Week 4 Assignment: Asthma and Stepwise Management Trina Wilson Walden University NURS 6521: Advanced Pharmacology
Asthma and Stepwise Management Asthma is a common disease that advanced practice nurses will see while providing care for patient of all ages. It is essential that a provider understands the stepwise approach to managing asthma in patients with intermittent to severe persistent, and well-controlled to very poorly controlled asthma. According to Arcangelo, Peterson, Wilbur, and Reinhold (2017), approximately 25.7 million people in the United States have asthma (p. 377). Asthma is characterized by airway narrowing due to inflammation and airway hyperresponsiveness (Arcangelo, Peterson, Wilbur, & Reinhold, 2017, p.378). According to See and Ibrahim (2018), patients can present with symptoms such as recurrent episodes of shortness of breath, chest tightness, wheezing, or coughing. The purpose of this paper is to discuss long-term and quick- relief treatments of asthma. While also covering the stepwise approach to asthma management and the importance of gaining control of symptoms. Long-Term Treatments The goal of treatment is to prevent chronic symptoms, require the infrequent use of rescue medications, maintain near-normal lung function, while preventing exacerbations, emergency care visits, decrease in lung function, and minimizing adverse effects of therapy (NHLBI, 2007, p.2). Inhaled corticosteroids (ICS) are beneficial where they reduce airway inflammation and are the most effective long-term control therapy when managing mild, moderate and severe asthma (NHLBI, 2007, p.2). Side effects of corticosteroids are hoarseness, oral candidiasis, and throat irritation ( Arcangelo, Peterson, Wilbur, & Reinhold, 2017, p.382).
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