Please enable JavaScript.
Coggle requires JavaScript to display documents.
ASTHMA - Coggle Diagram
ASTHMA
-
-
-
-
-
RED FLAGS
ADULTS
Prominent systemic features (Fever, weight lose, Myalgia)
Unexpected Clinical findings Crackles, finger clubbing, Cyanosis Monophonic wheeze, Evidence of cardiac disease.
-
-
-
-
-
DEFINITION: Asthma is a chronic inflammatory condition of the airways.The airways are hyper responsive and constrict easily in response to a wide range of stimuli. It is characterised by symptoms coughing, wheezing, chest tightness and SOB. Narrowing of the air ways is usually reversible either spontaneously or with medication. In same cases people with chronic asthma the inflammation may lead to irreversible airway obstruction.
TREAT IMMDEDIATLEY IF ACUTLEY UNWELL AT PRESENTATION, PERFORM OBJECTIVE TESTSFOR ASTHMA IF EQUIPMENT AVAILABLE AND WILL NOT COMPROMISE TREATMENT OF ACUTE EPISODE
MANAGEMENT IN COMMUNITY
-
SABA via large volume spacer to relieve acute symptoms (Adults For an adult, give 4 puffs initially, followed by 2 puffs every 2 minutes according to response, up to 10 puffs. For a child, give a puff every 30–60 seconds, up to 10 puffs. Each puff should be given one at a time and inhaled with five tidal breaths. Repeat every 10–20 minutes according to clinical response
Consider adherence before recommending increasing ICS as patients who are highly adherent (>90%) may have a ceiling effect and gain no additional benefit from increasing ICS at the onset of an attack.
Consider advising quadrupling inhaled corticosteroid (ICS) at the onset of an asthma attack and for up to 14 days in order to reduce the risk of needing prescribed oral steroids.
Weigh the benefit versus risk of recommending quadrupling ICS at the start of an asthma attack in people already on high dose ICS, especially if they are experiencing frequent attacks and/or are still requiring oral steroids. For people on fixed-dose combination inhalers, increasing the dose of ICS may best be achieved by adding a single ICS inhaler.
Do not prescribe antibiotics routinely, unless symptoms and signs suggest a bacterial infection. For more information, see the CKS topics on Chest infections - adult and Cough - acute with chest signs in children.r.
Once symptoms have subsided, advise the person (or their parent/carer) to return to using their short-acting beta-2 agonist as required, up to four times a day (not exceeding 4-hourly).
-
Management (Holistic)
-
-
-
-
-
-
-
-
-
Advise on triggers (BETA blockers, Air pollution, Smoke, NSAIDS)
-
-
-
-