Topics: Nursing care plan, Asthma, Nursing Pages: 40 (5531 words) Published: February 1, 2014


We would like to thank these people for making this case study a successful one: • Our ever-supportive and loving parents, for imparting their trust to us and providing us financial support to come up with this kind of activity. • To SPO4 Joel A. Balio, for welcoming us and allowing us to stay in their residence. • To our client, who trusted us and allowed us to conduct a case study about her condition and being open to all the necessary things that we need to know. • To the hospital personnel, for permitting us to use their confidential documents about our client to be our source of information. • To our clinical instructor, Ms. Josefina Balote, RN, MN, for guiding us throughout our duty; and • Lastly, to the almighty God, the Father, who guides us always and gives us good health and open mind for us to be able to finish this said study.

Without these people, we won’t be able to do the things that we need to do and we won’t be able to learn from this case study. From the bottom of our hearts, thank you so much! May God bless us always.

Table of Contents

Acknowledgement ii
I. Introduction1
II. Objectives of the study4
III. Assessment5
IV. Course in the Ward15
V. Laboratory and Diagnostic Examination25

I. Anatomy and Physiology31
II. Etiology40
III. Symptomatology44
IV. Pathophysiology49
V. Written Pathophysiology54

I. Nursing Care Plan56
II. Discharge Plan69
III. Pharmacological Management74

I. Conclusion 82
II. Patient’s Prognosis82
III. Recommendation 83
IV. Evaluation 84
V. Bibliography85

List of Figures

1. Vital Sign11
2. Course in the Ward15
3. Hematology Report25
4. Urinalysis26
5. Blood Test28
6. Blood Chemistry: Test for Electrolytes29
7. Arterial Blood Gas29
8. Immunoassay30
9. Respiratory System31
10. Etiology40
11. Symptomatology44
12. Pathophysiology49
13. Nursing Care Plan 156
14. Nursing Care Plan 258
15. Nursing Care Plan 362
16. Nursing Care Plan 465
17. Discharge Plan69
18. Pharmacology Management74
19. Patient’s Prognosis82

Chapter 1

I. Introduction

Background of the study
“Look to your health; and if you have it, praise God and value it next to conscience; for health is the second blessing that we mortals are capable of, a blessing money can't buy. “--Izaak Walton The quote expresses the thought that health is wealth; that good health is equal to having everything in the world. It states that health is the best thing God could give us. We should be thankful for it, live it well, and most of all be contented of what we have for it is a blessing more important than money. Achieving good health is a way of thanking Him in return of giving us this life. Bronchiectasis is a disease state defined by localized, irreversible dilation of part of the bronchial tree caused by destruction of the muscle and elastic tissue. It is classified as an obstructive lung disease, along with emphysema, bronchitis, asthma, and cystic fibrosis. Involved bronchi are dilated, inflamed, and easily collapsible, resulting in airflow obstruction and impaired clearance of secretions. Bronchiectasis is associated with a wide range of disorders, but it usually results from bacterial infections, such as infections caused by the Staphylococcusor Klebsiella species, or Bordetella pertussis. In the history, Rene Laënnec, the man who invented the stethoscope, used his invention to first discover bronchiectasis in 1819. The disease was researched in greater detail by Sir William Oslerin the late 1800s; it is suspected that Osler actually died of complications from undiagnosed...

Bibliography: Birthday: August 24, 1944
Birthplace: Sugod, Cebu City
Religion: Catholic
Date of Admission: July 08, 2012
C. History of Present Illness
Nanay Hika was admitted on June 8, 2012 at 09:06 in the morning at Bishop Joseph Regan Memorial Hospital, Tagum City
F. Patient Need Assessment
Date: July 09, 2012
Date/ Admission Time: July 08, 2012 at 09:06 AM,
Arrived on Unit by: stretcher From: Emergency Room
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