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Assessment Subjective: "Nahihirapan huminga yung anak ko." as verbalized by the mother.

Objective: Diminished or adventitious breath sounds (rales, crackles, rhonchi, wheezes) Changes in respiratory rate and rhythm. V/S taken as follows: T = 36oC CR = 126 RR = 28

Diagnosis Ineffective Airway clearance related to Bronchial Asthma

Inference Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway. Bronchial asthma is a chronic inflammatory disease of the airways, associated with recurrent, reversible airway obstruction with intermittent episodes of wheezing

Planning After 3 days of nursing intervention, the client will demonstrate behaviors to improve airway clearance.

Intervention Independent: Position head midline with flexion appropriate for age/condition. Provide supplemental humidification, if needed. Auscultate breath sounds and assess air movements. Dependent: Administer analgesics.

Give expectorants/ bronchodilators as ordered. Collaborative: Assist with procedures.

Monitor/ document serial chest x-rays/ ABG's/ pulse oximetry readings.

Rationale

Evaluation After 3 days of nursing intervention, the client will demonstrate behaviors to improve airway clearance.

To open or maintain airway in at rest or compromised individual. To mobilize secretions.

To ascertain status and note progress.

To improve cough when pain is inhibiting effort. To mobilize secretions.

To clear/ maintain open airway. To assess changes, note complications.