et al., 2017). All patients with asthma should have a SABA inhaler without regard to the severity of the disease; this is provided in the event; there is a sudden asthma attack (Arcangelo et al., 2017). Also, practitioners should be aware of a patient’s current medication list, more specifically MAOI and tricyclic antidepressants, if these medications are present the patients must be weaned off these medications for 14 days before the administration of SABA medications (Arcangelo et al., 2017). Patients taking MAOI and tricyclic antidepressants are at increased risk of stroke related to the increased cardiac side effects (Arcangelo et al., 2017). Lastly, foods and drinks with caffeine should be avoided or used in limited portions. Long – Term Treatment Options Asthma treatment goal should, most importantly, include a long-term purpose of preventing the recurrence of symptoms. Long term treatment should consist of the reduction of SABA medications while preventing chronic symptoms, exacerbations, emergency room visits while maintaining healthy lung function (National Heart, 2008). The most effective long-term management medication for mild, moderate, and severe asthma are known as Inhaled Corticosteroids (IC) (National Heart, 2008). Inhaled Corticosteroids (IC) assist in controlling chronic asthma through the reduction of airway inflammation and are the most effective methods of constant asthma control (National Heart, 2008). Practitioners must warn patients of side effects to monitor for which include hoarseness, oral candidiasis, and throat irritation (Arcangelo et al., 2017) Therefore, patients must be instructed to rinse their mouth, making sure to spit the contents out, to prevent the undesired side effects (Drugs.Com, 2018). Practitioners must be mindful of the dosage used, as high doses of IC use during prepubescent years can stunt growth during the adult years (Arcangelo et al., 2017). Concurrently, patients must be instructed on the
ASTHMA MANAGEMENT 4 risk of severe rebound asthma attacks and the loss of pulmonary function when IC is abruptly stopped or weaned (Rank et al., 2013) Step by Step Approach to Asthma Management Long term management of chronic asthma is best managed by a step by step program, which based upon the severity of an individual’s asthma (Arcangelo et al., 2017). Step by step
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- Fall '13
- asthma management