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ASTHMA

a chronic inflammatory disease of the airways that


causes airway narrowing, edema, and mucus production

ETIOLOGY & RISK/F SYMPTOMS


ALLERGANS IN THE AIR cough dispnea & wheezing
OVER EXERTION wheezing mainly during
FOOD experium
STRESS possible mucus production
DRUGS (beta-blockers, Nsaids, Diaphoresis - oversweating
hormones) Eczema, rashes, and
Heredetary temporary edema
Dispnea symptoms
EPIDEMIOLOGY
the most common chronic
disease of childhood

PATHOPHYSIOLOGY DIAGNOSIS
mast cell activation that leads Increase in blood titers of IGE
to Edema and antibodies and eosinophils
Bronchoconstriction 15-20% decrease in FEV1 -
Forced Expiratory Volume
1 sec
COMPLICATIONS Improvement of 12% FEV1
Status Asthmaticus after administration of
An acute asthma attack that BronchoDilators
doesn't respond to regular see respiratory functionality
treatment and is life threatening measurement in slide 3
will be treated with IV steroids,
Oxygen, Epinephrine, magnesium
and if needed intubation
Respiration failure
Pneumonia

DRUG THERAPY DRUG THERAPY


SABA-Short-acting beta2 – Montelukast-Leukotriene
adrenergic agonists - for modifier prevents
immediate relief and Bronchoconstriction
prevention prior to exercise Mepolizumab-
Albuterol (Ventolin) immunimodulator-Prevent
SAMA - Anticholinergics help binding of IgE
in drying up the airways from LABA/SAMA - long term
mucus (Aerovent)
Corticosteroids - usually by
inhalation for long term
treatment
ASTHMA
a chronic inflammatory disease of the airways that
causes airway narrowing, edema, and mucus production

PATIENT EDUCATION
Avoid foods with monosodium glutamate
use high temp washing to eliminate allergens in bedsheets
teach patient when to look for emergency services in cases
of breathing difficulty while walking, cyanosis or PEF <50
teach patient to measure PEF twice daily
NSAIDS and Beta Blockers can cause Bronchoconstriction
Take Ventolin before exercise
While taking Ventolin keep track of pulse rate and
Potassium level and wait 5minutes before or after taking
other meds
when using steroid inhalers maintain good oral hygiene to
prevent candida

LUNG VOLUMES AND SPIROMETRY

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