Asphyxia nursing care for asphyxia should be clear enough, because asphyxia is a fatal disease and harm life. Please read and follow these nursing care guide lines!

Asphyxia Definition

Asphyxia is an oxygen insufficiency condition and carbon dioxide accumulation inside the blood and tissue. These circumstances are caused by respiration problems and it can cause cardiopulmonary arrest. This is a fatal disease if it is not handled quickly.

Etiology

Conditions or substances that block the respiration process:

  • Extra pulmonary obstruction like trachea tumor compression, strangulation, trauma, or shallow respiration
  • Hypoventilation which is caused by opioid, medullar disease or hemorrhage, pneumothorax, respiratory muscle paralysis, or cardiopulmonary blockage
  • Toxic agent inhalation like carbon monoxide toxicity, smoke inhalation, and excessive oxygen inhalation
  • Intrapulmonary obstruction like airway obstruction, severe asthma, aspiration, and drowning.

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Sign and symptoms

  • Agitation and confusion makes coma
  • Respiration function changes like apnea, bradipnea, or tachypnea
  • Restless
  • Central and peripheral cyanosis (mucosa is bright red when last stadium carbon monoxide poisoning)
  • No breathing sound or decrease breathing sound
  • Dyspnea
  • Tachycardia, bradycardia, or no pulse
  • Seizure

Diagnosis examination

  1. Analysis blood gas indicate oxygen partial pressure less than 60 mm Hg and carbon dioxide partial pressure more than 50 mm Hg
  2. Chest x-ray shows foreign things, pulmonary edema, or atelectasis
  3. Toxicology test shows medicine or chemical substances
  4. Blood test detects abnormal count of hemoglobin
  5. Pulmonary function test indicates respiratory muscle weakness.

Treatment

  1. Help respiration quickly with CPR (Cardio Pulmonary Resuscitation), endotracheal intubation, and supplementation oxygen.
  2. After the steps above: help the asphyxia problem based on its etiology:
    1. Bronchoscopy to help pull out the foreign things in lung
    2. Opioid antagonist like naloxone to help opioid overdose
    3. Gastric lavage to help poisoning inside stomach
    4. Limit oxygen for narcosis carbon dioxide which is caused by excessive oxygen therapy

Asphyxia Nursing care

In asphyxia nursing care, there are only three nursing care plan as follows;

  1. Support patient during respiratory distress therapy, because respiratory distress makes anxiety toward his / her condition
  2. Suck the respiration secret carefully as needed, suggest patient to do deep breath routinely
  3. Monitor vital sign and laboratory results
  4. To prevent drug-triggered asphyxia, remind patient about the dangerous of alcohol with depressant agent if he / she consumes it at the same time.