Best practice of asthma and chest pain care
The best practice for acute nursing care for an asthma attack that entails breathing and chest pain management is explained by National Asthma Council Australia 2015 and Chest Pain Evaluation (NSW Chest Pain Pathway) respectively. Australia is the world’s leader in addressing asthmatic conditions and gives the best approach to nursing care for an asthma attack. The National Asthma Council Australia 2015 is a policy that revolves on asthma attack treatment procedures. The first process is to assess the severity of the illness. This can be done through noting deviation in vital signs such as body temperature, blood pressure and respiratory rates among others. This goes hand in hand with administering bronchodilator treatment (Reddel et al. 2015 pp.25).
Oxygen therapy is administered through oxygen saturation in a case the patients’ blood saturation has gone below 92%. The completion of the physical assessment against the vital signs is superseded by administration of corticosteroids. This should be done not later than four hours of admission to the health facility. Reassessment continues until the patient recovers. This follows laboratory assessments that will ascertain the severity and need for other treatments. The patient should be admitted to the hospital or intensive care unit in case the laboratory tests indicate necessity for additional treatments. After the respiratory difficulties are resolved, the patient should be observed for at least one hour before been discharged. Arrangements of post-acute care such as clinic visits and monthly checkups should be arranged before the patient is discharged (Reddel et al. 2015 pp.25).
The best practices of chest pain management are discussed in NSW Chest Pain Pathway (Boufous & Kelleher 2003 pp.2). This policy requires all the healthcare centers to embrace the NSW Chest Pain Pathway in their emergency department when handling chest pains. According to Boufous & Kelleher (2003 pp.2), for the management of chest pain, triage category 2 should be assigned first to determine the severity of the illness and inform the patients whose care is not urgent on their waiting time. This can be achieved through Electrocardiography and recording of ECGs. Troponin levels and vital signs are documented, and aspirin is administered to the patient. According to this provision, further medical support and assessment should be administered by a senior medical officer within 24 hrs. Cardiologist is also assigned to provide advice on further chest pain management if the symptoms persist. Diagnosis of higher risk chest pain attacks such as aortic dissection, pulmonary embolism and pericarditis are addressed through the STEMI management strategy