Interprofessional care : Asthma

Interprofessional care

  • The current guidelines focus on
    • Assessing the severity of the disease at diagnosis and initial treatment and then
    • Monitoring periodically to control the disease
  • Intermittent and persistent asthma
    • Avoid triggers of acute attacks
    • Pre-medicate before exercising
    • Short-term (rescue or reliever) medication
    • Long-term or controller medication
  • Acute asthma exacerbations
    • Respiratory distress
    • Treatment depends upon severity and response to therapy
      • Classified as mild, moderate, severe, or life-threatening
      • Management focuses on correcting hypoxemia and improving ventilation
    • O2 given via nasal cannula or mask to achieve a PaO2 of at least 60 mm Hg or O2 saturation greater than 90%
      • Continuous oxygen monitoring with pulse oximetry
    • Bronchodilator treatment
      • Short-acting β2-adrenergic agonists (SABAs)
  • Assessment during acute exacerbation
    • Respiratory and heart rate
    • Use of accessory muscles
    • Percussion and auscultation of lungs
    • PEFR to monitor airflow obstruction
    • ABGs
    • Pulse oximetry
  • Severe and life-threatening exacerbations
    • “Silent chest”
      • Severely diminished breath sounds
      • Absence of wheeze after patient has been wheezing
      • Patient is obviously struggling
      • Life-threatening situation
      • Requires ED and possible ICU
      • IV magnesium sulfate
      • 100% oxygen
      • Hourly or continuous nebulized SABA
      • IV corticosteroids
  • Bronchial thermoplasty
    • Catheter applies heat to reduce muscle mass in the bronchial wall
    • Reverses accumulation of excessive tissue that causes narrowing of airway

Share:

More Posts

Aspirin overdose

Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) used to relieve mild to moderate aches and pains, swelling, and fever. Aspirin overdose occurs when someone accidentally

Pulmonary edema

Pulmonary edema is an abnormal buildup of fluid in the lungs. This buildup of fluid leads to shortness of breath. Causes Pulmonary edema is often