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By:
Delma Joie D. Magtubo
I. BRIEF DEFINITION
ASTHMA
An airflow obstruction caused by bronchoconstriction,
which results from an allergic or hypersensitive reaction.
ETIOLOGY/TYPES:
1. Extrinsic Asthma
2. Intrinsic Asthma
1. Extrinsic Asthma 2. Intrinsic Asthma
ETIOLOGY/TYPES:
 Allergy
a. Genetically
transmitted
b. Childhood Onset
 UNKNOWN
CAUSE
II. RISK FACATORS
II. Risk Factors
III. PATHOPHYSIOLOGY
LIFTED FROM THE BOOK
III. Pathophysiology
Non-modifiable Factors:
>Gender
>Family History
Modifiable Factors:
>Environmental Allergens
>Emotional factors/Stress
>GERD
Triggers airway
inflammation
III. Pathophysiology
Release of mast cells, eosinophils, histamine,
macrophages, and activated T lymphocytes
Goblet cells
mucus production
Acute
Bronchoconstriction
III. Pathophysiology
Goblet cells
mucus production
Acute
Bronchoconstriction
COUGH
Narrowing of the
airway passages
cWheezing
III. Pathophysiology
Narrowing of the
airway passages
Difficulty Of
Breathing
↓ Oxygenation
c
Chest Tightness
c
Wheezing
IV. CLINICAL
MANIFESTATION
V. DIAGNOSTIC
PROCEDURE
• HISTORY COLLECTION
• PHYSICAL EXAMINATION
• PULMONARY FUNCTION TEST
• SERUM IMMUNOGLOBULIN E
• SPUTUM ANALYSIS
V. DIAGNOSTIC PROCEDURE
V. DIAGNOSTIC PROCEDURE
• COMPUTED TOMOGRAPHY – HRCT
• COMPLETE BLOOD COUNT
• CHEST X-RAYS
• ABG ANALYSIS
• PULSE OXYMETRY
Also known as a “spacer” or
valve holding chamber (VHC)
Delivery of medication over
100% more effective
Used by some (usually
moderate or severe) asthma
patients to monitor ongoing
lung function to detect
changes
VI. MEDICAL AND
SURGICAL MANAGEMENT
While asthma cannot be cured, it can be
controlled:
Medications
○Long term
○Quick relief
○Bronchial thermoplasty
Learning to recognize one’s own triggers and
taking steps to avoid them.
VII. NURSING PROBLEMS
• Assess for breath sounds.
• Assess the patient’s peak flow.
• Monitor the patient’s vital signs.
• Level of oxygen saturation through the pulse oximeter.
• Respiratory status by monitoring the severity of the
symptoms.
Assessment of a patient with
asthma includes the following:
VIII. NURSING
MANAGEMENT
IX. CURRENT TRENDS
Additional Information
G
IN
A
-Global
-Initiative for
-ASTHMA
“MAY 6TH 2014”
LUNGS ASTHMA
5 6
THANK YOU

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