Asthma Management Plan for Mr. Wellington in Critical Care

The assignment provides an analysis of managing a critical asthma patient named Mr. Wellington. It involves identifying changes in vital signs such as low blood pressure and increased temperature, which signal significant health concerns like reduced oxygen saturation levels. The main issues revolve around asthmatic reactions possibly triggered by allergens. Goals are set to improve respiratory conditions through family involvement and medical interventions over a two-week period. Nursing actions include advising the patient's family on at-home care and continuous monitoring of the patient’s condition, aiming for stable recovery of respiratory functions and general health improvement. The expected outcomes focus on achieving steady recovery from asthma-related issues and avoiding future triggers. Reflections highlight the importance of managing asthma effectively to prevent fatal complications, emphasizing a clean environment free from allergens.

Consider the patient
situation
 What current
information do you
have on this pt?
 What new information
have you gathered?
We have Mr. Wellington, admitted in room 35. He is 70 years old and Asthmatic. He was
admitted yesterday under critical conditions and he is under Dr. Smile. He has had positive
progress but his BP has dropped dramatically in which he needed 3 fluid challenges of 500 ml
each. He has a wife and 3 daughters and two sons. One daughter and one son are Asthmatic.
Collect Cues/Information
 What further cues and
information would be
useful? Why?
The patient’s body temperature is 38.5. I have also checked his respiratory Rate at 23 and 75%
O2 saturation level. His blood Pressure is at 100/50 and he has been using Albuterol Inhaler to
manage the condition (K., Aitken, & Duffield, 2009).
Process Information
 What changes do you
notice in the cues and
information provided?
 Which changes are
significant for this
patient and why?
 What do you think
these changes could
indicate and why?
 What could be the
outcome of these
changes?
The patient’s BP is low below the recommended standard.
The patient’s temperature is slightly higher therefore his room conditions are being regulated.
However the two only worrying situations is his BP and Oxygen saturation rate.
The patient needs oxygen booster and some few fluid challenges to boost his BP.
His conditions indicate allergic reactions to specific conditions that stimulate the Asthma.
Identify Problems/issues
 Given the facts that
you have available and
comparing those to
what you think the
changes could
indicate/identify one
potential patient
Mr Wellington’s Asthmatic stimulation is resulting from a allergic stimulations and setting a
clean environment is fundamental.
This could also be controlled by establishing causes or triggers of his Asthmatic condtions.

References
K., H., Aitken, L., & Duffield, C. (2009). A comparison of novice and expert nurses‟ cue collection during clinical decision-making: Verbal protocol
analysis. International Journal of Nursing Studies , 1335-1344 .
Levett-Jones, T., Hoffman, K., Dempsey, Y., Jeong, S., Noble, D., Norton, C., et al. (2011). The „five rights‟ of clinical reasoning: an educational
model to enhance nursing students‟ ability to identify and manage clinically "at risk" patients. Nurse Education Today , 515-520.