Asthma. doh.sd.gov/statistics/2009brfss/asthma.pdf
|
|
- Allyson Bridges
- 5 years ago
- Views:
Transcription
1 is an obstructive or restrictive condition which inhibits airflow due to inflammation of the airway. This obstruction occurs via increased edema in the small bronchioles walls as well as greater production of a thick mucus secretion from the bronchial lumen, thus narrowing the space available for oxygen intake to the lungs. During what are often referred to as asthma attacks or sudden onset of exacerbated symptoms of the conditions, people with astma may also experience spasms of the smooth muscle within the pulmonary trunk in addition to the narrowing of the airway. 3 More than 25 million people in the United States are affected by asthma, including 7 million children. 4 The Department of Health repors 8.8% of US population and 7.7% of South Dakotans. This condition typically develops as a child but can affect people at any age with more females than males typically affected. Like most pulmonary conditions, there is no cure for asthma, and sometimes no obvious reason for an attack, it is important to understand how to manage this condition via environmental controls, medication, and self-management to be ready to treat it and manage it regularly if an episode occurs. The most common education components typically include education on proper use of an inhaler, steps to take during an asthma attack, and how to recognize early signs. Both children and adults who are hospitalized more often due to asthma are typically able to recall more education sessions related to management as well. 7 Related to exercise performance abilities it is important to understand the difference in severities both between people, within an individual, and the impact of the condition on the individual both physiologically and psychologically. 2 doh.sd.gov/statistics/2009brfss/asthma.pdf Asthma 1
2 Symptoms and causes Symptoms include wheezing, tightness of the chest, shortness of breath, coughing, and even anaphylactic reactions that can be fatal. Often diagnosed in childhood, people at any age can have this condition. Asthma is often associated allergies or negative reactions to an exposure to a substance of intolerance. Diagnosis If experiencing any of the related symptoms such as sudden attacks or periods of these symptoms above, one should present to their physician for an assessment. Typically the provider will consider personal and family history, perform a physical exam, and review test results to determine if the cause is asthma. It is important to note specific symptoms, the frequency of their onset, and if certain times or conditions are present at these times such as at time, with activity, or when outside. Wheezing, swollen nasal passage, runny nose, or eczema may all be signs of asthma or allergies but need not necessarily be present at the time of exam to still have asthma. Some testing can help the physician determine if conditions of the airway are in fact asthma, and explore the condition further. Often times if a person has allergies and symptoms improve with medication, it is typically considered asthma without extensive testing. However these tests can be useful to rule out other pulmonary conditions. Using spirometry to test lung function is a common test a physician will use to measure your ability to breathe in and out. This test can help quantify both how much air flow and how fast you can do it to help determine function. Sometimes a physician will recommend or order allergy testing to help identify and reduce other triggers. A bronchoprovocation test can help to measure how sensitive the airways are using spiometry during different conditions such as changes in temperature or during physical activity. Ruling out other conditions with similar symptoms such as sleep apnea, vocal cord dysfunction, or reflux disease can also be helpful. Chest X rays or electrocardiogram tests can also determine if a foreign object in the airways are to blame. Children with Asthma- Under the age of five symptoms of asthma are common symptoms of several other conditions that make it difficult to diagnose. Wheezing for example, maybe be because he child s airways have not fully developed yet and being small, become more narrow during a common cold or respiratory infection and therefore the symptom of wheezing can resolve after resolution of the cold or when getting older. Children are more likely to have asthma if both parents do, if they have allergies including pollens or airborne substances, if they have chronic skin conditions, or chronic wheezing without an infection. Often times a short term trial of asthma medication, such as four to six weeks, can help to determine if symptoms improve related to asthma or if other conditions are the cause. 4 Treatment/Management Management goals related to asthma are to first identify specific triggers that may onset an attack which is characterized by a sudden onset of difficulty breathing, tightness in the chest, or excessive coughing. Often times asthma exacerbations or attacks are associated with allergens. These may include dust mites, pollens 2
3 found in outdoor environments; irritants such as environmental tobacco smoke either directly or via secondhand smoke and also animal dander, plants, wood dust, or bark. Molds, typically found in areas around humidly such as bathrooms or kitchens, pests and cockroaches, the ozone and outdoor pollution from vehicles and manufacturing plants may all be specific irritants to an individual with asthma. Enzymes, flour, rubber latex, and reactive chemicals may also cause allergic reactions including an asthma attack. Even certain kinds of detergent enzymes may exacerbate an asthma attack if an individual is intolerant to the agent. Individuals who have been able to identify specific triggers should first try to limit exposure to these irritants to reduce potential for frequency of attacks. Sports training management: As an athletic trainer or within the realm of health and fitness you are more likely to see pulmonary conditions such as asthma, which may have been developed during childhood and have various onsets of attack. In fact, within the last two decades the likelihood of an elite athlete to have asthma has greatly increased; more specifically in cyclists and mountain bikers and less likely in weight lifters. 3 Factors that may have affected this trend may include the change in exposure to pollutants within the environment, change in diet, training, supplement use, training intensities, and overuse of antiboiotics which may affect the immune systems reactions. 3 When working with these individuals a primary goal would be to reduce potential allergens that may exacerbate an asthma attack and have a medication management plan in place. For example, working in an indoor facility if an athlete has outdoor allergies to pollens may help to focus on training during optimal conditions. However, it would be important to consider conditions during race or game time activities compared to training as well to be prepared. Exercise-Induced Asthma(or exercise-induced bronchoconstriction) is not completely understood in its etiology. One thought of the reason for reaction of the narrowed airways is due to changes in temperature and humidity in the atmosphere. 3 Others think certain individuals are more susceptible to this condition who are otherwise healthy and without asthma in daily living. 8 An estimated 10-50% of athletic individuals may experience this condition from recent studies. 8 It is recommended to gradually adjust to increased intensities when experiencing exercise-induced asthma. Typically symptoms peak at about six-to-eight minutes into exercise and improve as you continue, but occur at equal or greater intensities during recovery. 3 Although symptoms and treatment often is similar compared to those who have asthma in daily living, it is important to consider anti-doping regulations when evaluating a management/treatment plan involving medications that may apply. 8 Medications: Asthma In addition to trying to identify allergens that may cause flare-ups, it is important to have a medication management plan as well. There are both long-acting medications that help to keep the airway open and attacks, and quick-relief medications that help to relax the airways allowing more airflow faster in situations such as an attack or sometimes just prior to exercise. It is common to take allergy medications, and short and long acting asthma medications for optimal management. 3
4 Allergy medications that can help control symptoms that may lead to an attack and affect asthma include antihistamines, montelukast, nasal sprays, eye drops, emergency medications during anaphylaxis, topical ointments or creams, immunomodulators, and oral corticosteroids. Long-term asthma control medications to be taken daily with the goal to prevent the onset of asthma symptoms. These include inhaled corticosteroids, long-acting beta-agonists (LABAs), Cromolyn and Teophylline, Leukotriene modifiers, or immunomodulators. Inhaled corticosteroids are the most effective long-term control medication for asthma and there are several different types available either by itself or in combination with a bronchodilator. The doses and frequency to take vary on the type of drug prescribed, age of the person with asthma, and severity of symptoms. The physician should designate the strength and frequency. Long-acting beta-agonists should always be used in conjunction with inhaled steroids in asthma according to the FDA. These often help relieve bronchospasm occurrences and prevent exercise-induced asthma symptoms. Cromolyn and Theophylline should be alternative controller medications and not primary choice medications. Theophylline is associated with prevention of asthma symptoms that especially occur at night. Leukotriene Modifiers are oral medications that help to treat and prevent symptoms. Immunomodulator medications act directly on the immune system to change the biological response. These are typically taken subcutaneously via injection and used in people with moderate to severe allergic asthma related to air allergens year-round and can be diagnosed via a skin or blood test. Short-term asthma control medications help to relax airway muscles and provide quicker relief via improved airflow. Short-acting Beta-Agonists (SABAs) are common to help relieve the quick onset of asthma symptoms. There are various types and the dose and frequency varies depending on type of drug, age, and severity of symptoms. They are used as inhalers in an aerosol or powder form that is inhaled for quick relief. These are meant to help control an asthma attack rather than taken daily as a preventative method therefore are often used in conjunction with long-acting medications as well. 9 Please see the American Academy of Allergy Asthma & Immunology (AAAAI) website for additional available charts and links to current recommended medication management within each category of FDA approved medications and typically recommended doses related to age. Long-term control medications: These are taken daily to help prevent symptom onset. Inhaled Corticosteroids: 4
5 Inhaled Cordicosteroids: Are considered the most effective long term usage medication for control and management of asthma. Generic Name Brand Name Use Usual Dosage Beclomethasone Propionate HFA QVAR Inhalation Aerosol 40mcg/puff QVAR Inhalation Aerosol 80 mcg/puff prevent ashma. Age 5 and older Children 5-11: 40-80mcg twice daily Adult: mcg whice daily Budesonide Pulmicort Flexhaler 90mcg Pulmicort Flexhaler 180 mcg Pulmicort Respules 0.25 mg/2ml susp 0.5 mg/2ml susp 1mg/2mL susp prevent asthma. Age 6 and older prevent asthma. Age 12 months to 8 years. Children mcg twice dialy. Maximum is 360 mcg twice daily. Age 18 and older: 360 mcg twice daily. Maximum is 720 mcg twice daily. 12months to 8 years: 0.5 mg to 1mg, once daily or in divided doses Budesonide with Formoterol (bronchodilator) Symbicort 80/4.5 Symbicort 160/4.5 Maintenance of asthma. Age 12 and older Symbicort 80/4.5: 2 puffs twice daily Symbicort 160/4.5: 2 puffs twice daily Prescriber should designate the exact strength recommended. Ciclesonide Alvesco Inhalation Aerosol 80 or 160 mcg Maintenance of Asthma. Age 12 and older 80 to 320 mcg daily 5
6 Flunidolide Aerobid Aerosol 250 msg/ puff Aerobid-M Aerosol 250msg/ puff Age 6 and older: 2 inhalations twice daily Adult: 2-4 inhalations twice daily Fluticasone Propionate Flovent HFA 44, 110, or 220 mcg Inhalation Aerosol Flovent Diskus 50, 100, and 250 mcg Age 4 and above. Dosing varies and is to be adjusted per physician. Diskus dose: 1-2 inhalations twice daily Advair Diskus: Fluticasone with Salmeterol (bronchodilator) Advair Diskus 100/50, 250/50, or 500/50 Advair HFA 45/21, 115, 21, or 230/21 100/50 ages And all appropriate for age 12 and older One inhalation twice daily. HFA: age 12 and older for all strengths, 2 inhalations twice daily. Momestasone Asmanex Twishaler 220 mcg age 12 and older Age 12+: mcg Asmanex Twishaler 110 mcg age 4-11 Children 4-11: 110mcg in the evening 6
7 Mometasone with Formoterol (bronciodialator) Dulera 100/5 and 200/5 Age 12+: 2 puffs twice daily. Triamcinolone Acetonide Azmacort Inhalation Aerosol 75mcg/spray Age 6-12: 2-8 puffs daily in divided doses Adults: 4-16 puffs daily in divided doses. *Chart based on similar Medicationguide directly from AAAI website 6 Interesting factoid:methalzanthine, a chemical found naturally in caffeine, is similar to some antiinflammatory medications in pediatric asthma management treatments. So during a flare-up, a child may be able to drink very strong coffee to help reduce symptoms. This was done by former U.S. president Teddy Roosevelt when he was a young child growing up with severe asthma symptoms. 4 Of course, now we would recommend having proper medications on hand in case of this occurrence. 10 Asthma: Exercise Programming Recommendations: (From Durstine s ACSM s Exercise Management for Person s with Chronic Diseases and Disabilities-2003) 2 Mode Goal Intensity/ Frequency/ Duration Time to Goal Aerobic Increase VO2 peak, lactate threshold, & Ventilatory threshold Improved breathing patterns (less dyspnea) RPE 11-13/ sessions, 3-7 days/wk 30 min/ session Focus on duration over intensity 2-3 months 7
8 ADL improvement Strength Increase max reps, isokinetic torque/work, and lean body mass Low resistance, high reps 2-3 days/wk 2-3 months Flexibility Increase ROM 3 sessions/ wk Neuromuscular & Balance Improve gait, balance, and breathing efficiency Daily 1. Farrell, P; Joyner, M.; Caiozzo V. Chapter 8: The Respiratory System. American College of Sports Medicine s Advanced Exercise Physiology. 2011, 2 nd Edition. 2. Durstine, L; Moore G. Chapters 15 & 17: COPD & Asthma. American College of Sports Medicine's Exericse Management for Persons with Chronic Diseases and Disabilities. 2003; 2nd Edition Brooks, G; Fahey T; Baldwin, K. Exercise Physiology: Human Bioenergetics and Its Applications, Fourth Edition. Chapters The Why and How of PulmonaryVentilation. 2005; ; Chapter 26: Pulmonary Disorders: COPD: U.S. Department of Health & Human Services. National Heart, Lung, nd Blood Institute American Lung Association American Academy of llergy Asthma & Immunology. December AAAI Allergy & Asthma Medication Guide. 8
9 7. Zahran, Hatice. Predictors of Asthma Self-Management Eduction among Children and Adults Behavioral Risk Factor Surveillance System Asthma Call-back Survey. Journal of Asthma. Feb :(1) Schumacher, Y; Pottgiesser, T; Dickhuth, H. Exerfcise-Induced Bronchoconstriction: Asthma in Athletes. International Sports Medicine Journal. 2011: 12: (3): American Academy of Allergy Astma & Immunology. Dec AAAAI ALllergy & Asthma Medicaton Guide WebMD: COPD HethCnt. :/ 9
Asthma By Mayo Clinic staff
MayoClinic.com reprints This single copy is for your personal, noncommercial use only. For permission to reprint multiple copies or to order presentation-ready copies for distribution, use the reprints
More informationMANAGING ASTHMA. Nancy Davis, RRT, AE-C
MANAGING ASTHMA Nancy Davis, RRT, AE-C What is asthma? Asthma is a chronic respiratory disease characterized by episodes or attacks of inflammation and narrowing of small airways in response to asthma
More informationAsthma. Definition. Symptoms
Asthma Definition Asthma is a condition in which your airways narrow and swell and produce extra mucus. This can make breathing difficult and trigger coughing, wheezing and shortness of breath. For some
More informationNancy Davis, RRT, AE-C
Nancy Davis, RRT, AE-C Asthma Statistics 25.6 million Americans diagnosed with asthma 6.8 million are children 10.5 million missed school days per year 14.2 lost work days for adults Approximately 10%
More informationRespiratory Health. Asthma and COPD
Respiratory Health Asthma and COPD Definition of asthma Working definition by AAH 2014: Chronic lung disease Can be controlled not cured Large variation in lung function Large variation in respiratory
More informationAsthma medications: Know your options - MayoClinic.com. Asthma medications: Know your options
MayoClinic.com reprints This single copy is for your personal, noncommercial use only. For permission to reprint multiple copies or to order presentation-ready copies for distribution, use the reprints
More informationHealthPartners Care Coordination Clinical Care Planning and Resource Guide ASTHMA
The following evidence based guideline was used in developing this clinical care guide: National Institute of Health (NIH National Heart, Lung, and Blood Institute (NHLBI) and American Academy of Allergy,
More informationSome Facts About Asthma
Some Facts About Asthma Contents What is asthma? Diagnosing asthma Asthma symptoms Asthma triggers Thanks What is asthma?? Asthma is a chronic lung-disease that inflames and narrows the airways (tubes
More informationASTHMA IN THE PEDIATRIC POPULATION
ASTHMA IN THE PEDIATRIC POPULATION SEARCH Rotation 2 August 23, 2010 Objectives Define asthma as a chronic disease Discuss the morbidity of asthma in pediatrics Discuss a few things that a health center
More informationAir Flow Limitation. In most serious respiratory disease, a key feature causing morbidity and functional disruption is air flow imitation.
Asthma Air Flow Limitation In most serious respiratory disease, a key feature causing morbidity and functional disruption is air flow imitation. True whether reversible, asthma and exercise-induced bronchospasm,
More informationAsthma in Pregnancy. Asthma. Chronic Airway Inflammation. Objective Measures of Airflow. Peak exp. flow rate (PEFR)
Chronic Airway Inflammation Asthma in Pregnancy Robin Field, MD Maternal Fetal Medicine Kaiser Permanente San Francisco Asthma Chronic airway inflammation increased airway responsiveness to a variety of
More informationAllergies and Asthma 5/21/2013. Objectives. Allergic Rhinitis (AR): Risk Factor for ASTHMA. Rhinitis and Asthma
Allergies and Asthma Presented By: Dr. Fadwa Gillanders, Pharm.D Clinical Pharmacy Specialist May 2013 Objectives Understand the relationship between asthma and allergic rhinitis Understand what is going
More informationAsthma in the Athlete
Asthma in the Athlete Jorge E. Gomez, MD Associate Professor Texas Children s Hospital Baylor College of Medicine Assist Team Physician UH Understand how we diagnose asthma Objectives Be familiar with
More informationAsthma. Guide to Good Health. Healthy Living Guide
Asthma Guide to Good Health Healthy Living Guide Asthma Chronic Fatigue Syndrome (CFS) Chronic Obstructive Pulmonary Disease (COPD) Coronary Artery Disease (CAD) Depression Hyperlipidemia Hypertension
More informationAsthma 101. Introduction
TRIGGERS Introduction Asthma is a chronic disease of the lungs that makes it difficult for people to breathe. Asthma is extremely common. About 20 million Americans have asthma. About 5,000 die each year
More information12/18/2017. Disclosures. Asthma Management Updates: A Focus on Long-acting Muscarinic Antagonists and Intermittent Inhaled Corticosteroid Dosing
Asthma Management Updates: A Focus on Long-acting Muscarinic Antagonists and Intermittent Inhaled Corticosteroid Dosing Diana M. Sobieraj, PharmD, BCPS Assistant Professor University of Connecticut School
More informationDiagnosis, Assessment, Monitoring and Pharmacological Treatment of Asthma
Diagnosis, Assessment, Monitoring and Pharmacological Treatment of Asthma Magnitude of Asthma - India Delhi Childhood asthma: 10.9% Adults: 8% Other Cities 3 to 18% Chhabra SK et al Ann Allergy Asthma
More informationEffective Date: 4/27/2016 Version: 1.0 Approval By: CCC Clinical Delivery Steering Planned Review Date: 4/27/2017
Protocol Title: Adult Asthma Protocol Effective Date: 4/27/2016 Version: 1.0 Approval By: CCC Clinical Delivery Steering Planned Review Date: 4/27/2017 1 Purpose & Objective This protocol provides evidence-based
More informationInhaled bronchodilators relax constricted airways and treat the noisy part of asthma: coughing, wheezing, choking and shortness of breath.
Inhaled bronchodilators relax constricted airways and treat the noisy part of asthma: coughing, wheezing, choking and shortness of breath. AccuNeb inhalation 0.021% solution: 0.63mg/3mL 3-4 times solution
More informationAlberta Childhood Asthma Pathway for Primary Care
Asthma Diagnosis Box 1 Diagnosis: Based on symptom pattern, careful and thorough history of symptoms (wheeze, cough, night waking and activity limitations), and assessment of family history of asthma and
More informationGINA. At-A-Glance Asthma Management Reference. for adults, adolescents and children 6 11 years. Updated 2017
GINA At-A-Glance Asthma Management Reference for adults, adolescents and children 6 11 years Updated 2017 This resource should be used in conjunction with the Global Strategy for Asthma Management and
More informationMedications Affecting The Respiratory System
Medications Affecting The Respiratory System Overview Asthma is a chronic inflammatory disorder of the airways. It is an intermittent and reversible airflow obstruction that affects the bronchioles. The
More informationAsthma Management Updates: A Focus on Long-acting Muscarinic Antagonists and Intermittent Inhaled Corticosteroid Dosing
Asthma Management Updates: A Focus on Long-acting Muscarinic Antagonists and Intermittent Inhaled Corticosteroid Dosing Diana M. Sobieraj, PharmD, BCPS Assistant Professor University of Connecticut School
More informationProvider Respiratory Inservice
Provider Respiratory Inservice 2 Welcome Opening Remarks We will cover: Definition of Asthma & COPD Evidence based guidelines for diagnosis, evaluation, and management of asthma Evidence based guidelines
More informationASTHMA. Epidemiology. Pathophysiology. Diagnosis. IAP UG Teaching slides
BRONCHIAL ASTHMA ASTHMA Epidemiology Pathophysiology Diagnosis 2 CHILDHOOD ASTHMA Childhood bronchial asthma is characterized by Airway obstruction which is reversible Airway inflammation Airway hyper
More informationASTHMA PROTOCOL CELLO
ASTHMA PROTOCOL CELLO Leiden May 2011 1 Introduction This protocol includes an explanation of the clinical picture, diagnosis, objectives, non medical and medical therapy and a scheme for inhaler dosage.
More informationDrug Class Monograph
Drug Class Monograph Class: Inhaled Corticosteroids Drugs: Aerospan (flunisolide), Advair Diskus, Advair HFA (fluticasone/salmeterol), Alvesco (ciclesonide), Arnuity Ellipta (fluticasone furoate), Asmanex
More informationAsthma Description. Asthma is a disease that affects the lungs defined as a chronic inflammatory disorder of the airways.
Asthma Asthma Description Asthma is a disease that affects the lungs defined as a chronic inflammatory disorder of the airways. Symptoms of asthma In susceptible individuals, this inflammation causes recurrent
More informationClinical Practice Guideline: Asthma
Clinical Practice Guideline: Asthma INTRODUCTION A critical aspect of the diagnosis and management of asthma is the precise and periodic measurement of lung function both before and after bronchodilator
More informationPathology of Asthma Epidemiology
Asthma A Presentation on Asthma Management and Prevention What Is Asthma? A chronic disease of the airways that may cause Wheezing Breathlessness Chest tightness Nighttime or early morning coughing Pathology
More informationDiagnosis, Treatment and Management of Asthma
Diagnosis, Treatment and Management of Asthma Asthma is a complex disorder characterized by variable and recurring symptoms, airflow obstruction, bronchial hyperresponsiveness, and an underlying inflammation.
More informationGet Healthy Stay Healthy
Asthma Management WHAT IS ASTHMA? Asthma causes swelling and inflammation in the breathing passages that lead to your lungs. When asthma flares up, the airways tighten and become narrower. This keeps the
More informationAsthma and IAQ. Lani Wheeler, MD, Medical Officer Sarah Merkle, MPH, Program Analyst
Asthma and IAQ Lani Wheeler, MD, Medical Officer Sarah Merkle, MPH, Program Analyst Division of Adolescent and School Health Centers for Disease Control and Prevention Asthma is a Major Public Health Problem
More informationRespiratory Pharmacology
Allergy Targets of allergies Type I Histamine Leukotrienes Prostaglandins Bradykinin Hypersensitivity reactions Asthma Characterised by Triggered by Intrinsic Extrinsic (allergic) Mediators Result Early
More informationYour Guide to MANAGING ASTHMA
Your Guide to MANAGING ASTHMA Asthma affects more than 24 MILLION AMERICANS. It is a chronic disease that causes your airways to become inflamed, making it hard to breathe. There is no cure for asthma.
More informationGlossary of Asthma Terms
HealthyKidsExpress@bjc.org Asthma Words to Know Developed in partnership with Health Literacy Missouri Airways (Bronchi, Bronchial Tubes): The tubes in the lungs that let air in and out of the body. Airway
More informationChronic inflammation of the airways Hyperactive bronchi Shortness of breath Tightness in chest Coughing Wheezing
Chronic inflammation of the airways Hyperactive bronchi Shortness of breath Tightness in chest Coughing Wheezing Components of the respiratory system Nasal cavity Pharynx Trachea Bronchi Bronchioles Lungs
More informationKey features and changes to these four components of asthma care include:
Guidelines for the Diagnosis and Management of Asthma in Adults Clinical Practice Guideline MedStar Health These guidelines are provided to assist physicians and other clinicians in making decisions regarding
More informationAsthma ASTHMA. Current Strategies for Asthma and COPD
Current Strategies for Asthma and COPD Talmadge E. King, Jr., M.D. Krevins Distinguished Professor of Medicine Chair, Department of Medicine University of California San Francisco (UCSF) San Francisco,
More informationFunction of the Respiratory System. Exchange CO2 (on expiration) for O2 (on inspiration)
Function of the Respiratory System Exchange CO2 (on expiration) for O2 (on inspiration) Upper Respiratory Tract Includes: Nose Mouth Pharynx Larynx Function: Warms and humidifies the inspired air Filters
More informationAsthma Education. The Keys to Asthma Prevention and Control. what to do when one s asthma is flared! Lucile Packard Children s Hospital.
Asthma Education Lucile Packa r d Children s H o spit al Created by Rachel Lawler RN, MSN, cpnp, AE-C, NPAT Pulmonary Pediatric Nurse Practitioner Lucile Packard Children s Hospital The Keys to Asthma
More informationPrimary Care Medicine: Concepts and Controversies Wed., February 17, 2010 Fiesta Americana Puerto Vallarta, Mexico Update on Asthma and COPD
Primary Care Medicine: Concepts and Controversies Wed., February 17, 2010 Fiesta Americana Puerto Vallarta, Mexico Update on Asthma and COPD Talmadge E. King, Jr., M.D. Krevins Distinguished Professor
More informationStaying Healthy. with Asthma. Illustrations by paulsharp.com
Staying Healthy with Asthma Illustrations by paulsharp.com Lungs & Asthma What is Asthma? Inflammation or swelling of airways that leads to: 1) Mucous production deep inside the airways. 2) Temporary difficulty
More informationFoundations of Pharmacology
Pharmacologic Management of Asthma Objectives: 1. Review the physiological basis for asthma therapy 2. Discuss the differences between SABA and LABA 3. Discuss the role of inhaled and oral systemic corticosteroids
More informationASTHMA AND CHILDCARE PART 1. Presented by: Robin Costley, CRT, AE-C Marion County Public Health Department Manager, Asthma Alliance of Indianapolis
ASTHMA AND CHILDCARE PART 1 Presented by: Robin Costley, CRT, AE-C Marion County Public Health Department Manager, Asthma Alliance of Indianapolis OBJECTIVES By the end of training, participants will:
More informationInhaled Corticosteroids Drug Class Prior Authorization Protocol
Inhaled Corticosteroids Drug Class Prior Authorization Protocol Line of Business: Medicaid P&T Approval Date: February 21, 2018 Effective Date: April 1, 2018 This policy has been developed through review
More informationInhaled Corticosteroids Drug Class Prior Authorization Protocol
Inhaled Corticosteroids Drug Class Prior Authorization Protocol Line of Business: Medi-Cal P&T Approval Date: February 21, 2018 Effective Date: April 1, 2018 This policy has been developed through review
More informationSignificance. Asthma Definition. Focus on Asthma
Focus on Asthma (Relates to Chapter 29, Nursing Management: Obstructive Pulmonary Diseases, in the textbook) Asthma Definition Chronic inflammatory disorder of airways Causes airway hyperresponsiveness
More informationAsthma in Pediatric Patients. DanThuy Dao, D.O., FAAP. Disclosures. None
Asthma in Pediatric Patients DanThuy Dao, D.O., FAAP Disclosures None Objectives 1. Discuss the evaluation and management of asthma in a pediatric patient 2. Accurately assess asthma severity and level
More informationLivingWith Asthma. A Guide to Understanding Asthma...
A Guide to Understanding... LivingWith Understanding Diagnosing Treating Frequently Asked Questions [2] A Guide to Understanding... Understanding What Is? (AZ-muh) is a chronic disease that affects your
More informationAsthma and Vocal Cord Dysfunction
Asthma and Vocal Cord Dysfunction Amy L. Marks DO, FACOP Pediatric Allergy and Immunology Assistant Professor of Pediatrics Oakland University William Beaumont School of Medicine Objectives: Understanding
More informationHome Management Plan. Cover Page
Home Management Plan Cover Page What is Asthma? Asthma is a chronic disease of the lungs caused by swelling and irritation in the lining of airways Tightness of the airway muscles Excess mucus in the airways
More informationExercise-Induced Bronchospasm. Michael A Lucia, MD, FCCP Asst Clinical Professor, UNR School of Medicine Sierra Pulmonary & Sleep Institute
Exercise-Induced Bronchospasm Michael A Lucia, MD, FCCP Asst Clinical Professor, UNR School of Medicine Sierra Pulmonary & Sleep Institute EIB Episodic bronchoconstriction with exercise May be an exacerbation
More informationWeb E-Mial Registration Form. Med practitioner s name. Med practitioner s phone. Name/location of the clinic
AsthmaCare Program Buteyko Clinic USA, LLC Web www.asthmacare.us E-Mial info@asthmacare.us Workshop Date Workshop location Registration Form The purpose of this form is to assist AsthmaCare practitioner
More informationAerospan (flunisolide)
STRENGTH DOSAGE FORM ROUTE GPID 80mcg/actuation HFA aerosol inhaler w/ Inhaled 35718 8.9 g/canister adapter MANUFACTURER Meda Pharmaceuticals INDICATION Aerospan Inhalation Aerosol is indicated for the
More informationAsthma. The prevalence of asthma has been increasing worldwide, but why this is happening is not known.
Asthma What is asthma? Asthma is a chronic disorder of the airways of the lungs. The airways are reactive and may be inflamed even when symptoms are not present. The extent and severity of airway irritation
More informationOn completion of this chapter you should be able to: discuss the stepwise approach to the pharmacological management of asthma in children
7 Asthma Asthma is a common disease in children and its incidence has been increasing in recent years. Between 10-15% of children have been diagnosed with asthma. It is therefore a condition that pharmacists
More informationAsthma. What Is Asthma? Overview. Asthma
Asthma What Is Asthma? Asthma is a chronic (long-term) lung disease that inflames and narrows the airways. Asthma causes recurring periods of wheezing (a whistling sound when you breathe), chest tightness,
More informationAsthma Management in Pregnancy HEATHER HOWE, MD UNIVERSITY OF UTAH PULMONARY DIVISION
Asthma Management in Pregnancy HEATHER HOWE, MD UNIVERSITY OF UTAH PULMONARY DIVISION Asthma Management in Pregnancy Effects of asthma on pregnancy outcomes Effects of pregnancy on asthma control Management
More informationWest Houston Allergy & Asthma, P.A.
Consent to Receive Immunotherapy (ALLERGY SHOTS) Procedure Allergy injections are usually started at a very low dose. This dose is gradually increased on a regular (usually 1-2 times per week) basis until
More informationCHRONIC OBSTRUCTIVE PULMONARY DISEASE
CHRONIC OBSTRUCTIVE PULMONARY DISEASE INCIDENCE UP TO 380,000 PEOPLE IN IRELAND HSE FIGURES 110,000 DIAGNOSED AND 200,000 UNDIAGNOSED. AFFECTS MORE MEN THAN WOMEN BUT RATES ARE RISING 1500 DEATHS PER YEAR
More informationBecause the more you know, the better you ll feel.
ABOUT ASTHMA Because the more you know, the better you ll feel. This booklet is designed to help you understand asthma and the things you can do every day to help control symptoms. As always, talk to your
More informationAvg PM10. Avg Low Temp
Geography 532 Geography of Environmental Health Dr. Paul Marr Name: Ex 16- Seasonality, Time Delay, and Disease (10 pts) Below are asthma cases per month for the years 1992-1994. The table also includes
More informationII: Moderate Worsening airflow limitations Dyspnea on exertion, cough, and sputum production; patient usually seeks medical
Table 3.1. Classification of COPD Severity Stage Pulmonary Function Test Findings Symptoms I: Mild Mild airflow limitations +/ Chronic cough and sputum production; patient unaware of abnormal FEV 1 80%
More informationAsthma. Basic Information About Asthma. What is asthma? Who is at risk? What are the most common triggers for asthma symptoms?
In This Issue: } Basic Information About Asthma } 5 Steps for Asthma Self-Management } Treatments for Asthma: Controller Meds and Rescue Meds } Is Your House an Asthma Trigger? Basic Information About
More informationChronic obstructive pulmonary disease
Chronic obstructive pulmonary disease By: Dr. Fatima Makee AL-Hakak () University of kerbala College of nursing Out lines What is the? Overview Causes of Symptoms of What's the difference between and asthma?
More informationASTHMA BEST PRACTICES FOR SCHOOL NURSES. School Nurses November 2015
ASTHMA BEST PRACTICES FOR SCHOOL NURSES School Nurses November 2015 1 BACKGROUND AND CURRENT STATS General definitions and explanations 2 Incidence of Asthma Centers for Disease Control (CDC) - 1 in 12
More informationBreathe Easy. Living with Asthma
Breathe Easy Living with Asthma Got Asthma? You re Not Alone! More than 300 million people around the world have asthma. But having asthma doesn t have to limit what you can do. With education and treatment,
More informationCOPD COPD. Update on COPD and Asthma
Update on COPD and Asthma Talmadge E. King, Jr., M.D. Krevins Distinguished Professor of Medicine Chair, Department of Medicine University of California San Francisco (UCSF) San Francisco, CA COPD COPD
More informationBecause the more you know, the better you ll feel.
ABOUT ASTHMA Because the more you know, the better you ll feel. What You ll Find Attitudes and Beliefs Asthma What Is It? Where You ll Find It Page 4-5 This booklet is designed to help you understand asthma
More informationA New Look At Asthma
nhsmanagers.net Briefing 23 May 2016 Medicine for Managers Dr Paul Lambden BSc MB BS BDS FDSRCSEng MRCS LRCP DRCOG MHSM FRSH A New Look At Asthma Probably everyone knows that asthma is an increasingly
More informationASTHMA CONTROL. Asthma is a chronic airway disease. You cannot cure asthma, but you can control it. Treatment can improve asthma symptoms.
ASTHMA CONTROL Asthma is a chronic airway disease. You cannot cure asthma, but you can control it. Treatment can improve asthma symptoms. Asthma changes the lung airways in 3 ways: 1. Lining of the airways
More informationAsthma. Permafold Topics. What You Need To Know
1. What Is Asthma? Asthma is a chronic disease that causes the airways to narrow. Airflow is limited due to inflammation in the airways. Asthma What You Need To Know Permafold Topics 1. What Is Asthma?
More informationAsthma training. Mike Levin Division of Asthma and Allergy Red Cross Hospital
Asthma training Mike Levin Division of Asthma and Allergy Red Cross Hospital Introduction Physiology Diagnosis Severity Treatment Control Stage 3 of guidelines Acute asthma Drug delivery Conclusion Overview
More informationConnecting Health & Housing: Asthma and the Home. Presented by: The California-Nevada Public Health Training Center
Connecting Health & Housing: Asthma and the Home Presented by: The California-Nevada Public Health Training Center Funded by Grant #UB6HP20202 from the Health Resources and Services Administration, U.S.
More informationBreathe Easy ACTIVITIES. A Family Guide to Living with Asthma F O R T H E K ! I D S
Breathe Easy A Family Guide to Living with Asthma ACTIVITIES FUN & EDUCATIONAL F O R T H E K! I D S What Is Asthma? Asthma is a disease of the lungs. It s a chronic (long-term) condition that affects the
More informationbenralizumab (Fasenra )
Applies to all products administered or underwritten by Blue Cross and Blue Shield of Louisiana and its subsidiary, HMO Louisiana, Inc.(collectively referred to as the Company ), unless otherwise provided
More informationAsthma and the competitive swimmer
Asthma and the competitive swimmer Introduction: One in seven children and one in 25 adults in Great Britain have asthma and the number is growing. Thus every swim squad or club will have a number of asthmatics
More informationAdult Asthma Clinical Practice Guideline Summary
Adult Asthma Clinical Practice Guideline Summary The following evidence-based guideline was developed to assist Primary Care physicians and other clinicians in the management of asthma in adults. It was
More informationANTINEOPLASTIC DRUGS CHAPTER 21. Antineoplastic drugs - designed to treat malignancies, now also used to treat diseases with inflammatory component
ANTINEOPLASTIC DRUGS CHAPTER 21 Antineoplastic drugs - designed to treat malignancies, now also used to treat diseases with inflammatory component Tx of malignancies Antineoplastic drugs: methotrexate
More informationCoverage Criteria: Express Scripts, Inc. monograph dated 03/03/2010
BENEFIT DESCRIPTION AND LIMITATIONS OF COVERAGE ITEM: PRODUCT LINES: COVERED UNDER: DESCRIPTION: CPT/HCPCS Code: Company Supplying: Setting: Xolair (omalizumab) Commercial HMO/PPO/CDHP HMO/PPO/CDHP: Rx
More informationCMS Asthma Education Program
CMS Asthma Education Program ASTHMA IS Common Chronic Treatable Distressing Misunderstood Potentially Dangerous CMS Prevalence Number one chronic disease Leading cause of Absences 6481 CMS students (2003-04)
More informationLearning Objective. Asthma. Discuss the pathophysiology, clinical presentation, diagnosis, and treatment of Asthma 2/22/2017
Marianne Curran, PA C 3/1/17 Learning Objective Discuss the pathophysiology, clinical presentation, diagnosis, and treatment of Definition many variations Chronic Disorder with Reversible (Intermittent
More informationAsthma and Air Pollution
Asthma and Air Pollution Health Effects Workshop Nov. 6, 2008 Joann Held with thanks to: Dave Brown Asthma and Airways Asthma Physiology A chronic disease that affects airways. The inside walls of airways
More informationNucala (mepolizumab injection for subcutaneous use)
Nucala (mepolizumab injection for subcutaneous use) Policy Number: 5.01.612 Last Review: 01/2018 Origination: 02/2016 Next Review: 02/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will
More informationDoes rhinitis. lead to asthma? Does sneezing lead to wheezing? What allergic patients should know about the link between allergic rhinitis and asthma
Does rhinitis lead to asthma? Does sneezing lead to wheezing? What allergic patients should know about the link between allergic rhinitis and asthma For a better management of allergies in Europe Allergy
More information+ Asthma and Athletics
+ Asthma and Athletics Shaylon Rettig, MD, MBA Champion Sports Medicine + Financial Disclosure Dr. Shaylon Rettig has no relevant financial relationships with commercial interests to disclose. + Asthma
More informationAsthma. Rachel Miller, MD, FAAAAI Director Allergy and Immunology New York Presbyterian Hospital. Figure 1 Asthma Prevalence,
Asthma Rachel Miller, MD, FAAAAI Director Allergy and Immunology New York Presbyterian Hospital Figure 1 Asthma Prevalence, 1980-2000 * Gap between 1995-1996 and 1997 indicates a break in trend due to
More informationRESPIRATORY CARE IN GENERAL PRACTICE
RESPIRATORY CARE IN GENERAL PRACTICE Definitions of Asthma and COPD Asthma is due to inflammation of the air passages in the lungs and affects the sensitivity of the nerve endings in the airways so they
More informationAsthma Management for the Athlete
Asthma Management for the Athlete Khanh Lai, MD Assistant Professor Division of Pediatric Pulmonary and Sleep Medicine University of Utah School of Medicine 2 nd Annual Sports Medicine Symposium: The Pediatric
More informationPublic Dissemination
1. THE ASTHMA CONDITION 9 18 3 30 A. Pathophysiology 4 6 0 10 1. Teach an individual with asthma and their family using simple language by illustrating the following with appropriate educational aids a.
More informationPosition within the Organisation
ASTHMA TREATMENT GUIDELINES Document Description Document Type Service Application Guidelines All healthcare professionals(hcps) caring for patients with asthma Version 4.0 Ratification date September
More informationGlobal Initiative for Asthma (GINA) What s new in GINA 2016?
Global Initiative for Asthma (GINA) What s new in GINA 2016? GINA Global Strategy for Asthma Management and Prevention GINA: A Brief History Established in 1993 Collaboration between NHLBI and WHO Multiple
More informationAsthma Management. Photo from
Asthma Management 1 Photo from www.nhlbi.nih.gov Course Overview 1. Recognition of the symptoms and signs Basic Knowledge of asthma Recognition of common symptoms Recognition of the signs of asthma including
More informationI have no perceived conflicts of interest or commercial relationships to disclose.
ASTHMA BASICS Michelle Dickens RN FNP-C AE-C Nurse Practitioner/Certified Asthma Educator Ferrell Duncan Allergy/Asthma/Immunology Coordinator, CoxHealth Asthma Center DISCLOSURES I have no perceived conflicts
More informationAllergy and Immunology Review Corner: Chapter 75 of Middleton s Allergy Principles and Practice, 7 th Edition, edited by N. Franklin Adkinson, et al.
Allergy and Immunology Review Corner: Chapter 75 of Middleton s Allergy Principles and Practice, 7 th Edition, edited by N. Franklin Adkinson, et al. Chapter 75: Approach to Infants and Children with Asthma
More informationTRELEGY ELLIPTA (fluticasone-umeclidinium-vilanterol) aerosol powder
TRELEGY ELLIPTA (fluticasone-umeclidinium-vilanterol) aerosol powder Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific
More informationAdjustment of Inhaled Controller Therapy of Asthma in the Yellow Zone, Based on the Inhaler Product Used in the Green Zone Age 16 Years and Older
Adjustment of Inhaled Controller Therapy of Asthma in the Yellow Zone, Based on the Inhaler Product Used in the Green Zone Age 16 Years and Older The Canadian Thoracic Society and other international asthma
More informationSpeaker Disclosure. Identification and Diagnosis of Asthma. Definition of Asthma. Objectives 11/9/2017
Speaker Disclosure Identification and Diagnosis of Asthma Isabel L. Virella Lowell, MD, Associate Professor, Pulmonology and Sleep Medicine, University of Alabama at Birmingham Isabel Virella-Lowell, MD
More information