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management of asthma
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Sachin
Introduction
Types of asthma
Asthma
Extrinsic
asthma
Intrinsic
asthma
Mixed
type
Symptoms
Wheezing (whistling sound when we breath)
Painless tightening in the chest
Shortness of breath
Difficulty exhaling
Dry persistent cough
Sweating
Coughing
REASON OF ASTHMA
Pathophysiology
Exposure of stimuli/allergens
Production of Ige
antibody
Release of vasoconstrictor
& inflammatory substances
by mast cell
Inflammation & vasoconstriction
Precipitation of asthma
PHARMACOLOGY
Diagnosis
Lung function test(a) Spirometry - It is an instrument which measures how
quickly the lungs fill and empty.
(b)Lung volume test-It shows how much air the lungs can
hold.
Measuring blood gasesMeasuring the levels of oxygen (o2) and carbon di oxide
(co2) in the blood helps in the diagnosis and monitoring
of lungs disorders.
Treatment of asthma
Nonpharmacological
treatment
Pharmacological
treatment
Non-pharmacological treatment
Avoid smoking.
In emergency oxygen therapy should be given.
Hemoglobin desaturation produced by Va/Q
mismatching.
Patient should be hospitalized with acute severe asthma.
Excessive hydration should be avoided to prevent
excessive lung fluid at a time, when patient have
inflammation and bronchial edema.
Pharmacological treatment
Bronchodilators(a)Beta-sympathomimeticsSalbutamol
Terbutaline
Bambuterol
(b)Methyl xanthinesTheophylline
Aminophylline
Choline theophyllinate
(c)AnticholinergicsIpratropium bromide
Tiotropium bromide
Leukotriene antagonistsMontelukast
Zafirlukast
Mast cell stabilizersSodium cromoglycate
Ketotifen
Corticosteroids(a) SystemicHydrocortisone
Prednisolone
(b) InhalationalBeclomethasone dipropionate
Budesonide
Fluticasone propionate
Anti-IgE antibodyOmalizumab
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