bronchial asthma
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BRONCHIAL ASTHMA
BY
ALINA MARIAM MATHEW
1st YEAR M.SC NURSING
•What is Asthma ?
Asthma
DEFINITION
• ASTHMA IS DEFINED AS A CHRONIC INFLAMMATORY DISORDER OF THE AIRWAYS CHARACTERISED BY REVERSIBLE AIRFLOW OBSTRUCTION CAUSING COUGH,WHEEZE , CHEST TIGHTNESS AND SHORTNESS OF BREATH
[HASLETT ET.AL – 1999]
CONTD……….
• ASTHMA IS A CHRONIC INFLAMMATORY LUNG DISEASE THAT RESULTS IN RECURRENT EPISODES OF AIRFLOW OBSTRUCTION BUT IT’S USUALLY REVERSIBLE
[LEWIS – 2008 ]
INCIDENCE ??
TRIGGERS OF ASTHMA
DIAGNOSTIC EVALUATION
• HISTORY COLLECTION
• PHYSICAL EXAMINATION
• PULMONARY FUNCTION TEST
• SERUM IMMUNOGLOBULIN E
• SPUTUM ANALYSIS
• COMPUTED TOMOGRAPHY – HRCT
• COMPLETE BLOOD COUNT
• CHEST X-RAYS
• ABG ANALYSIS
• PULSE OXYMETRY
CONTD ..
• SKIN TEST
• BRONCHIAL CHALLENGE TEST
• ELECTRO CARDIOGRAPHY
• PEAK FLOW MONITORING
• SPIROMETRY
• NITRIC OXIDE TESTING
MEDICAL MANAGEMENT
GOALS
TO CONTROL /ELIMINATE CHRONIC SYMPTOMS TO ATTAIN NORMAL LUNG FUNCTION RESTORE NORMAL LEVEL OF ACTIVITY TO REDUCE THE NUMBER OF FREQUENT ACUTE CARE
HOSPITALIZATIONS TO REDUCE SIDEEFFECTS OF MEDICATIONS TO REDUCE RECURRENT EXACERBATIONSS sss
TREATMENT OF ACUTE ATTACK
TREATMENT IN BETWEEN ATTACKS
TREATMENT OF STATUS ASTHMATICUS
DRUG THERAPY
CONTD ..
• DIETARY MANAGEMENT :-LOW MAGNESIUM , HIGH AMOUNT OF FRUITS AND VEGETABLES , INCLUDE OMEGA-3 FATTY ACIDS AND ANTIOXIDANTS , REDUCE WEIGHT
• COMPLEMENTARY AND ALTERNATIVE MEDICINES
SURGICAL MANAGEMENT
• POSTERIOR PULMONARY PLEXUS RESECTION• BRONCHIAL THERMOPLASTY
NURSING MANAGEMENT
NURSING ASSESSMENT
• SUBJECTIVE DATA• OBJECTIVE DATA
NURSING DIAGNOSIS
• GOALS• INTERVENTIONS
PATIENT EDUCATION
• ACTIVITY PACING
• OXYGEN THERAPY
• ASTHMA TRIGGERS
• COUGHING TECHNIQUE
• PURSED LIP BREATHING
• TENSION RELAXATION EXERCISE
• USE OF INHALERS
• NUTRITIONAL THERAPY
TRENDS AND ISSUES
• USE OF MANNITOL IN BRONCHIAL CHALLENGE TESTING• FENO GUIDED ASTHMA CONTROL IN
ROUTINE CLINICAL PRACTICE
RISK OF ANAESTHESIA IN ASTHMATICS
RESEARCH ABSTRACT
• HIGH RESOLUTION COMPUTED TOMOGRAPH IN ASTHMA • [MACHADO.D ET.AL-2009]
Betty NeumanSystems Model
MAY 6TH 2014
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