Breath sounds in Asthma
Vital signs in Asthma
Increased RR Increased HR
CXR in Asthma
Hyperluscent or Black
Chest Assessment / Percussion
Obstructive or Restrictive ?
Obstructive Obstructive means Airway DIsease
ABG in Asthma
Some sort of Respiratory Acidosis with Hypoxemia
Is Asthma Unilateral or Bilateral?
Is Asthma Acute or Chronic?
Chronic Asthma is chronic but unlike other chronic lung diseases it is intermittent
Airways increased resistance or Lung decreased compliance?
Increased Airway Resistance
Asthma Diagnostic Test?
PFT reversability FEV1.12% Peak Flow huge as well
None to White Esinophils create white sputum secondary allergic type reactions
History or cause of disease
History is generally Pt was exposed to an allergen prior to admission
Pathophysiology of Asthma
Allergic swelling edema of airways
Asthma Medication Recommendations
Fast onset Bronchodialtator IV Steroids such as Solumeterol
Ventilator or NPPV Recommendations
Avoid if Possible Paralyze with intubation for status asthmaticus use pancuronium
Work of the Heart & or Heart /Lung interaction in Asthma
Pulsus Paradoxus Decreased Systolic BP on inhalation
Fatal signs ? Decreased LOC
Fatal signs ?
Decreased LOC, Decreased BP, Decreased RR
Increased WOB and accessory muscle use
Asthma Action Plan
Proper MDI use, daily inhaled steroid(controler) vs rescue or short acting beta agonist