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PHARMACOLOGY Pt 3 - Coggle Diagram
PHARMACOLOGY Pt 3
Considerations of Poorly Controlled Asthma
Educate Pts. about the difference btwn. Controller & Reliever incl. inhaler technique
Medications(ASPRIN,B-blockers, & NSAIDS>aggravate asthma
Poor adherence
Trigger factors exposure
all wheezes≠asthma
Allergic Rhinitis & Sinutis>>worsens asthma
ACUTE SEVERE ASTHMA
Management:
B2 Agonist via MDI/Nebuliser
Systemic corticosteroid:Oral Predinisone/IV corticosteroids
O2 Face mask
Ipratropium bromide(Anti-cholinergics)>response to sublbutamol poor
IV magnesium sulphate (muscle relaxant property>dilation)
IV aminophylline not used=adverse effects(vomiting) , IV B2 stimulus>adverse effects > preferred route: Inhale
Characteristics
:≠speak in full sentences,FEV<40%, paCO2>45mmHg , %O2 saturation<90-92%,
Trach. tug
/accessory muscles,
quite chest
, ≠line in supine ,hypotension, sweat,
cyanosis
,confusion
Home Action Plan
Pt. education(techniques,nature of disease,medication,warning signs,triggers & monitoring of Peak Flo
Discharge>Oral prednisone(7-14 days)
preventative measures
Avoid Triggers