Running head: ASTHMA AND STEPWISE MANAGEMENT 1 Asthma and Stepwise Management Walden University Henriette Ghapsi NURS 6501: Advanced Pharmacology Week 4 Assignment Dr. Ekwotafia December 24, 2018
2 ASTHMA AND STEPWISE MANAGEMENT Asthma and Stepwise Management Asthma is a chronic condition of the airway that affects worldwide, and approximately 26 million people suffer from the disease in the United States, and this disease touches about 7 million of children (Arcangelo et al., 2017, p. 317). In older adults, it is often attributed to age and misdiagnosed. Meanwhile, it can be treated or managed like any other chronic diseases (Larson & Griggs, 2016). The condition involves inflammation of the airway, spasmodic airflow obstruction, as well as bronchial hypersensitivity. The heterogeneity of the pathophysiology of asthma makes it difficult to diagnose and treat it. Therefore, providers should be able to differentiate between different types of asthma for effective treatment. The purpose of this paper is to elaborate long-term control and quick relief for asthma, discuss the stepwise approach to asthma management, and show how patients can gain control of the symptoms of their disease. Long-Term Treatments Patients present with symptoms such as wheezing, shortness of breath, coughing, chest tightness, hyperventilation, airway narrowing during the period of exacerbation, hypoxia, and respiratory alkalosis. The primary test to establish asthma diagnosis is the spirometry with postbronchodilator response.in acute asthma patients, always check the pulse oximetry to avoid hypoxemia. A chest radiograph is the initial imaging test, but this exam usually reveals normal or hyperinflation of the chest. The treatment aims at decreasing the frequency of the use of rescue
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