asthma

• bronchodilators first was given in asthma . work faster. opens the airways, the medications pass by easily because the airway is not narrowed anymore then give the corticosteroids as it will work better with the airways not narrowed
• Which abnormal breath sounds will you hear if narrow - Wheezing Swelling - sputum secretion Normal in infants - 30 Accessory muscles - in the neck, body uses it if u find it hard to breathe
• Salmetorol - bronchodilator
• Short acting - salbutamol
• two medications given in asthma BRONCHODILATORS AND CORTICOSTEROIDS
• Asthma - condition where airway is narrowed due to allergens triggered
• Patients with asthma may experience symptom-free periods alternating withacute exacerbations that last from minutes to hours or days.
• Asthma, the most common chronic disease of childhood, can begin at any age.
• ASTHMA - This inflammation ultimately leads to recurrent episodes of asthma symptoms: cough, chest tightness, wheezing, and dyspnea.
• COMMON SYMPTOMS OF ASTHMA cough (with or without mucus production), dyspnea, and wheezing (first on expiration, then possibly duringinspiration as well).
• Asthma attacks frequently occur at night or in the early morning.
• An asthma exacerbation is frequently preceded by increasing symptoms over days, but it may begin abruptly.
• As exacerbation progresses, central cyanosis secondary to severe hypoxiamayoccur
• A severe, continuous reaction, status asthmaticus, may occur. It is life- threatening.
• .Extrinsic Asthma – called Atopic/allergic asthma. An “allergen” or an “antigen” is a foreign particle which enters the body
• Cockroach particles  Cat hair and saliva  Dog hair and saliva  House dust mites  Mold or yeast spores  Metabisulfite, used as a preservative in many beverages and some foods  Pollen are example of extrinsic asthma
• Intrinsic asthma – called non-allergic asthma, is not allergy-related, in fact it is caused by anything except an allergy.
•  Smoke  Exercise  Gas, wood, coal, and kerosene heating units  Natural gas, propane, or kerosene used as cooking fuel  Fumes  Smog  Viral respiratory infections  Wood smoke  Weather changes are example if intrinsic asthma
• • Assess the patient’s respiratory status by monitoring the severity of symptoms, breath sounds, peak flow, pulse oximetry, and vital signs. 1st Nursing Management for asthma
• Obtain a history of allergic reactions to medications before administering medications. 2nd Nursing intervention of asthma
• Identify medications the patient is currently taking.  Administer medications as prescribed and monitor the patient’s responses to thosemedications; medications may include an antibiotic if the patient has an underlyingrespiratory infection - 3rd and 4th Nursing intervention
• Administer fluids if the patient is dehydrated. Assist with intubation procedure, if required. 5 and 6th nursing intervention for asthma