Asthma Stepwise Management Of Asthma

Salbutamol (also known as albuterol in USA) is one of the most famous short-acting β2 agonists. It has become first line treatment for asthma due to its effectiveness. I met this drug in a dispensing session in the first term and I think is a good example of what we have learnt so far. In this essay I will tell you what I know about this drug.

I have made no changes to Ms. Dahlberg's bronchodilator and inhaled corticosteroid use. She does have a prescription of prednisone at home, as she is well aware of her asthma exacerbation equivalents. She does have a history of steroid use psychosis and I advised her to initiate treatment at 40 mg per day. She should then seek further medical attention after initiating systemic steroids. She should also continue use of her current bronchodilators and inhaled corticosteroids.

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.

To better understand the impact of asthma, a brief overview of the causes (aetiology) and disease progression (pathophysiology) must be shown. As common as asthma is, not much is known about its aetiology, according to findings presented by Subbaroa, Mandhane and Sears (2009, pg. 181-187) in a review from the Canadian

Since asthma exacerbations in adolescence can lead to emergency room visits, hospitalizations, missed school and diminished health status, there was an evident need for effective asthma management for this population (Quaranta et al., 2014). Unfortunately, these rural adolescents with asthma, and their families, had difficulty determining when their asthma was poorly controlled; and unless the asthma symptoms were disruptive to family life, there was often little motivation for these individuals to seek medical care, thus increasing the risk of poor outcomes (Quaranta et al., 2014, p. 99). According

Nicholas and his colleagues found in their study that the children asthma prevalence in East Harlem was about 4 times that of the national prevalence. Specifically, African American children had 3 times higher asthma prevalence. (Nicholas, 2005) Asthma is the leading cause of emergency room evaluations, pediatric hospitalizations, and school absenteeism in New York City (Corburn, Osleeb, & Porter, 2006)

Asthma is the most common chronic disease in children (Kahn and Boskey). Childhood asthma is when the lungs and airways become inflamed when something comes in contact to trigger it. There are different objects or activities to trigger a child’s asthma and if not treated appropriately it can cause an asthma attack. This disease can outbreak from a cold or any respiratory infection. Daily symptoms can interfere with a child’s asthma like a cold, sports, school, or play ("Childhood Asthma."). In the United States, it is estimated that approximately 5 million children under the age of 18 have this disease. In 1993 alone, asthma was the reason for almost 200,000 hospital stays and about 340 deaths under the age of 25 (Kahn and Boskey). Normally children will outgrow this disease by the time they

As of 2009, studies conducted by the CDC have shown that asthma impacts approximately one in every twelve people, and the numbers only continue to grow (CDC, 2011). Some of the most common symptoms can range anywhere from coughing (especially at night or during exercise), wheezing and chest tightness, to shortness of breath. Asthma is often a chronic condition and while many times it can present itself as being mild, it can also sometimes lead to death if a person suffers an asthma attack. Asthma can be genetic, but it can also be caused, as well as exacerbated by, environmental factors such as air pollution. Studies have shown that children living in the Bronx are experiencing asthma at levels eight times higher than the national average. In addition, rates of death from asthma are a whopping three times higher than the national average, and hospitalization rates at about five times higher.” (Ruppell, 2000). Asthma is not a disease that targets only one group of people, yet the Bronx still exhibits disproportionately high levels of asthma especially in neighborhoods that are poorer areas of the city. In fact, people from these poor areas are 21 times more likely to be hospitalized due to asthmatic conditions compared to people from more affluent parts of the city (Ruppell,

Asthma affects 1 in every 12 Americans. According to the American Academy of Allergy Asthma & Immunology, Asthma is affects “About 1 in 9 (11%) non-Hispanic blacks of all ages and about 1 in 6 (17%) of non-Hispanic black children had asthma in 2009, the highest rate among racial/ethnic groups.” As a mother of child with asthma, I know how scary it can be to deal with asthma attacks and learning how to treat the symptoms and minimize risk factors.

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

Asthma is a chronic condition affecting the respiratory system and has a considerable impact on both individuals and a population. Everybody is susceptible to asthma, some more than others, depending of a variety of factors including, age, sex, geographical location and income. Asthma is particularly prevalent in younger children and the elderly and while it can be fatal, most people have mild cases of asthma that are relatively easy to treat. The condition mainly impacts an individual’s physical ability to contribute to a community.

Albuterol also known as Salbutamol is a common medication used to treat asthma and similar respiratory ailments.[1] Albuterol is a bronchodilator and works to open the airways of the lungs. Albuterol can be taken intravenously or orally. The preferred method of this substance is orally, which in itself have various ways of being administered. One way is by inhalation, either from a vapor mist in the form of an inhaler and a nebulizer or, as a powder like Advair. In addition to inhalation, albuterol can be ingested as syrup or a tablet. Because of it varying forms Albuterol is can easily meet the need of the patient, making it a popular medication to treat asthma, emphazma, bronchitis and other airway constricting disorders.

Tracheal responsiveness to OVA in group A and treated group with the low concentration of curcumin was significantly higher than group C (p<0.001 for both cases, Fig. 5b). In treated groups with dexamethasone and all concentrations of curcumin, tracheal responsiveness to OVA were significantly decreased compared to group A (p<0.001 for all cases, Fig. 5b).

Childhood asthma impacts scores of youngsters and their families. In fact, the bulk of kids develop respiratory illness before the age of

Experts have yet to understand why the rates of asthma are rising by an average of 50% every decade worldwide. According to the Asthma Society of Canada (2016), asthma is now considered to be a major health concern with approximately 235 million suffering from this illness worldwide. Kuhn et al (2015) states that as at 2012, one out of 12 people in the United States had asthma and the number continues to rise. More people have been diagnosed with this disease and in 2007; over 3000 deaths were linked to Asthma. Furthermore, the costs of treating asthma continue to rise with about 56 billion dollars being spent in 2007 compared to $53 billion in 2002 (CDC, 2011). From data gathered in California, which is our area of study, it was estimated that 2.3 million