Advair's Effect On Asthma

Asthma is the leading cause of chronic illness in children and is responsible for nearly 10% of the Emergency Room visits for children <15 year of age. It occurs in as many as 10%-12% of children in the United States and is gradually growing. Asthma can begin at any age , but most children have their first symptoms by age five. Because Camp Wapiti is for children ages 8-13 exclusively, this report will focus primarily on childhood asthma.

Asthma is a chronic inflammatory disorder of the airways, which requires treatment using bronchodilators and inhaled corticosteroids. Inhalation route is the most direct and efficient way to deliver high amount of drugs to the airways with least systematic side effects. Improper use of the inhaler device is one of the most common reasons for poor asthma control as it can reduce effectiveness and the amount of drugs reaches to the airways (AL-Jahdali et al. 2013). SIGN (2016) and NICE (2013) recommend that when initiate any new inhaler, patients should be trained on proper inhaler

In an emergency situation, why is a drug most commonly delivered via injection versus an oral route?

There are many different ways to treat and manage asthma symptoms. Usually steroids are used to take care of asthma but there are some other treatments too. Bronchodilators are one of those treatments. There are many kinds of bronchodilators and work by opening the airway. A few different bronchodilators are Short-term B2 agonists and Long-term B2 agonists. Short term bronchodilators are what rescue inhalers primarily are. These “provide quick, temporary relief from asthma symptoms or flare-ups” says Gstatic.com Long-term B2 agonists are preventatives to try and not let symptoms arrive in the first place. Steroids and steroidal inhalers are some more short term symptom managers. They work by stimulating hormones in your body to reduce inflammation

Discuss the roles of medications, ICS for long term anti-inflammatory effect and Beta adrenergic for immediate bronchial dilation.

Anwalla et al. (2011) explained that Albuterol is a rescue medication in the treatment of airway disease. Albuterol bronchodilators use and it transport exerts a significant impact on the rate of onset and the clinical outcomes.

Asthma control varies over time due to severity and changes in the environment, for example, home, school and or work environments. There are several medications and combinations used to control asthma attacks. The first line of medication are inhaled corticosteroids used to prevent and reduce airway swelling and inhaled long-acting beta agonist used to keep the airways open and relaxed (AAFA, 2015). Examples of long-acting corticosteroids are fluticasone, budesonide, mometasone, beclomethasone, ciclesonide, flunisolide. Examples of LABA medications are salmeterol and formoterol; it is important to remind patients that these medications are not to be used in emergency situations. At times, both medications are used together in a single medication to treat asthma and prevent attacks. Some caution that patients should be aware that when using combination medication, the risk for severe asthma attacks increase (Mayo Clinic, 2015). Examples of combination medications are Advair (fluticasone and salmeterol), Symbicort (budesonide and formoterol), Dulera (mometasone and formoterol) and Breo (fluticasone and

America’s cities have been built upon population growth and economic development — essentially meeting the economic needs of investors. The problem is that public leaders don’t always think about public health. Thinking about what to build, and taking into consideration the health of the people in the community. According to Dr. Jackson, co-author of Designing healthy communities, states ‘what really impacts people’s health is where they live, how they live, and the other people they are with’ — i.e. their surrounding community. (Designing, 2013.)

The good thing about asthma is that there are a lot of medications available to help treat asthma sufferers with acute onset of symptoms as well as help with the long term prognosis of patients. Asthma medications are classified into two groups, Controller and quick-relief. Controller medications are designed to help prevent asthma attacks. Their purpose is to try and reduce the chronic inflammation thus making the body less likely to react to triggers. Some of these include long-acting beta-agonists, Leukotriene modifiers, Mast cell stabilizers, Theophylline, and immunomodulators. Long-acting beta agonists are bronchodilators that assist in opening up your airways. These are normally aerolized medications. The bronchodilator causes the muscles

Asthma health tips are important; people can be diagnosed with asthma symptoms at a very early age. Of course, victims of asthma generally complain about how annoying and sporadic attacks can be while out in the real world. Additionally, most assume that there lungs are perfect enough to not be bothered. However, everyday living--with asthma related symptoms--proves that owning irritated lungs is a common and detrimental experience for the unexpected ones.

Asthma is a chronic lung disease characterized by episodes in which the bronchioles constrict due to oversensitivity. In asthma, the airways (bronchioles) constrict making it difficult to get air in or out of the lungs. Breathlessness is the main symptom. The bronchi and bronchioles become inflamed and constricted. Asthmatics usually react to triggers. Triggers are substances and situations that would not normally trouble an asthma free person. Asthma is either extrinsic or intrinsic. Extrinsic is when the inflammation in the airway is a result of hypersensitivity reactions associated with allergy (food or pollen). Intrinsic asthma is linked to hyper responsive reactions to other forms of

Medications used are corticosteroids, bronchodilators, and leukotrienes. Corticosteroids are used to suppress the inflammatory process in the airways of asthmatics. This medication stops the regulation of pathways that are involved in the cytokines and inflammatory mediators. Corticosteroids work its way into the respiratory epithelial cell in the airway through the glucocorticoid receptor. The steroid receptor within the nucleus promotes the transcription of genes that decrease inflammation and stops the gene that encodes protein that increases inflammation. Examples of corticosteroids are qvar, pulmicort, symbicort, and advair. The benefits to using corticosteroids are to decrease asthma symptoms, decrease airway hyperresponsiveness, and fewer exacerbations (Sobande & Kercsmar, 2008). Bronchodilators are used to relax contractions of smooth muscle of the bronchioles and improve ventilation. These drugs work on the B-2 receptors in the cells of the airway and cause the smooth muscles to relax, making it easier to breath. There are short-acting bronchodilators such as albuterol and xopenex. Long-acting bronchodilators include advair and symbicort (Ohar & Donohue, 2010). Bronchodilators are used in conjunction with steroids to decrease inflammation and to relax smooth muscle; thus making it breathes better. Leukotrienes are a new class of medication that is used to treat asthma over the last two decades. Leukotrienes

A vital part of asthma control involves identifying environmental and lifestyle triggers and educating both parents and their children on how to minimize their effects. While on the mobile health vehicle, we will use this opportunity to encourage parents and students to attend our educational seminars about preventive measures families can take at home in order to reduce the amount of asthma triggers, therefore reducing the number of asthma attacks. We will hold one educational seminar per season during afterschool hours in order to talk about specific seasonal asthma triggers and overall interventions that families can do at home to. There is sufficient evidence of a causal relationship between asthma exacerbation and exposure to furry pets, cockroaches, house dust mite, mold, and environmental tobacco smoke (IOM

Asthma treatment is consistent with care along a continuum which may change at any time to accommodate the individual’s current symptoms. The clinical based guidelines consist of step by step guidelines with varying treatments arranged by age and organized by the severity and the addition of pharmacological therapies (NAEPP, 2007).

How is life like diagnosed asthma? How can someone as special as a mother has this disease, and, be able to relentlessly work every day, just to feed her family? My mother is someone who’s impacted by this disease, ever since she was small. But she’s someone who has been through many of the side effects of asthma since she stated in an interview saying, “When I was younger, I lived in the rural areas of Vietnam, specially Danang. At the time medication was very expensive, so I couldn’t afford to buy an inhaler. Which meant I’ve experienced numerous side effects of Asthma. For me, I’ve been through two asthma attacks, both were very serious and did impact largely on my health. It was challenging to live without the medications I needed, but, I fought through it all.” Consequently, there's not really a cure for Asthma now, but there are ways to relieve Asthma.