NURA 303 Concept Map Asthma case study

NURA 303 Fundamentals of Nursing Care
Concept Map Template
Student’s Name: Corry Trocheck Date:
Client’s Initials: JD

Key Problem #_2__ Key Problem #_3__
Key Problem #_1__
Nursing diagnosis: Ineffective airway Nursing diagnosis:
Nursing diagnosis: Impaired gas
clearance r/t bronchospasms and
exchange r/t mismatch of Ineffective breathing
increased pulmonary secretions aeb
ventilation and perfusion aeb O2 pattern r/t spasm of the
dyspnea, non-productive cough,
90%, R- 24, pCO2 - 46 airway aeb SOB,
wheezing, R-24, bilateral lung
wheezing, pCO2 - 46
Subjective/objective assessment congestion, O2 90%, pCO2 - 46
data: Client says she hasn’t taken
her asthma medication in past 2 Subjective/objective assessment
days; working hard to breathe as data: Client says she hasn’t taken her Subjective/objective
she speaks; SOB; O2 90%, pCO2 - asthma medication in past 2 days; assessment data:
46 working hard to breathe as she Difficulty speaking
speaks; SOB without struggling to
(Vera, 2012) breathe,
(Martin, 2016)
(Taylor, Lynn, & Bartlett, 2019, p. (Taylor, Lynn, & Bartlett, 2019, p.
1488, 1497, 1499) 1488, 1497, 1499)


Key Problem #___ Key Problem #___

Nursing diagnosis: Diagnoses/Surgical Procedure: n/a Nursing diagnosis:

Subjective/objective Medical diagnosis: Status asthmaticus Subjective/objective
assessment data: Reason for needing health care: SOB assessment data:

Key Assessments:
0800 vital signs – B/P 130/80, P- 108, R –
28, T - 100.0 F, O2 sat 89% ABG- pH-7.35
pCO2- 46 HCO3- 26, paO2- 88

1030 vital signs - B/P 130/80, P-101, R- 24,
T- 100.1F, O2 sat- 90%

bilateral lung congestion with wheezing
throughout, non-productive cough.



Key Problem #___
Key Problem #___ Key Problem #___
Nursing diagnosis:
Nursing diagnosis: Nursing diagnosis:
Subjective/objective
Subjective/objective Subjective/objective
assessment data:
assessment data: assessment data: