List of Nursing Diagnosis for Asthma

4 Nursing Diagnosis for Asthma


1. Ineffective Airway Clearance

Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway

Defining Characteristics:

• Dyspnea;
• diminished breath sounds;
• orthopnea;
• adventitious breath sounds (crackles, wheezes);
• cough, ineffective or absent;
• sputum production;
• cyanosis;
• difficulty vocalizing;
• wide-eyed;
• changes in respiratory rate and rhythm;
• restlessness

Related Factors:

Environmental

• Smoking;
• smoke inhalation;
• second-hand smoke

Obstructed Airway

• Airway spasm;
• retained secretions;
• excessive mucus;
• presence of artificial airway;
• foreign body in airway;
• secretions in bronchi;
• exudate in alveoli

Physiological

• Neuromuscular dysfunction;
• hyperplasia of bronchial walls;
• chronic obstructive pulmonary disease;
• infection;
• asthma;
• allergic airways

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels

• Respiratory Status: Ventilation
• Respiratory Status: Airway Patency
• Respiratory Status: Gas Exchange
• Aspiration Control

Client Outcomes

• Demonstrates effective coughing and clear breath sounds; is free of cyanosis and dyspnea
• Maintains a patent airway at all times
• Relates methods to enhance secretion removal
• Relates the significance of changes in sputum to include color, character, amount, and odor
• Identifies and avoids specific factors that inhibit effective airway clearance

NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels

• Airway Management
• Airway Suctioning
• Cough Enhancement

https://nanda-nic-noc.blogspot.com/2013/03/ineffective-airway-clearance-nursing.html


2. Impaired Gas Exchange

Excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane

Defining Characteristics:

• Visual disturbances;
• decreased carbon dioxide;
• dyspnea;
• abnormal arterial blood gases;
• hypoxia;
• irritability;
• somnolence;
• restlessness;
• hypercapnia;
• tachycardia;
• cyanosis (in neonates only);
• abnormal skin color (pale, dusky);
• hypoxemia;
• hypercarbia;
• headache on awakening;
• abnormal rate, rhythm, depth of breathing;
• diaphoresis;
• abnormal arterial pH;
• nasal flaring

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels

• Respiratory Status: Gas Exchange
• Respiratory Status: Ventilation
• Tissue Perfusion: Pulmonary
• Vital Signs Status
• Electrolyte and Acid-Base Balance

Client Outcomes

• Demonstrates improved ventilation and adequate oxygenation as evidenced by blood gases within client's normal parameters
• Maintains clear lung fields and remains free of signs of respiratory distress
• Verbalizes understanding of oxygen and other therapeutic interventions

NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels

• Airway Management
• Oxygen Therapy
• Respiratory Monitoring
• Acid-Base Management

https://nanda-nic-noc.blogspot.com/2013/03/impaired-gas-exchange-nursing-diagnosis.html


3. Imbalanced Nutrition: less than body requirements

Intake of nutrients insufficient to meet metabolic needs

Defining Characteristics:

• Body weight greater than or equal to20% under ideal weight;
• pale conjunctival and mucus membranes;
• weakness of muscles required for swallowing or mastication;
• sore, inflamed buccal cavity;
• satiety immediately after ingesting food;
• reported or evidence of lack of food;
• reported inadequate food intake less than RDA (Recommended Dietary Allowance);
• reported altered taste sensation;
• perceived inability to ingest food;
• misconceptions;
• loss of weight with adequate food intake;
• aversion to eating;
• abdominal cramping;
• poor muscle tone;
• abdominal pain with or without pathology;
• lack of interest in food;
• capillary fragility;
• diarrhea and/or steatorrhea;
• excessive loss of hair;
• hyperactive bowel sounds;
• lack of information;
• misinformation

Related Factors:
Inability to ingest or digest food or absorb nutrients because of biological, psychological, or economic factors

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels

• Nutritional Status
• Nutritional Status: Food and Fluid Intake
• Nutritional Status: Nutrient Intake
• Weight Control

Client Outcomes

• Progressively gains weight toward desired goal
• Weight is within normal range for height and age
• Recognizes factors contributing to underweight
• Identifies nutritional requirements
• Consumes adequate nourishment
• Free of signs of malnutrition

NIC Interventions (Nursing Interventions Classification)

Suggested NIC Labels

• Nutrition Management
• Eating Disorders Management
• Electrolyte Management: Hypophosphatemia
• Enteral Tube Feeding
• Feeding
• Nutrition Therapy
• Nutritional Counseling
• Nutritional Monitoring
• Swallowing Therapy
• Weight Gain Assistance
• Weight Management

https://nanda-nic-noc.blogspot.com/2013/04/imbalanced-nutrition-less-than-body.html


4. Deficient Knowledge 


Absence or deficiency of cognitive information related to a specific topic

Defining Characteristics:

• Verbalization of the problem;
• inaccurate follow-through of instruction;
• inaccurate performance of test;
• inappropriate or exaggerated behaviors (e.g., hysterical, hostile, agitated, apathetic)

Related Factors:

• Lack of exposure;
• lack of recall;
• information misinterpretation;
• cognitive limitation;
• lack of interest in learning;
• unfamiliarity with information resources

NOC Outcomes (Nursing Outcomes Classification)

Suggested NOC Labels

• Knowledge of: Diet
• Disease Process
• Energy Conservation
• Health Behaviors
• Health Resources
• Infection Control
• Medication
• Personal Safety
• Prescribed Activity
• Substance Use Control
• Treatment Procedure(s)
• Treatment Regimen

Client Outcomes

• Explains disease state, recognizes need for medications, understands treatments
• Explains how to incorporate new health regimen into lifestyle
• States an ability to deal with health situation and remain in control of life
• Demonstrates how to perform procedure(s) satisfactorily
• Lists resources that can be used for more information or support after discharge

https://nursing-nic-noc.blogspot.com/2013/10/deficient-knowledge.html

Tag : Deficient Knowledge, Imbalanced Nutrition, Impaired Gas Exchange, Ineffective Airway Clearance, Nursing Diagnosis