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

Shoulder Injuries and Disorders

Summary Your shoulder joint is composed of three bones: the clavicle (collarbone), the scapula (shoulder blade), and the humerus (upper arm bone). Your shoulders are

Stroke Signs and Symptoms

Learn what to do if you or someone else is having a stroke. During a stroke, every minute counts! Fast treatment can lessen the brain damage

The Emotional Benefits of Exercise

Research shows the benefits of exercise go beyond just physical well-being. Learn how physical activity helps support emotional and mental health. Share this infographic and