bronchial asthma
DESCRIPTION
TRANSCRIPT
![Page 1: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/1.jpg)
BRONCHIAL ASTHMA
BY
ALINA MARIAM MATHEW
1st YEAR M.SC NURSING
![Page 2: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/2.jpg)
•What is Asthma ?
Asthma
![Page 3: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/3.jpg)
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]
![Page 4: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/4.jpg)
CONTD……….
• ASTHMA IS A CHRONIC INFLAMMATORY LUNG DISEASE THAT RESULTS IN RECURRENT EPISODES OF AIRFLOW OBSTRUCTION BUT IT’S USUALLY REVERSIBLE
[LEWIS – 2008 ]
![Page 5: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/5.jpg)
INCIDENCE ??
![Page 6: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/6.jpg)
![Page 7: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/7.jpg)
TRIGGERS OF ASTHMA
![Page 8: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/8.jpg)
![Page 9: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/9.jpg)
![Page 10: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/10.jpg)
![Page 11: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/11.jpg)
![Page 12: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/12.jpg)
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
![Page 13: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/13.jpg)
CONTD ..
• SKIN TEST
• BRONCHIAL CHALLENGE TEST
• ELECTRO CARDIOGRAPHY
• PEAK FLOW MONITORING
• SPIROMETRY
• NITRIC OXIDE TESTING
![Page 14: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/14.jpg)
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
![Page 15: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/15.jpg)
TREATMENT OF ACUTE ATTACK
TREATMENT IN BETWEEN ATTACKS
TREATMENT OF STATUS ASTHMATICUS
![Page 16: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/16.jpg)
DRUG THERAPY
![Page 17: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/17.jpg)
CONTD ..
• DIETARY MANAGEMENT :-LOW MAGNESIUM , HIGH AMOUNT OF FRUITS AND VEGETABLES , INCLUDE OMEGA-3 FATTY ACIDS AND ANTIOXIDANTS , REDUCE WEIGHT
• COMPLEMENTARY AND ALTERNATIVE MEDICINES
![Page 18: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/18.jpg)
SURGICAL MANAGEMENT
• POSTERIOR PULMONARY PLEXUS RESECTION• BRONCHIAL THERMOPLASTY
![Page 19: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/19.jpg)
NURSING MANAGEMENT
NURSING ASSESSMENT
• SUBJECTIVE DATA• OBJECTIVE DATA
NURSING DIAGNOSIS
• GOALS• INTERVENTIONS
![Page 20: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/20.jpg)
PATIENT EDUCATION
• ACTIVITY PACING
• OXYGEN THERAPY
• ASTHMA TRIGGERS
• COUGHING TECHNIQUE
• PURSED LIP BREATHING
• TENSION RELAXATION EXERCISE
• USE OF INHALERS
• NUTRITIONAL THERAPY
![Page 21: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/21.jpg)
TRENDS AND ISSUES
• USE OF MANNITOL IN BRONCHIAL CHALLENGE TESTING• FENO GUIDED ASTHMA CONTROL IN
ROUTINE CLINICAL PRACTICE
![Page 22: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/22.jpg)
RISK OF ANAESTHESIA IN ASTHMATICS
![Page 23: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/23.jpg)
![Page 24: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/24.jpg)
RESEARCH ABSTRACT
• HIGH RESOLUTION COMPUTED TOMOGRAPH IN ASTHMA • [MACHADO.D ET.AL-2009]
![Page 25: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/25.jpg)
Betty NeumanSystems Model
![Page 26: BRONCHIAL ASTHMA](https://reader035.vdocuments.us/reader035/viewer/2022081413/5495637fb479591f3c8b4946/html5/thumbnails/26.jpg)
MAY 6TH 2014