Develop health educational tool to support Ms Fatmah in controlling her disease upon her discharge from the hospital.

Ms Fatmah is a 35-year-old mother of two school-age boys who arrives via ambulance in the emergency department (ED) with severe wheezing, dyspnea, and anxiety. She was in the ED 6 hours earlier with an asthma attack.

Subjective Data

• Treated during previous ED visit with nebulized albuterol and responded quickly

• Allergic to cigarette smoke

• Began to experience increasing tightness in her chest and shortness of breath when she returned home following her previous ED visit

• Used the albuterol several times after she returned home with no relief

• Diagnosed with asthma 2 years ago

• Does not have a health care provider and is not on any medications

Objective Data

Physical Examination

• Sitting upright and using accessory muscles to breathe

• Talks in one- to three-word sentences

RR: 34 and shallow

• Audible wheezing

• Auscultation of lung fields reveals no air movement in lower lobes

• HR: 126 bpm

• Noted to be extremely anxious and restless

Diagnostic Studies

• ABGs: pH 7.46, PaCO2

36 mm Hg, PaO2

76 mm Hg, O2

saturation 88%

• Chest x-ray: bilateral lung hyperinflation with lower lobe atelectasis

• CBC with differential and electrolytes: within normal limits

An IV is started in her left forearm with normal saline infusing at 100 mL/hr

1- Develop health educational tool to support Ms Fatmah in controlling her disease upon her discharge from the hospital.