Treatment of Choice in Acute Asthma Attack
A clinical diagnosis of Asthma should be suspected in a participation of recurrent/episodic wheezing, breathlessness, cough and or chest narrowing with no choice reason for these symptoms. Asthma is a ongoing inflammatory commotion of airways that causes hyper-responsiveness of airways and non-static airway obstruction.
Role of Spirometry-
Wherever available, spirometry is endorsed for all patients suspected of Asthma for confirmation.
Role of X-Ray Chest in Asthma-
Not endorsed in slight in Asthma, though in some cases in whom some choice diagnosis is suspected or snarl of Asthma is suspected.
Allergy Testing in Asthma-
Tests for allergy standing in Asthma like sum IGE, specific IGE to environmental allergens or Skin cut exam is not customarily endorsed .These tests can be finished in specialized centers when specific triggers are suspected.
How to Assess Asthma Control ?
Asthma control is personal as adequate or unsound on basement of day do-to-day symptoms, night time symptoms, reduction of activity and on pulmonary duty like PEF and FEV!%.
Treatment of Choice in Acute Asthma Attack-
Role of Inhaled Steroids in Asthma-
Inhaled corticosteroid are controller remedy of choice for government of fast Asthma. Most of advantage of ICS are performed by minimal or assuage doses and usually minority of patients need aloft doses..
Role of Long Acting Beta2 Agonist (LABA) in Stable Asthma-
LABA should not be used as monotherapy. Addition of LABA to ICS is a elite choice when ICS alone are not means to control symptoms.
Role of Leukotriene Receptor Agonist(LTRA) in Stable Asthma-
Monotherapy with LTRA is defective to monotherapy with ICS. can be used as monotherapy in amiable asthma, when studious is reluctant to use ICS. LTRA can be combined to LABA and ICS if asthma still sojourn on-controlled.
Role of Long Acting Methylxanthines-
As monotherapy methylxanthine is defective to ICS, so can be used as supplement on to ICS and LABA if asthma is uncontrolled.
Role of Short Acting Beta2 Agonist (SABA) Salbutamol Solution-
Are effective as rescue medication. Oral Beta Agonist should not be used as rescue medication.These are:
Severity of Asthma Assessment-
Acute asthma might be nonsevere, serious and life threatening.. In serious asthma, studious is vibrated and incompetent to finish judgment and life melancholy asthma, studious have altered mental standing and orthopnea. Severe asthma should be treated in emergency/ sentinel and life threatening, strident asthma need acknowledgment to ICU.
Role of Oxygen in Asthma-
Oxygen should be used in hypoxic patient.
Role of Bronchodilators in Acute Asthma-
Rapid behaving beta2 agonist (salbutamol) is diagnosis of choice for strident asthma attack. multiple of ipratropium platitude with salbutamol produces improved bronchodilation.
Role of Steroid in Acute Asthma-
Systemic Steroid should be used in all patients with serious strident asthma.
Role of Patient Education in Asthma-
Optimal self government that involves a multiple of studious education, self monitoring, unchanging medicine review, and self government regulating a created asthma movement devise is strongly endorsed in government of asthma.
Role of Pulmonary Rehabilitation in Asthma-
PR produces poignant alleviation in practice capacity.
There is no purpose of vaccination and antibiotics in asthma.