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Asthma presentation 23,768views

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-Asthma is a chronic lung condition. Despite many myths, you can’t outgrow asthma. A person’s symptomsmay lessen or even disappear as they grow older, but may return at a later time. Once you have asthma, you’llalways have it. -Asthma is known as a reversible reactive airway obstructive condition. Asthma symptoms reverse either withmedication or time. -Asthma basically means a person’s muscles surrounding the bronchioles constrict and make it harder tobreathe. -Everyone with asthma is different and asthma is a variable condition. Symptoms range from mild intermittent—symptoms less than twice a week—to persistent asthma that can be mild—symptoms more than twice a weekbut not daily, moderate—daily symptoms or severe—continuous symptoms. -Asthma can be developed at any age.

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1. Chronic lung condition Tightening (constriction) of the muscles surrounding the bronchioles causinginflammation Variable condition Can be developed at any age Symptoms may lessen/disappear butasthma is not fully “outgrown” Intermittent Persistent: mild, moderate, severe Allergic or non- allergictriggered2. Persistent or recurrent cough Wheezing Chest tightness Dyspnea (shortness of breath/breathingdiscomfort) – “air trapping” Symptoms and severity of symptoms can change over time in individualsMay not have all of the above symptoms3. Bronchospasm/ bronchoconstriction Occurs when exposed to a “trigger” Muscles surroundingbronchioles contract and produce excess mucus Airways become red and inflamed (swollen) This leads tonarrowing of the airways and difficulty breathing inflammation constriction mucus4. This is all the stuff that’s kept me breathing for the past year “Beyond the blue inhaler” Managed usingmedications and trigger avoidance (except for exercise!) There is no cure for asthma . . . Yet 5. Bronchodilator Known as rescue, reliever fast-acting and quick relief medications Begin workingimmediately, peak within 5-20 minutes Used for sudden symptoms or to prevent exercise induced flare-ups. Rescue inhalers should be carried at ALL times by ANYONE with asthma, regardless of severity!6. Prevents asthma symptoms from starting/controls severity Taken daily by people with persistentasthma Brings down inflammation/treats constriction Corticos Inhaled Oral (Prednisone) For severe orunresponsive flares CorticosteroidswithLongActing Beta-Agonist/Bronchodilator(LABA)LeukotrieneReceptorAntagonists/ Modifiers(LTRAs)7. Helps deliver medication deep into the lungs Longer treatment time and higher doses of medicationthan usually delivered by inhalers Nebulizers are not first-line therapy for asthma in Canada, and aremuch more common in the United States or the United Kingdom, but are sometimes prescribed indifficult cases8. Also known as a “spacer” or valved holding chamber (VHC) •MDI alone fires at over 100 km/h•Delivers medication over 100% more effectively •Easier to use when having trouble breathing Not justfor small children! •Used by some (usually moderate or severe) asthma patients to monitor ongoinglung function and detect changes •“Poor perceivers” to lung function decline •How much air comes out of

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the lungs and how fast it comes out (less if obstructed) •Helps determine self-treatment9. Green Zone – Good to Go! • 3 puffs Symbicort twice daily • 2 puffs Atrovent four times daily • 10 mg(1 tablet) Singulair in the evening • 2 puffs Ventolin inhaler as needed Yellow Zone – Slow Down andTake Action! Any symptoms (cough, chest tightness, dyspnea – I don’t wheeze) • Nebulizer treatmentevery 3 hours as needed, Ventolin inhaler as needed • 3 puffs Symbicort three times daily • 2 puffsAtrovent four times daily • 10 mg (1 tablet) Singulair in the evening • Call doctor if necessaryRed Zone –STOP! Severe symptoms OR do not respond within 20 minutes to a neb treatment 80-100% 60-80%Under 60%10. Extrins Dust mites Pollen Mould Certain foods Animal dander Intrin Infections (cold and flu) Cold orhumid air Intense emotions (ex. stress) Medications (ex. aspirin) Hormones Air pollution Fragrances andchemicals Exercise11. Exercise can induce asthma symptoms in people who have no other asthma triggers. Exercise is atrigger for 75-90% of people with asthma. Exercise should not be avoided, but worked with! My friend“BreathinStephen” Boston Marathon 2010 Regardless of the pf dip after your walk, think of all the goodthings you’re doing to your body when you exercise DelayedResponseEIA --Steve Gaudet DON T GIVE’UP! 12. Preventing exercise induced flare-ups: Don’t begin to exercise if you are already flaring! If prescribedtake medication 5-15 minutes before exercise Warm up and cool down gradually for 10-20 minutes If youhave a flare-up, stop and take your medication, resume only when symptom- free, and re-warm-up MyExercise/Asthma Routine -Check PF. If in green zone, pre-medicate (Ventolin neb or inhaler[+Benadryl]), get ready -Stretch, warm up, work out, meds as needed, cool down, stretch -Check PF. Useneb or inhaler immediately even if asymptomatic/green zone. If in yellow zone, do neb treatment -2.5-3.5hours later . . . FLARE!13. To a person with persistent asthma, asthma can be a lot more than a blue inhaler! If not dealt witheffectively, asthma can impact many areas of a person’s life . . . Physical, emotional and social. Some ofthe time, you can coexist fairly peacefully with asthma, but others it feels as if your body is workingAGAINST you instead of with you! Talking to someone who really understands what you’re dealing withcan help14. “Control” may be different for everybody Usually based on rescue medication use per week Exceptfor exercise, avoid triggers as much as possible Take/adjust medications as prescribed Find a doctor whowill help you get in control (and stay there!) Stay in contact with your doctor(s)15. 1. What are the two “types” of asthma medications? 2. What are the four symptoms of asthma? 3.What are three asthma triggers? (I mentioned WAY more than three!) 4. What is the ONLY asthmatrigger that should NOT be avoided? 5. What should EVERYONE with asthma, regardless of severity orrecent symptoms, have with them at all times?16. 1. Rescue/reliever and controller 2. Coughing, wheezing, chest tightness, shortness of breath(dyspnea) 3. Dust, mould, foods, animal dander, pollen // infections (cold or flu), cold or humid air,intense emotions, medications, hormones, air pollution, fragrances and chemicals, exercise (Any three) 4.Exercise! 5. Rescue inhaler!

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