Asthma presentation 2
-
Upload
kerriontheprairies -
Category
Health & Medicine
-
view
3.668 -
download
7
description
Transcript of Asthma presentation 2
Chronic lung condition
Tightening (constriction) of the muscles surrounding the bronchioles causing inflammation
Variable condition
Can be developed at any age
Symptoms may lessen/disappear but asthma is not fully “outgrown”
Intermittent
Persistent: mild, moderate, severe
Allergic or non-allergic triggered
Persistent or recurrent cough
Wheezing
Chest tightness
Dyspnea (shortness of breath/breathing discomfort) – “air trapping”
Symptoms and severity of symptoms can change over time in individuals
May not have all of the above symptoms
Bronchospasm/
bronchoconstrictionOccurs when exposed to a
“trigger”Muscles surrounding
bronchioles contract and produce excess mucus
Airways become red and inflamed (swollen)
This leads to narrowing of the airways and difficulty breathing
inflammation
constriction
mucus
This is all the stuff that’s kept me breathing for the past year
“Beyond theblue inhaler”
Managed using medications andtrigger avoidance
(except for exercise!)
There is no cure for asthma
. . . Yet
Bronchodilator
Known as rescue, reliever fast-acting and quick relief medications
Begin working immediately, peak within 5-20 minutes
Used for sudden symptoms or to prevent exercise induced flare-ups.
Rescue inhalers should be carried at
ALL times by ANYONE with asthma, regardless of severity!
Prevents asthma symptoms from starting/controls severity
Taken daily by people with persistent asthma
Brings down inflammation/treats constriction
Cor
ticos
tero
ids
InhaledOral
(Prednisone)
For severe or unresponsive flares C
ortic
oste
roid
s w
ith L
ong
Act
ing
Bet
a-A
goni
st/B
ronc
hodi
lato
r (L
AB
A)
Leuk
otrie
ne R
ecep
tor
Ant
agon
ists
/ M
odifi
ers
(LT
RA
s)
Helps deliver medication deep into the lungs
Longer treatment time and higher doses of medication than usually delivered by inhalers
Nebulizers are not first-line therapy for asthma in Canada, and are much more common in the United States or the United Kingdom, but are
sometimes prescribed in difficult cases
Also known as a “spacer” or valved holding chamber (VHC)
•MDI alone fires at over 100 km/h
•Delivers medication over 100% more effectively
•Easier to use when having trouble breathing
Not just for small children!
•Used by some (usually moderate or severe) asthma patients to monitor
ongoing lung function and detect changes
•“Poor perceivers” to lung function decline
•How much air comes out of the lungs and how fast it comes out (less if obstructed)
•Helps determine self-treatment
Green Zone – Good to Go!
• 3 puffs Symbicort twice daily
• 2 puffs Atrovent four times daily
• 10 mg (1 tablet) Singulair in the evening
• 2 puffs Ventolin inhaler as needed
Yellow Zone – Slow Down and Take Action!
Any symptoms (cough, chest tightness, dyspnea – I don’t wheeze)
• Nebulizer treatment every 3 hours as needed, Ventolin inhaler as needed
• 3 puffs Symbicort three times daily
• 2 puffs Atrovent four times daily
• 10 mg (1 tablet) Singulair in the evening
• Call doctor if necessaryRed Zone – STOP!
Severe symptoms OR do not respond within 20 minutes to a neb treatment
80-100%
60-80%
Under 60%
Ext
rinsi
c (A
llerg
ic)
Trig
gers
Dust mites
Pollen
Mould
Certain foods
Animal dander Intr
insi
c (N
on-A
llerg
ic)
Trig
gers
Infections (cold and flu)
Cold or humid air
Intense emotions (ex. stress)
Medications (ex. aspirin)
Hormones
Air pollution
Fragrances and chemicals
Exercise
Exercise can induce asthma symptoms in people who have no other asthma triggers.
Exercise is a trigger for 75-90% of people with asthma.
Exercise should not be avoided, but worked with!
My friend “BreathinStephen”
Boston Marathon 2010
Regardless of the pf dip
after your walk,
think of all the good
things you’re doing
to your body when you
exercise
Delayed
Respo
nse
EIA
--Steve Gaudet
DON’T GIVE UP!
Preventing exercise induced flare-ups:
Don’t begin to exercise if you are already flaring!
If prescribed take medication 5-15 minutes before exercise
Warm up and cool down gradually for 10-20 minutes
If you have a flare-up, stop and take your medication, resume only when symptom-free, and re-warm-up
My Exercise/Asthma Routine
-Check PF. If in green zone, pre-medicate (Ventolin neb or inhaler [+Benadryl]), get ready
-Stretch, warm up, work out, meds as needed, cool down, stretch
-Check PF. Use neb or inhaler immediately even if asymptomatic/green zone. If in yellow zone, do neb treatment
-2.5-3.5 hours later . . . FLARE!
To a person with persistent asthma, asthma can be a lot more than a blue inhaler!
If not dealt with effectively, asthma can impact many areas of a person’s life . . . Physical, emotional and social.
Some of the time, you can coexist fairly peacefully with asthma, but others it feels as if your body is working AGAINST you instead of with you!
Talking to someone who really understands what you’re dealing with can help
“Control” may be different for everybody
Usually based on rescue medication use per week
Except for exercise, avoid triggers as much as possible
Take/adjust medications as prescribed
Find a doctor who will help you get in control (and stay there!)
Stay in contact with your doctor(s)
1. What are the two “types” of asthma medications?
2. What are the four symptoms of asthma?
3. What are three asthma triggers? (I mentioned WAY more than three!)
4. What is the ONLY asthma trigger that should NOT be avoided?
5. What should EVERYONE with asthma, regardless of severity or recent symptoms, have with them at all times?
1. Rescue/reliever and controller
2. Coughing, wheezing, chest tightness, shortness of breath (dyspnea)
3. Dust, mould, foods, animal dander, pollen // infections (cold or flu), cold or humid air, intense emotions, medications, hormones, air pollution, fragrances and chemicals, exercise (Any three)
4. Exercise!
5. Rescue inhaler!