When monitoring for ineffective clearance the nurse should
Monitor skin , temp & level of (LOC)
Cyanosis, cool clammy skin & decreased LOC indicates worsening
Assess ABG results & SpO2 readings
Notify medical team of values/ change in status

Interventions for ineffective airway clearance due to asthma
Interventions:
Place in or the position to facilitate breathing &
lung expansion (assists in reducing the )
Administer O2 as ordered
Administer medications as ordered
Initiate or assist with chest physiotherapy: postural drainage &
percussion to facilitate movement of
Increase patient’s intake to reduce viscosity of secretions
Provide endotracheal as necessary

Ineffective breathing due to acute asthma
Interventions:
Provide between activities
Teach breathing techniques to control breathing pattern (i.e lip or abdominal breathing)

Patient education:
Assess the patient’s of asthma and their medications
Ask them to you how they use their meds
Involve the in this education
Provide and instructions
Consider a referral to other supports or educational services

Asthma first aid

1) Sit the person upright. Provide .
2) Give puffs of . Use a , if available.
Puff at a time with breaths between each puff.
3) Wait minutes. If the person still cannot breath normally, give additional puffs.
4) If the person still cannot breath normally - contact 000.
Keep giving puffs every minutes until the ambulance arrives.