Case 20: Asthma exacerbation
Terms in this set (14)
If a patient comes in having an asthma attack, what should be done for the patient?
The ABCs should be addressed. The patient should be given oxygen, an inhaled beta agonist, and systemic prednisone
What are some of the signs that suggest a severe asthma attack?
Perioral cyanosis, pulsus paradoxus, use of accessory muscles, adn drowsiness?
In a patient with severe asthma and diminished wheezing, what will happen to the wheezing as the patient starts responding to treatment?
The wheezing will appear to get worse
What is the classic triad of an asthma exacerbation?
Bronchoconstriction, airway inflammation, and mucous plugging
What is pulsus paradoxus?
Pulsus paradoxus is where the blood pressure decreases by more than 10 with inspiration when compared with expiration
How is asthma diagnosed?
By pulmonary function tests
What are some of the other illnesses that frequently go along with asthma?
The atopic march. This includes allergies and exzema
What are the classifications for asthma?
Intermittent, mild, moderate, and severe.
What are the characteristics of intermittent asthma?
Intermittent asthma occurs less than 2 days a week, nighttime awakenings less than 2 times a month, use of a SABA less than twice a week, and a FEV1 more than 80 percent of predicted
What are the characteristics of mild persistent asthma?
Symptoms more than 2 days a week, but not daily, nighttime awakenings 3 to 4 times a month, SABA use more than twice a week, FEV1 more than 80 percent of predicted, and some interference with daily life
What are the characteristics of moderate persistent asthma?
Daily symptoms, nighttime awakenings more than once a week but not daily, daily SABA use, and an FEV1 between 60 and 80
What are the characteristics of severe persistent asthma?
Symptoms throughout the day, nighttime awakenings every night, SABA use multiple times a day, normal activity extremely limited, and FEV1 less than 60
What are some of the pharmacologic agents that are used for the treatment of asthma>
Beta adrenergic agonists (short acting and long acting), anticholinergic such as ipratroprium and tiotroprium, leukotriene modifiers, and steroids
What virus is a common cause of bronchiolitis in infants?