3. Drowsiness
• S - Strenuous activity - NO need to avoid
Status Asthmaticus NCLEX TIP • Take meds before the exercise!
1. Endotracheal Intubation Drugs to AVOID
• N - NSAIDS Naproxen, Aspirin, ibuprofen, indomethacin,
& ketorolac
• N - Not good for Asthma
Diagnostics • B - Beta blockers
• PFT - pulm function test (not usually tested) • B - Blocked HR & lungs
• Propranolol (Inderal) = Non Selective
• Atenolol = Selective (cardio “Beta 1” selective)
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