I.01010 Manajemen Asma

Definisi : Memberikan pertimbangan untuk memecahkan masalah keperawatan dan atau kesehatan yang dialami pasien, keluarga, kelompok atau komunitas melalui media telepon

Tindakan

Observasi

  1. Monitor frekuensi dan kedalaman napas
  2. Monitor tanda dan gejala hipoksia (mis. gelisah, agitasi, penurunan kesadaran)
  3. Monitor bunyi napas tambahan (mis. wheezing,mengi)
  4. Monitor saturasi oksigen

Terapiutik

  1. Berikan posisi semi Fowler 30-45 derajat
  2. Pasang oksimetri nadi
  3. Lakukan penghisapan lendir, Jika perlu
  4. Berikan oksigen 6-15 liter via sungkup untuk mempertahankan SpO2 > 90%
  5. Pasang jalur intravena untuk pemberian obat dan hidrasi
  6. Ambil sampel darah untuk pemeriksaan hitung darah lengkap dan AGD

Edukasi

  1. Anjurkan meminimalkan aktivitas yang dapat meningkatkan kebutuhan oksigen
  2. Anjurkan bernapas lambat dan dalam
  3. Ajarkan teknik pursued-lip breathing
  4. Ajarkan mengidentifikasi dan menghindari pemicu (mis. debu, bulu hewan, serbuk asap, rokok, polutan udara, suhu lingkungan ekstrem, alergi makanan)

Kolaborasi

  1. Kolaborasi pemberian bronkodilator sesuai indikasi (mis. albuterol, metaproterenol)
  2. Kolaborasi pemberian obat tambahan jika tidak responsif dengan bronkodilator (mis. prednisolone, methylprednisole, aminophyline)

Daftar Pustaka

PPNI (2018). Standar Intervensi Keperawatan Indonesia.

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