Running head: ASTHMA 1 Asthma and Stepwise Management Tanisha Flowers Walden University NURS 6521N, Section 24, Advanced Pharmacology March 27, 2016
ASTHMA 2 Asthma and Stepwise Management Asthma is an inflammatory airway disease affecting both adults and children and can be acute or chronic. It affects 8% to 10% of the United States population which is 25 million people and 7 million are children (Arcangelo & Peterson, 2013). As an advanced practice nurse, understanding the treatment of this disease is important. Knowing that patients will require long- term control and quick-relief treatment aids in the treatment process. The purpose of this paper is to describe long-term control and quick relief treatment options and its impact on patients, the stepwise approach to treatment and management of asthma and how it assists health care providers and patients in gaining and maintaining control of the disease. Asthma Treatment and Impact on Patients Tight medication control of asthma is desired with long-term medications and quick- relief medications. Long-term control medications reduce airway inflammation and prevent asthma exacerbations. Long-term control medications consists of inhaled steroids with long- acting beta2-agonists, mast cell stabilizers, and leukotriene modifiers. Quick-relief medications are used to treat acute exacerbations and are bronchodilators and systemic corticosteroids. Inhaled steroids are the most effective long-term prevention therapy in the treatment of asthma symptoms and control and suppress airway inflammation when taken regularly (Arcangelo & Peterson, 2013). Inhaled steroids work by reducing the number of circulating eosinophils and the number of mast cells in the airways and reduces airway hyperresponsiveness which reduces airway inflammation (Arcangelo & Peterson, 2013). Inhaled steroids when used daily decreases sensitivity to histamine, cholinergic agonists, exercise, allergens, and irritants which help reduce the severity of symptoms and how often they occur (NIH, 2014). Inhaled steroids may cause a mouth infection called thrush. The use of a spacer or chamber are helping
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