Nursing Process

Assessment

History, precipitating factors, current medication, medication used to relieve asthma symptoms. Any recent changes in medication regimen. Self-care methods used to relieve symptoms.

Physical Examination

1. General appearance-apprehensive, sensorium, altered or not. 
2. Vitals: Tachycardia, Tachypnea, pulses paradoxus 

Pulmonary Examination

1. Use of accessory muscles to breath. 
2. Posture-forward breathing. 
3. Dyspnea 
4. Prolonged expiration 
5. Cynosis 
6. Decreased lateral expansion 
7. Decreased tremitus 
8. Hyperresonance 
9. Decreased diaphragmatic excursion 
10. Inspiratory and expiratory wheezing 
11. Rhonchi (as patient gets exhausted due to dyspnea, breath sounds and adventious founds may be absent or faint).