LYCEUM-NORTHWESTERN UNIVERSITY
COLLEGE OF NURSING
Related Learning Experience Plan
2nd Semester 2020-2021
Course Title: CARE OF MOTHER, CHILD AT RISK OR WITH PROBLEMS (ACUTE AND
CHRONIC) NCM 109
NURSING CARE PLAN
Assessment Planning Implementation Rationale Evaluation
Problem: Short-term Goal: Independent -to be able to Goal Partially
Nursing reduce patient Met:
Bronchial asthma After 4 hours of Intervention: exposure
nursing -Identify and After nursing
Data: intervention the eliminate the intervention the
Subjective/Objective patient will presence of patient was able
demonstrate an environmental to demonstrate
-Assessment findings improved factors that can decreased signs
reveal presence of ventilation and trigger his asthma of respiratory
cough, nasal flaring adequate distress
and wheezes upon oxygenation of -Auscultate breath -To note for
auscultation tissues and absence sounds adventitious
of signs of breath sounds.
- PR is 110 bpm respiratory distress -Monitor vital
signs -To assess the
- RR = 25 breaths/min Long-term Goal: severity of
with a peak flow of Dependent patient condition
50% oxygen -Preventing long Nursing
saturation of 95% term symptoms Intervention:
that interfere with - help clear
- daily living, such Doctor prescribed mucus from the
as coughing or a bronchodilator lungs, to
shortness of breath improved
during the night or breathig
Nursing Diagnosis: after exercise
Collaborative
Ineffective breathing Management:
pattern related to
smooth constriction of Promote optimal
bronchioles patient care
LYCEUM-NORTHWESTERN UNIVERSITY
COLLEGE OF NURSING
Drug Study:
Name of the Classification Indications Side Effects Nursing
drug Implications
Therapeutic -To control and -Nervousness -Assess lung
Albuterol bronchodilator prevent reversible sounds, PR and
airway obstruction -tremor BP before drug
caused by asthma administration
-Headache and during peak
-quick relief for of medication
bronchospasm -Palpitations -Advise the
patient to rinse
-long term control -Insomnia mouth with
Dosage agent for patients water
with chronic or -If administering
-children age 6- Mechanism of persistent medication
12 years old 2.5 Action bronchospasm through
mg/ 3 mL inhalation, allow
-it relieves nasal Adverse Effects at least 1 minute
congestion and between
reversible -nausea and inhalation of
bronchospasm vomiting aerosol
by relaxing the Contraindications medication.
smooth muscle
of the -Cardiac disease
bronchioles. including coronary
insufficiency, a
history of stroke
-Hypertension
-hyperthyroidism