ASTHMA AND STEPWISE MANAGEMENT 1 Asthma and Stepwise Management Phillip Comalander Walden University NURS 6521 Week 4 Assignment
ASTHMA AND STEPWISE MANAGEMENT 2 Introduction Asthma can be defined as a chronic inflammatory disease that affects the airways of approximately 10% of the population in the United States (Galeone et al., 2018). This process can be triggered by allergens both natural and chemical in nature. The lower respiratory tract is usually affected with asthma. This includes the trachea, bronchi (left and right), and the bronchioles. With this disease, inflammation of the airways can lead to them being narrowed and plugged with increase mucus secretions. This plugging of the airways leads to constriction of smooth muscles to clear the secretions. All these processes cause the airways to narrow and become irritated, leading to breathing difficulty. Asthma can be defined as chronic, with occasional acute exacerbations that require prompt medical attention. In this paper, the pharmacological management of asthma will be discussed, along with a stepwise approach to managing the disease process.
ASTHMA AND STEPWISE MANAGEMENT 3 Asthma and Stepwise Management In the acute phase of asthma, medications can be administered for appropriate relief of symptoms. These symptoms include tight, narrowed airways and usually is associated with coughing and wheezing. Anticholinergics, short-acting beta 2-agonist and inhaled corticosteroids can be administered during this event. When treating asthma, anticholinergics are rarely given as a monotherapy. These drugs are usually combined with a short-acting beta 2-agonist to provide the most complete therapy for the patient and relief of symptoms. This is especially important when dealing with adolescents and children. The process of administration of these medications is via an inhaler When inhaled, these medications help to relax and dilate the airways improving ventilation. One of the most commonly used bronchodilators on the market is Atrovent. When using Atrovent, the patient needs to be aware of possible side effects such as headache, mucus producing cough and the possibility of the patient’s urine becoming cloudy (Lavakumar et al., 2018). Although a possibility, these side effects usually resolve and there are no long-lasting issues if the medication is used for a short period. When it comes to providing the most effective
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- Fall '13
- stepwise management , Nurs 6521 (T., 2018)