Resp History
 

The Asthma History

 
 
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Overview

  • Patients with asthma are at risk of exacerbations, which may cause significant morbidity or mortality. By understanding the natural history of their airways disease it is possible to create a management plan that prevents complications in the future.
    • Ask About

    • Diagnosis - when asthma was diagnosed, risk factors, triggers
    • Severity - symptoms, FEV1, exacerbations
    • Management - lifestyle, pharmacologic, supportive
    • Complications
    • Risk Factors for Asthma

    • Family history of asthma
    • Atopy
    • Obesity
    • Potential Asthma Triggers

    • Environmental

    • Aeroallergens - pollens, dust mits, pet dander, mold
    • Cigarrette smoke
    • Air pollution
    • Other

    • Respiratory viral infections
    • Medications - beta blockers, NSAIDs
    • Exercise
    • Stress
    • Cold

Severity

    • Ask About

    • Frequency of puffer use
    • Spirometry results - FEV1, FVC
    • Exacerbations - frequency, ED visits, hospital admissions, ICU admissions

Complications

    • Complications of Asthma

    • Pneumonia
    • Atelectasis
    • Mucous plugging
    • Pneumothorax
    • Pneumomediastinum

Management

    • Management Strategies

    • Lifestyle Measures

    • Avoidance of triggers
    • Smoking cessation
    • Pharmacologic Measures

    • Short-acting beta agonists (SABAs) - salbutamol, terbutaline
    • Long-acting beta agonists (LABAs) - salmeterol, formoterol, indacaterol
    • Inhaled corticosteroids (ICS) - beclomethasone, budesonide, fluticasone, ciclesonide
    • ICS / LABA combinations - budesonide / formoterol, fluticasone / salmeterol, fluticasone / formoterol, fluticasone / vilanterol
    • Monoclonal antibodies - omalizumab, mepolizumab
  •  
    Respiratory Medications
Last updated on May 1st, 2019
 
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