Nursing care for patients with asthma attacks: Two case studies.

Abstract

      This study was case study to compare 2 asthma patients with acute attacks admitted to Rongkham Hospital. Tools used to collect information include: Data from outpatient medical records Information on services provided at the outpatient asthma clinic Inpatient information, observation, interviews with patients and relatives Analyze comparative data according to health patterns, pathology, symptoms and treatments. Nursing record using the concept of patient assessment according to Gordon's 11 health models. To know the problems and needs of patients Use the information obtained to plan nursing care for asthma patients with acute asthma attacks. Define nursing diagnosis Provide nursing care and evaluate nursing outcomes.
     Results: Case study number 1, male, 29 years old, congenital disease: asthma, high blood pressure, main symptoms: cough, difficulty breathing for 2 days. This patient was treated by using steroid inhalers and inhalers. bronchial dilatation Injection medicine to stop inflammation Cough medicine to expel phlegm Give oxygen to relieve shortness of breath. After receiving treatment, symptoms gradually improved. The doctor sent it home. Treatment duration: 4 days, based on history of treatment at the asthma clinic. The patient stopped taking the medication himself for 2 years and 7 months, smoked 10 cigarettes/day and was exposed to dust every day due to raising fighting cocks. Was hospitalized with bronchitis on May 26, 2020, had pneumonia on March 27, 2023. Case study number 2, female, 60 years old, with asthma. The main symptoms were coughing and wheezing for 3 hours. She was treated with inhalers and oral steroids. Give oxygen to relieve symptoms of shortness of breath, fatigue, cough medicine to expel phlegm. Bronchodilator inhaler Injection medicine to stop inflammation Injectable medicine and oral antibiotics due to lung infection The patient stayed in the hospital for 6 days and returned to normal without any complications. From the history of receiving treatment at the asthma clinic This patient came to receive medication irregularly and injected steroid medication intermittently. Use charcoal for cooking Burn trash at home 2 – 3 times/week. Resulting in exposure to dust, smoke, and still unable to control asthma symptoms. During the months of January - September 2023, the patient came for treatment at the emergency room with symptoms of coughing and wheezing 6 times and received a bronchodilator spray. Thus relieving the symptoms of asthma. From the history of the two case studies, the patients had a high chance of having asthma attacks.