8 Asthma Nursing Care Plans

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In this guide are eight (8) NANDA nursing diagnosis for asthma nursing care plans including their nursing assessment and interventions. Learn more about the goals, related factors and rationale for each nursing interventions for asthma.

What is asthma?

Asthma is a chronic inflammatory lung disease that causes airway hyperresponsiveness, mucus production, and mucosal edema resulting in reversible airflow obstruction. Allergens, air pollutants, cold weather, physical exertion, strong odors, and medications are common predisposing factors for asthma. When an individual is exposed to a trigger, an immediate inflammatory response with bronchospasm happens. This inflammatory process leads to recurrent episodes of asthmatic symptoms such as cough, dyspnea, wheezing, and increased mucus production.

Status asthmaticus is severe and persistent asthma that does not respond to usual therapy; attacks can occur with little or no warning and can progress rapidly to asphyxiation.

Nursing Care Plans

The nursing care plan goals for asthma focuses on preventing the hypersensitivity reaction, controlling the allergens, maintaining airway patency and preventing the occurrence of reversible complications.

Here are eight (8) nursing care plans and nursing diagnosis for asthma:

  1. Ineffective Breathing Pattern
  2. Ineffective Airway Clearance
  3. Deficient Knowledge
  4. Anxiety
  5. Activity Intolerance
  6. Health-Seeking Behaviors: Prevention of Asthma Attack
  7. Interrupted Family Processes
  8. Fatigue
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Fatigue

Nursing Diagnosis

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  • Fatigue

Related Factors

Common related factors for this nursing diagnosis:

  • Increased work of breathing
  • Hypoxia
  • Respiratory distress

Defining Characteristics

The common assessment cues that could serve as defining characteristics or part of your “as evidenced by” in your diagnostic statement.

  • Apprehensiveness
  • Dyspnea
  • Frequent request for someone to be in the room
  • Restlessness
  • Tachycardia
  • Tachypnea

Desired Outcomes

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Common goals and expected outcomes:

  • Patient will demonstrate decreased fatigue as evidenced by less irritability and restlessness, improved sleeping pattern, and ability to perform usual activities.

Nursing Interventions and Rationales

Here are the nursing assessment and interventions for this asthma nursing care plan.

Nursing InterventionsRationale
Nursing Assessment
Monitor vital signs every 4 hours. Monitor frequency of work of breathing.Identifying and notifying changes  allows immediate action that find a solution to the problem and minimize the occurrence of fatigue.
Assess for signs of hypoxia such as change of level of consciousness, shortness of breath, tachycardia, irritability, fatigue, restlessness.Determining these symptoms immediately allows timely management and minimize fatigue.
Therapeutic Interventions
Encourage simple, quiet, age-appropriate play activities as the child’s condition improves.Physical and emotional comfort has a positive effect on the general well-being, encourages relaxation, and decrease oxygen consumption and fatigue.
Schedule and integrate nursing care to allow periods of uninterrupted rest and sleep. Provide a quiet and peaceful environmentThese interventions encourages rest and lessens stress, oxygen consumption, and fatigue.
Allow the presence of a parent (if with with younger children) or significant others during care.The presence of significant others minimizes anxiety and fear hence it can lessen oxygen expenditure and fatigue.

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Recommended Resources

Recommended nursing diagnosis and nursing care plan books and resources.

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See Also

Other recommended site resources for this nursing care plan:

Other nursing care plans related to respiratory system disorders:

References and Sources

The following are the references and sources for the nursing diagnosis and nursing care plan for asthma:

  • Ackley, B. J., Ladwig, G. B., Msn, R. N., Makic, M. B. F., Martinez-Kratz, M., & Zanotti, M. (2019). Nursing Diagnosis Handbook E-Book: An Evidence-Based Guide to Planning Care. Mosby. [Link]
  • Carpenito-Moyet, L. J. (2006). Handbook of nursing diagnosis. Lippincott Williams & Wilkins. [Link]
  • Joyce, B. M., & Jane, H. H. (2008). Medical surgical nursing. Clinical management for positive outcome. Volume 1. Eight Edition. Saunders Elsevier. St. Louis. Missouri. [Link]
  • Pellico, L. H., Bautista, C., & Esposito, C. (2012). Focus on adult health medical-surgical nursing. [Link]
  • Yang, B. H., Chen, Y. C., Chiang, B. L., & Chang, Y. C. (2005). Effects of nursing instruction on asthma knowledge and quality of life in schoolchildren with asthma. The journal of nursing research: JNR13(3), 174-183. [Read Abstract]
Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession.
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