About Asthma
Asthma is a common long-term inflammatory disease of lungs which become inflamed, narrow and swell and produce extra mucus, makes it difficult to Breath. Asthma can be minor or it can interfere with daily activities. In some cases it may lead to life threatening attack.
Types Asthma
Adult Onset Asthma
Allergic Asthma
Asthma COPD overlap
Exercise Induced Bronco Constriction
Non Allergic Asthma
Occupational Asthma
5 Triggers of Asthma
- Allergens
- Infection
- Physical Agents
- Psychological
- Medicines/ Drugs
Treatments
When Spirometry shows a low FEV1, do a FEV1/FVC ratio if < 0.75 – 80 in Adults or < 0.85 in children’s.
Once you have put the patient on inhalers and still the patient’s remains symptomatic.
Confirm the Diagnosis of Asthma
Watch for adherence and inhaler technique
Remove potential risk factors and manage co morbidity
Consider treatment step-up
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Change in guidlines
Require only low dose ICS for most the benefit and prevention of Exacerbation
- Low dose ICS-LABA
- Low dose ICS (as needed)
- Regular low dose ICS
Non Pharmacological Strategy:
- Smoking cessation
- Physical activity – Adduce must be given about exercise-induced asthma
- NSAIDs do not prescribe
- Occupation Asthma
Specific population:
- Pregnancy – The Treatment benefits markedly outweigh any potential risks of treatment.
- Rhinitis & Sinusitis.
- Obesity = 5-10% weight loss can improve symptoms.
- Elderly Co-morbidities.
- GERD – Symptomatic reflex should be treated
- Amity
- Drug and Food allergy.
FAQs
Asthma is a chronic respiratory disease?
True
There is no cure for Asthma?
True
How long does the asthma attack last?
It can last for several hours to days if not treated.
Asthma attack accrues when Asthma Symptoms become worse than usual?
True.
What causes asthma attack?
Allergens, air irritants, respiratory infection (viral), exercises, extreme weather and strong emotions.
What is respiratory failure?
Failure occurs when insufficient oxygen passes from lung in to blood stream and/or when lungs can no longer remove carbon dioxide (a waste product) from the blood.
Asthma can be cured, it’s not serious and nobody dies from it?
False.
Asthma has no cure. It can only be controlled by regular medications, precautions, and chest rehabilitation (to improve breathing). Not all asthma sufferers die of asthma, and severe attacks can lead to death. Asthma patients are found to be relatively free from heart disease and other chronic diseases.
What are tests for Asthma?
- Spirometry
- Lung Volumes
- Differing Capacity (DLCO)
- Nitric oxide Test.
- Bronchial Provocation and Challenge test.
