¨ Give psychological support to the patient and his/her family .
¨ Assess vital signs every hour when patient is in distress.
¨ Note color changes (lips, bucal mucosa, nail beds).
¨ Administer medications as ordered: IV fluids, IV Theophylline may be ordered for severe attacks, steroids, and others.
¨ Keep head of bed elevated to allow for adequate lung excursion and chest expansion
¨ Assess whether medication used for treatments is effectively relieving symptoms leading to distress.
¨ Auscultate lungs for early detection and correction of abnormalities.
¨ Assess for dyspnea, use of accessory muscles, coastal retractions, and flaring of the nares.
¨ Give humidified oxygen as ordered.
¨ Maintain patient airway.
¨ Encourage oral fluid intake by providing water.
¨ Observe the signs of dehydration.
¨ Keep the patient as calm as possible. Anxiety during an asthma attack can further potenciate the exacerbation
¨ Encourage patient to cough, especially after treatments.
¨ Assess color and amount of urine because concentrated urine denotes fluid deficit.
¨ Explain the importance of remaining as calm as possible.
¨ Provide diversional activities.
¨ Allow family to remain with patient if possible.
¨ Provide prevented care such as:
. Home management of acute attacks.
. Reinforce need for taking prescribed medications as ordered to minimize distress.
¨ Offer a good sanitary education in relation with the disease.
¨ Teach good health habits.
¨ Teach the family how to administer respiratory treatments, respiratory physiotherapy, and inhalers.