Jeany H.

Venus
BSN-II
Health Teaching Plan
General Objective:
By health teaching the patient gain sufficient knowledge about the nature of
bronchial asthma and will apply to their daily living by means of preventing signs and
symptoms and promoting healthy lifestyles necessary for their health.

Specific Objective:
o
o
o
o

Prevent troublesome symptoms night and day

Prevent serious attacks
Require little or no reliever medication
Have a productive, physical, psychological, and social active lives

Definition
Asthma is a chronic inflammatory disorder of the airways. Chronically inflamed
airways are hyper responsive; they become obstructed and airflow is limited by
bronchonstriction, mucus plugs, and increased inflammation when airways are exposed
to various risk factors
Bronchial asthma triggers may include:

Smoking and secondhand smoke

Infections such as colds, flu, or pneumonia
Allergens such as food, pollen, mold, dust mites, and pet dander
Exercise
Air pollution and toxins
Weather, especially extreme changes in temperature
Drugs (such as aspirin, NSAIDs, and beta-blockers)
Food additives (such as MSG)
Emotional stress and anxiety
Singing, laughing, or crying
Perfumes and fragrances
Acid reflux

Signs and Symptoms

Shortness of breath
Tightness of chest
Wheezing
Excessive coughing or a cough that keeps you awake at night

Medications
Inhaled corticosteroids. These anti-inflammatory drugs include fluticasone (Flonase,
Flovent HFA), budesonide (Pulmicort Flexhaler, Rhinocort), flunisolide (Aerospan HFA),
ciclesonide (Alvesco, Omnaris, Zetonna), beclomethasone (Qnasl, Qvar), mometasone
(Asmanex) and fluticasone furoate (Arnuity Ellipta).
Leukotriene modifiers. These oral medications including montelukast (Singulair),
zafirlukast (Accolate) and zileuton (Zyflo) help relieve asthma symptoms for up to 24
hours.
Long-acting beta agonists. These inhaled medications, which include salmeterol
(Serevent) and formoterol (Foradil, Perforomist), open the airways.
Combination inhalers. These medications such as fluticasone-salmeterol (Advair
Diskus), budesonide-formoterol (Symbicort) and formoterol-mometasone (Dulera)
Theophylline. Theophylline (Theo-24, Elixophyllin, others) is a daily pill that helps keep
the airways open (bronchodilator)

Quick-relief (rescue) medications:

Short-acting beta agonists. These inhaled, quick-relief bronchodilators act within
minutes to rapidly ease symptoms during an asthma attack. They include albuterol
(ProAir HFA, Ventolin HFA, others) and levalbuterol (Xopenex).
Ipratropium (Atrovent). Like other bronchodilators, ipratropium acts quickly to
immediately relax your airways, making it easier to breathe.
Oral and intravenous corticosteroids. These medications which include
prednisone and methylprednisolone relieve airway inflammation caused by severe
asthma.

Allergy medications may help if your asthma is triggered or worsened by allergies.

Allergy shots (immunotherapy)
Omalizumab (Xolair)

EXERCISE
Get regular exercise
Maintain a healthy weight.
Control heartburn and gastroesophageal reflux disease (GERD).
TREATMENT
Bronchial thermoplasty

HYGIENE:

Clean regularly. Clean your home at least once a week. If you're likely to stir up
dust, wear a mask or have someone else do the cleaning.

Cover your nose and mouth if it's cold out. If your asthma is worsened by cold
or dry air, wearing a face mask can help.

DIET:

Fruits with high content of Vitamin C and E

Increase intake of green leafy vegetables

Vitamin D

Maintain healthy weight

What food to avoid?

Reduce salt intake

Monosodium glutamate (MSG)

Sulphites