# Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is high...

###### Question:

Concept Map: Asthma Mark Norse, a 22-year-old man, who lives in a small mountain town in Colorado, is highly allergic to dust and pollen. Anxiety seems to play a role in exacerbating (triggering) his asthma attacks. Mr. Norse's wife drove him to the clinic this morning when his wheezing worsened and did not respond to belclomethosone (Vanceril) and ipratropium bromide (Atrovent) inhalers. Upon arrival his vital signs are B/P 152/84, P 124, R 42, T. 100.4. You start Mr. Norse on 02 4L/min via nasal cannula and an IV of D/5W at a KVO rate of 40gtts/hour. His ABG's are pH 7.31, CO2 26, HCO3 26 and 02 sats at 88%
After several hours of intravenous and oral rehydration and a second Albuterol treatment, Mr. Norse's wheezing and chest tightness resolve, and he is able to expectorate his secretions. The physician discusses Mr. Norse's asthma management with him and tells the patient that his inhalers meet his needs on a day-to-day basis but fail him during an asthma attack. The physician discharges the patient with the following prescriptions: Oral steroid "burst" prednisone 40mg orally for 5 days Albuterol (Proventil) MDI and a spacer
Asthma Nursing Diagnosis Nursing Diagnosis Interventions Interventions Positive Outcomes Positive Outcomes Negative Outcomes Negative Outcomes Evaluation Evaluation

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