Pathophysiology
Precipitating Predisposing Age-73 years old Hereditary - asthma History of cigarette smoking (10 years and can consume 2 packs per day)
Histamine
Bradikynin
Prostaglandin
Contraction of the bronchial smooth muscles that encircles the airway (bronchospasm)
Crackles/Rales Attraction of WBC to the area Productive cough (whitish sputum in minimal amount) Edema of the airway Deposition of collagen below the basement membrane Diagnostic Exam: Chest X-ray
Airway constriction or bronchoconstriction NAC 200 mg, 1 sachet in glass water q 8h Increase work of breathing Hyperinflation of alveoli Increase resistance to airflow
Weak Cough
Inadequate exchange of O2 and CO2 Tachycardia110bpm Paleness, BP- 140/80Capillary refill 5Seconds, fatigue, altered sleep pattern, feeling of physically drained
Hypoxemia
Interventions: >Oxygen administration through mechanical ventilator attached to ET Tube >Monitor pulse oximetry > Elevated head of bed and advised to sit-up in his bed. >Turned the client on his side every 2 hours
Legend
Pathophysiology
Diagnostic Exam
Medications
Intervention
Complication