ALDRIN M.

PAULINO BSN 3A

Case Scenarios: Allergic Rhinitis

Allergic Rhinitis
For Student 1:
Shane was brought to OPD due to frequent sneezing, stuffy nose, itchy throat and red watery eyes. Usually she
experiences this since childhood and it persisted now that she is adult. It was an extremely difficult time in
Shane’s life. She did not immediately find a physician who could treat her and only now that she was diagnosed
with chronic unresponsive allergic rhinitis.
Upon consultation, she had these primary problems: postnasal drip, constant sneezing, frequent headache and
extreme fatigue. The physician decided to admit her.
Upon admission, RAST test was ordered since decongestant. The test result shows that she has allergies with
pollens and dust. Her vital signs were BP- 140/80, P- 89, RR-18, T; 36.2 The doctor ordered diphenhydramine
50mg IV OD at bedtime) bedtime, Neozep Forte every 6hrs and hydrocortisone 100 mg IV BID.
ALDRIN M. PAULINO BSN 3A

CUES NURSING SCIENTIFIC PLANNING IMPLEMENTATION SCIENTIFIC EVALUATION

DIAGNOSIS EXPLANATION RATIONALE
Subjective: Ineffective Allergic reactions Short term: Assess level of Essential for Short term:
airway clearance After 1 hour of consciousness/cognition identifying After 1 hour of
Frequent related to nursing potential airway nursing
sneezing as environmental Environmental intervention, the problems, intervention, the
inhalants client will be able providing baseline client was able to
stated by the factors as
to express comfort level of care express comfort
patient evidence by and clear needed. and clear
allergy to pollens Dust, Pollens secretions secretions
Felt stuffy nose, and dust
itchy throat nose Long term: Check record/lab results Identification and Long term:
when outside as Enters respiratory After 8 hours of to identify the allergen. elimination is After 8 hours of
stated by the tract nursing easiest for dust nursing
patient intervention, the mite allergens; intervention, the
client will be able pollen is more client was able to
IgE antibody to verbalize difficult to avoid verbalized
Objective:
production therapeutic because daily therapeutic
management and activities must be management and
Weakness/irritated
demonstrate altered to do so demonstrate
Antigen-antibody improved and improved and
Presence of: reaction patent airway Monitor respiration and Noting rate and patent airway
postnasal drip breath sounds sounds
constant sneezing
frequent headache Elevate head of bed, Decreasing
extreme fatigue Mast cell encourage early pressure on the
red watery eyes mediators released ambulation, or change diaphragm and
client position every 2 enhancing
test result shows hours ventilation
allergies to pollens Inflammation
and dust
Educate patient and SO Teach the patient
about use of nasal and parents on
BP- 140/80 sprays how to use nasal
ALDRIN M. PAULINO BSN 3A

sprays by blowing
the nose first then
administering the
medication
Encourage SO in Encourage a
thorough cleaning of routine cleaning of
the house and the house,
precautions in going furniture, and
outside home. equipment which
may house dust
and other pollens

Encourage medication Administer

compliance pharmacologic
treatment as
ordered by the
physician