Jennelyn Amado

Ragina Aguila
Jerika Abejo
Moheeden Ali
Charles Adalin
 PREDISPOSING
Childhood Separation Anxiety PRECIPITATING
Gender (women) Environmental Influences
Heredity Stimulants and drugs
Hyperventilation Syndrome Alcohol, medication or
Phobia (Agoraphobia drug withdrawal

Treated with
Frequently sudden onset of fear with little
Benzodiazepi
Leads to
 Release of

Leads
Leads to
to
Treated with
Vasoconstriction Increase Rapid Sweating
heart rate propanol
Causes
Resulting
Drop in
propanol carbon
dioxide levels
in the lungs &
lightly less blood flow to blood

Causes

Shifts of blood pH
(respiratory alkalosis or hypocapnia)

Leads
 Panic attack
Manifested

CARDIO
VASCULAR
*Palpitation
*Pounding NERVOUS
heart RESPIRATORY
INTEGUMENTARY *Sensations of *Fear of dying
*Accelerated
*Sweating SOB *Fear of losing GASTRO
*Chills or and smothering control or INTESTINAL
hot flashes *Chest pain going crazy *Nausea
*Depersonalization

Gives rise to
Nursing Diagnosis: Ineffective airway clearance
related
to decreased fatigue secondary to panic attack
Cues:
Subjective: px v erbalized “hala dai ga lisud ko ug
ginhawa”.
Objective: Evaluation:
Statement of DOB After 2 hours of effective nursing
Abnormal breath sounds Intervention
Persistent cough Px will be able to demonstrate
improved ventilation
Nursing Intervention:
Auscultate breath sounds
Assess RR
Keep environmental pollution to a minimum
Increase fluid intake
Collaborative
Administer medications such as beta agonist,
bronchodilators and antimicrobial
Provide supplemental humidification
Assist with respiratory tx
Nursing diagnosis: Decreased cardiac output r/t Alteration in rate,
rhythm,electrical conduction secondary to panic attack
Cues:
Subjective: px verbalized “hala dai oi ga guot akong dughan”.
Objective:
Increased hr (tachycardia) Evaluation:
Decreased urine output After 3 hours after of effective
Chest pain nursing intervention
Diminished peripheral pulses px will be able to display
Changes in bp vital signs within normal limits
Nursing Intervention:
Auscultate apical
Note heart sounds
Palpate peripheral pulses
Monitor bp
Inspect for skin pallor
Collaborative:
Administer supplemental oxygen as needed
Administer medications such as Diuretics and vasodilators
Nursing Diagnosis: Anxiety r/t
underlying pathologic response
secondary to panic attack
Cues
Subjective:
Px verbalized “wa na dai la na koy nada”.
Objective:
Increased tension Evaluation:
Fear of death After 8 hours of effective
Uncertainty nursing
Helplessness intervention px will be
Nursing Intervention: able to verbalize
Explain purpose of tests feelings of awareness
Promote expression of feelings and demonstrate effective
Tell client to take medical regimen coping strategies
Collaborative:
Administer sedatives