Asthma- Risk-for- Activity- Intolerance

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					Medical Diagnosis: Bronchial Asthma
Problem: Risk for Activity Intolerance RT Decreased Oxygenation

    Assessment           Nursing Diagnosis            Scientific               Planning                  Interventions             Rationale                Evaluation
                                                    Explanation
Subjective: (none)     Risk for Activity       Inadequate oxygen in      Choose:                   1. Monitor VS.            1. For baseline data.     Patient will
                       Intolerance r/t         the circulation can       Patient will                                        2. To identify            participate willingly
Objective:             decrease                develop weakness in       participate willingly     2.    Assess motor            causative factors.    in necessary/ desired
 Immobility           oxygenation             our muscles. Muscles      in necessary/ desired           function.           3. To identify            activities such as
 Weakness                                     need oxygen to move       activities such as        3.    Note contributing       precipitating         deep breathing
                                               and to do its             deep breathing                  factors to fatigue.     factors.              exercises.
                                               function. If the          exercises.                4.    Evaluate degree
                                               patient cannot                                            of deficit.         4. To identify
                                               tolerate any activities                                                           severity.             Patient will perform
                                               because of the low        Patient will perform      5.    Ascertain ability                             ADL’s within client’s
                                               oxygenation caused        ADL’s within client’s           to stand and        5. To identify            ability and
                                               by the ventilation-       ability and                     move about.             necessity of          participates in
                                               perfusion imbalance       participates in           6.    Assess emotional        assistive devices.    desired activities.
                                               caused by the             desired activities.             or psychological    6. Stress and/or
                                               pathological                                              factors                 depression may        Patient will be able to
                                               minimized lung            Patient will be able to   7.    Plan care with          increase the          increase activity
                                               expansion.                increase activity               rest periods            effects of illness.   tolerance AEB
                                                                         tolerance AEB                   between             7. To reduce fatigue      attendance of self-
                                                                         attendance of self-             activities                                    care needs.
                                                                         care needs.               8.    Increase
                                                                                                         activity/exercise   8. Minimizes muscle       Patient will be able to
                                                                         Patient will be able to         gradually such as       atrophy,              gradually increase
                                                                         gradually increase              assisting the           promotes              activity within level
                                                                         activity within level           patient in doing        circulation, helps    of ability
                                                                         of ability                      PROM to active          to prevent
                                                                                                         or full range of        contractures          (change will to shall
                                                                                                         motions.                                      then shift to past
                                                                                                   9.    Provide adequate                              tense)
                                                                                                         rest periods.       9. To replenish
                                                                                                   10.   Assist client in        energy.
                                                                                                         doing self care
                                                                                                         needs               10. To promote




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                           independence
                           and increase
11. Elevate arm and        activity tolerance
    hand               11. Promotes venous
12. Place knees and    12. Maintains
    hips in extended       functional
    position               position




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posted:2/9/2011
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