Nursing care of severe asthma.doc

 PAGE \* MERGEFORMAT 8 Nursing care of severe asthma [Keywords:] severe asthma care (A) of the disease observed Observation is the basis of illness care is the most important part of the most comprehensive and detailed and has a predictable observation can provide a valuable treatment time for patients. 1. Closer observation of consciousness and vital signs of patients as well as urine output, etc., in order to grasp the progress of the disease. 2. Observe the drug effects and side effects, such as the application of theophylline drugs, pay attention to whether patients with nausea, vomiting, arrhythmia and other adverse reactions. With particular attention to drugs after the application of corticosteroid side effects, inhaled corticosteroids may cause local adverse reactions, such as bacterial infections beads throat, hoarseness, usually reversible. and long-term systemic glucocorticoid treatment can cause severe systemic side effects, including osteoporosis, hypertension, fluid retention, weight gain, moon face , non-suppurative necrosis of the femoral head. 3. To understand the cause of relapse and allergic asthma and avoid triggers. 4. Close observation of an asthma attack aura symptoms such as chest tightness nasopharyngeal itching, coughing, sneezing, etc. If the above symptoms should immediately inform your doctor as soon as possible to take corresponding measures. 5. Closely observed whether patients with spontaneous pneumothorax, dehydration, acidosis, electrolyte imbalance, complications such as atelectasis or with complications. (B) symptomatic care 1. To take a comfortable position, to enable patients to take seats, bed, small table put, alleviate dyspnea. 2. According to the results of blood gas analysis, give oxygen nasal cannula or mask. Oxygen flow 1-3L/min, in order to avoid airway drying, inhalation of oxygen should be warm and humid. 3. Promote expectoration, sputum viscosity inevitabl