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Asthma presentation 2

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  • -Asthma is a chronic lung condition. Despite many myths, you can’t outgrow asthma. A person’s symptoms may lessen or even disappear as they grow older, but may return at a later time. Once you have asthma, you’ll always have it. -Asthma is known as a reversible reactive airway obstructive condition. Asthma symptoms reverse either with medication or time. -Asthma basically means a person’s muscles surrounding the bronchioles constrict and make it harder to breathe. -Everyone with asthma is different and asthma is a variable condition. Symptoms range from mild intermittent—symptoms less than twice a week—to persistent asthma that can be mild—symptoms more than twice a week but not daily, moderate—daily symptoms or severe—continuous symptoms. -Asthma can be developed at any age.

Asthma presentation 2 Asthma presentation 2 Presentation Transcript

  • asthma
  • what is asthma?
    • Chronic lung condition
    • Tightening (constriction) of the muscles surrounding the bronchioles causing inflammation
    • Variable condition
    • Can be developed at any age
    • Symptoms may lessen/disappear but asthma is not fully “outgrown”
    Intermittent Persistent: mild, moderate, severe Allergic or non-allergic triggered
  • what are the symptoms?
    • Persistent or recurrent cough
    • Wheezing
    • Chest tightness
    • Dyspnea (shortness of breath/breathing discomfort) – “air trapping”
    • Symptoms and severity of symptoms can change over time in individuals
    • May not have all of the above symptoms
  • what happens in the lungs that causes symptoms? Bronchospasm/ bronchoconstriction
    • Occurs when exposed to a “trigger”
    • Muscles surrounding bronchioles contract and produce excess mucus
    • Airways become red and inflamed (swollen)
    • This leads to narrowing of the airways and difficulty breathing
    inflammation constriction mucus
  • This is all the stuff that’s kept me breathing for the past year “ Beyond the how is asthma treated? blue inhaler” Managed using medications and trigger avoidance (except for exercise!) There is no cure for asthma . . . Yet 
  • what are "rescue" medications?
    • Bronchodilator
    • Known as rescue, reliever fast-acting and quick relief medications
    • Begin working immediately, peak within 5-20 minutes
    • Used for sudden symptoms or to prevent exercise induced flare-ups.
    Rescue inhalers should be carried at ALL times by ANYONE with asthma, regardless of severity !
  • what are "control" medications?
    • Prevents asthma symptoms from starting/controls severity
    • Taken daily by people with persistent asthma
    • Brings down inflammation /treats constriction
    Corticosteroids Inhaled Oral (Prednisone) For severe or unresponsive flares Corticosteroids with Long Acting Beta-Agonist/Bronchodilator (LABA) Leukotriene Receptor Antagonists/ Modifiers (LTRAs)
  • what is a nebulizer?
    • Helps deliver medication deep into the lungs
    • Longer treatment time and higher doses of medication than usually delivered by inhalers
    Nebulizers are not first-line therapy for asthma in Canada, and are much more common in the United States or the United Kingdom, but are sometimes prescribed in difficult cases
  • what is an aerochamber?
    • Also known as a “spacer” or valved holding chamber (VHC)
    • MDI alone fires at over 100 km/h
    • Delivers medication over 100% more effectively
    • Easier to use when having trouble breathing
    Not just for small children! 
    • Used by some (usually moderate or severe) asthma patients to monitor ongoing lung function and detect changes
    • “ Poor perceivers” to lung function decline
    • How much air comes out of the lungs and how fast it comes out (less if obstructed)
    • Helps determine self-treatment
    what is a peak flow meter?
  • my asthma care plan
    • Green Zone – Good to Go!
    • 3 puffs Symbicort twice daily
    • 2 puffs Atrovent four times daily
    • 10 mg (1 tablet) Singulair in the evening
    • 2 puffs Ventolin inhaler as needed
    • Yellow Zone – Slow Down and Take Action!
    • Any symptoms (cough, chest tightness, dyspnea – I don’t wheeze)
    • Nebulizer treatment every 3 hours as needed, Ventolin inhaler as needed
    • 3 puffs Symbicort three times daily
    • 2 puffs Atrovent four times daily
    • 10 mg (1 tablet) Singulair in the evening
    • Call doctor if necessary
    Red Zone – STOP! Severe symptoms OR do not respond within 20 minutes to a neb treatment 80-100% 60-80% Under 60%
  • Extrinsic (Allergic) Triggers
    • Dust mites
    • Pollen
    • Mould
    • Certain foods
    • Animal dander
    Intrinsic (Non-Allergic) Triggers
    • Infections (cold and flu)
    • Cold or humid air
    • Intense emotions (ex. stress)
    • Medications (ex. aspirin)
    • Hormones
    • Air pollution
    • Fragrances and chemicals
    • Exercise
    what triggers asthma symptoms?
  • what about exercise induced asthma?
    • Exercise can induce asthma symptoms in people who have no other asthma triggers.
    • Exercise is a trigger for 75-90% of people with asthma.
    • Exercise should not be avoided, but worked with!
    My friend “BreathinStephen” Boston Marathon 2010 Regardless of the pf dip after your walk, think of all the good things you’re doing to your body when you exercise Delayed Response EIA --Steve Gaudet DON’T GIVE UP! 
  • how is EIA dealt with?
    • Preventing exercise induced flare-ups:
    • Don’t begin to exercise if you are already flaring!
    • If prescribed take medication 5-15 minutes before exercise
    • Warm up and cool down gradually for 10-20 minutes
    • If you have a flare-up, stop and take your medication, resume only when symptom-free, and re-warm-up
    My Exercise/Asthma Routine -Check PF. If in green zone, pre-medicate (Ventolin neb or inhaler [+Benadryl]), get ready -Stretch, warm up, work out, meds as needed, cool down, stretch -Check PF. Use neb or inhaler immediately even if asymptomatic/green zone. If in yellow zone, do neb treatment -2.5-3.5 hours later . . . FLARE!
  • what about 'wellness' and asthma?
    • To a person with persistent asthma, asthma can be a lot more than a blue inhaler!
    • If not dealt with effectively, asthma can impact many areas of a person’s life . . . Physical, emotional and social.
    • Some of the time, you can coexist fairly peacefully with asthma, but others it feels as if your body is working AGAINST you instead of with you !
    • Talking to someone who really understands what you’re dealing with can help
  • what is asthma "control"?
    • “ Control” may be different for everybody
    • Usually based on rescue medication use per week
    • Except for exercise, avoid triggers as much as possible
    • Take/adjust medications as prescribed
    • Find a doctor who will help you get in control (and stay there!)
    • Stay in contact with your doctor(s)
  • quiz time! (sorry!)
    • What are the two “types” of asthma medications?
    • What are the four symptoms of asthma?
    • What are three asthma triggers? (I mentioned WAY more than three!)
    • What is the ONLY asthma trigger that should NOT be avoided?
    • What should EVERYONE with asthma, regardless of severity or recent symptoms, have with them at all times?
  • answer time! (yay!) 1. Rescue/reliever and controller 2. Coughing, wheezing, chest tightness, shortness of breath (dyspnea) 3. Dust, mould, foods, animal dander, pollen // infections (cold or flu), cold or humid air, intense emotions, medications, hormones, air pollution, fragrances and chemicals, exercise (Any three) 4. Exercise! 5. Rescue inhaler!