A pediatric asthma care plan should focus on relieving symptoms, preventing attacks, and helping the child and family manage triggers confidently.
Assessment
Monitor respiratory rate, oxygen saturation, work of breathing, wheeze, cough, speech, activity tolerance, and response to bronchodilators. Identify triggers such as respiratory infections, dust, smoke, cold air, exercise, pets, or allergens.
Sample Nursing Diagnoses
- Ineffective airway clearance related to bronchospasm and mucus.
- Impaired gas exchange related to airway obstruction.
- Anxiety related to difficulty breathing.
- Deficient knowledge regarding inhaler use and trigger avoidance.
Nursing Interventions
- Position the child upright and administer prescribed oxygen and bronchodilators.
- Assess response after each treatment and escalate care for severe distress.
- Teach correct inhaler or spacer technique and cleaning of devices.
- Develop a written asthma action plan with medication schedules and emergency instructions.
- Reduce exposure to smoke, dust, and other identified triggers.
Evaluation
Effective care is shown by normalizing respiratory rate, improved oxygen saturation, reduced wheeze, better sleep and activity, and fewer emergency visits. Family education is essential for long-term control.