First, bronchial asthma;
Second, the nursing diagnosis:
A. Impaired gas exchange: breathing 28 times/min, pulse 130 times/min, panting with the mouth open, sweating profusely, slight cyanosis of the lips, clear sounds in both lungs, obviously prolonged breathing, accompanied by extensive wheezing;
B. danger of insufficient body fluid: eat less, urinate 300ml4 hours ago;
Third, the nursing measures:
A. General care
1, diet care, giving a light nutrition diet, drinking more water and eating more fruits and vegetables.
2. Give spiritual comfort and psychological care.
3, semi-recumbent position, keep the ward quiet and clean, and reduce the adverse stimulation to patients.
B. Symptomatic care
1. To know whether the patient has other diseases and use bronchial antispasmodics correctly.
2. Give oxygen reasonably, encourage drinking more water, and ensure a certain amount of water every day.
3, help expectoration, turn over and pat the back, atomization inhalation, etc.
Fourth, pay attention to the effect of aerosol inhalation therapy, because it was "ineffective" before. I don't understand the rest, and I don't know much about nursing.
Verb (abbreviation of verb) health education
1, flowers, grass, carpets, etc. It is forbidden to appear in the living room.
2. Avoid foods that induce asthma in patients, such as fish and shrimp.
3. Avoid irritating gas, smoke, dust and lampblack.
4. Avoid mental stress and strenuous exercise.
5. Avoid colds and upper respiratory tract infections.
6. Look for allergens and avoid contact with allergens.
7. If you smoke, please quit smoking.