About Asthma

Asthma is a common long-term inflammatory disease of lungs which become inflamed, narrow and swell and produce extra mucus, makes it difficult to Breath. Asthma can be minor or it can interfere with daily activities. In some cases it may lead to life threatening attack.

Types Asthma

Adult
Onset Asthma

Allergic Asthma

Asthma COPD
overlap

Exercise Induced
Bronco Constriction

Non Allergic Asthma

Occupational
Asthma

5 Triggers of Asthma

Treatments

When Spirometry shows a low FEV1, do a FEV1/FVC ratio if < 0.75 – 80 in Adults or < 0.85 in children’s.

Once you have put the patient on inhalers and still the patient’s remains symptomatic

Confirm the Diagnosis of Asthma
Watch for adherence and inhaler technique
Remove potential risk factors and manage co morbidity
Consider treatment step-up
Change in guideline 2019

All adults and adolescent with asthma should receive ICS containing controller treatment to reduce risk of serious Exacerbation to control symptoms.

To avoid a patterns of patient reliance a SABA early in course of the disease

Airway inflammation is present even in those with infrequent or intermittent symptoms.

Over use of SABA is A/w c Download SVGPerfect for when you want to use just one icon as a vector on the desktop or in your own icon workflow. risk of severe exacerbations and dispensing > 12 canisters in a year A/w Download SVGPerfect for when you want to use just one icon as a vector on the desktop or in your own icon workflow.risk of asthma related deaths.

Require only low dose ICS for most the benefit and prevention of Exacerbation

  • Low dose ICS-LABA
  • Low dose ICS (as need) 
  • Regular low dose ICS

Non Pharmacological Strategy:

  1. Smoking cessation
  2. Physical activity – Adduce must be given about Exercise induce asthma
  3. NSAIDs do not prescribe
  4. Occupation Asthma

Specific population:

  1. Pregnancy – Treatment benefits markedly out erigh any potential risks of treatment.
  2. Rhinitis & Sinusitis.
  3. Obesity = 5-10% weight loss can improve symptoms.
  4. Elderly Co morbidities.
  5. GERD – Symptomatic reflex should be treated
  6. Amity
  7. Drug and food allergy.

FAQ's

It can last for several hours to days if not treated.

Allergens, air irritants, respiratory infection (viral), exercises, extreme weather and strong emotions.

Failure occurs when insufficient oxygen passes from lung in to blood stream and/or when lungs can no longer remove carbon dioxide (a waste product) from the blood.

False.

Asthma has no cure.  It can only be controlled by regular medications, precautions, chest rehabilitations (to improve breathing).  Not all asthma sufferers die of asthma and severe attack can lead to death.  Asthma patients are found to be relatively free from heart disease and other chronic diseases.

  1. Spirometry
  2. Lung Volumes
  3. Differing Capacity (DLCO)
  4. Nitric oxide Test.
  5. Bronchial Provocation and Challenge test