(SABAs) And work to provide relief of bronchoconstriction by relaxing bronchial smooth muscle and functionally enlarging the luminal diameter of the airways (Conner & Buck, 2013). These work to decrease airflow obstruction so that breathing becomes less labored with relief
ASTHMA AND STEPWISE MANAGEMENT 3 from an acute bronchospasm in approximately 5–10 minutes. Common medications in this category include Albuterol Sulfate, Ipratropium Bromide, Levalbuterol HCl, and Tiotropium Bromide Inhalation Powder (Conner & Buck, 2013). The use of systemic corticosteroids for quick-relief of asthma is common. Corticosteroids decrease inflammation in the airways and are usually taken for a short period (1-2 weeks max) (Alangari, 2014). These medications can be given either orally or intravenously, and the most commonly used are Prednisone, Prednisolone, Dexamethasone and Methylprednisolone (Alangari, 2014). Arcangelo and Peterson (2013) stated that the use of inhaled steroids is the most effective and commonly used medication for the long-term prevention of symptoms and the suppression, Control and reversal of inflammation. There is usually a two-week period for these medications to achieve maximum effectiveness. Inhaled corticosteroids work to distribute, Beclomethasone, Ciclesonide, Flunisolide (Mapel & Roberts, 2014). Leukotriene modifier and methylxanthines are also options for long-term asthma management. Stepwise Approach to Asthma Treatment and Management down in therapeutic management may be required. The goal is to allow the patient to have a quality of life with minimal medications to maintain and treat asthma (National Heart Lung and Blood Institute, 2007). How Stepwise Management Assists Health Care Providers and Patients The goal for a patient living with asthma is to manage the disease in a way that will allow for more quality of life for the individual. “Asthma control is defined as the degree to which the goals of therapy are obtained as reflected in the maintenance of normal lung function with reduced symptoms and exacerbations” (Kaufman, 2012). The stepwise program assists
You've reached the end of your free preview.
Want to read all 6 pages?
- Summer '15
- stepwise management