- Branch : Medicine , Pediatrics .. - Title : Hints On Bronchial Asthma ..

1. SWA'EDTEAM @RaedRayani
1
HintsOnBronchialAsthma(BA)
# Outlines :
- Definition Of BA.
- Triggers & Risk Factors Of BA.
- Classification .
- Management .

2. SWA'EDTEAM @RaedRayani
2
# Definition :
Asthma IsClinical SyndromeCharacterizedBy :
- Chronic Inflammation .
- Airway Hyper-Responsiveness .
- Excessive Mucus Secretion From AgitatedMucus Gland .
Which Result In :
- Recurrent Episodes Of Wheeze.
- Breathlessness.
- Chest Tightness .
- Coughing That ResolveSpontaneously Or By Treatment .
# Triggers & RiskFactors :
- GeneticFactors .
- ExposureToAllergen .
- Respiratory Tract Infection .
- Air Pollution .
- Occupational Sensitizers .
- ColdAir .
- Emotional Stress .
- Irritant Dust , Vapor OR Fumes .
- SomeDrugs ( Like NSAIDs ).

3. SWA'EDTEAM @RaedRayani
3
# Classification :
- MildIntermittent .
- MildPersistent .
- Moderate Persistent .
- Severe Persistent .
- Continual .
- Frequent Exacerbations .
- Limited Activities .
- Frequent Night-Time Symptoms .
- FEV1 OR PEF ≤ 60% Predicted.
- PEF Variability ˃30% .
- Daily Symptoms .
- Daily UseOf Short-Acting B2 Agonist.
- Exacerbations ≥ 2 XWeek.
- Night-TimeSymptoms ˃ 1 TimeWeek .
- FEV1 OR PEF = 61 - 79% Predicted.
- PEFVariability ˃30% .
SeverePersistent
Moderate Persistent

4. SWA'EDTEAM @RaedRayani
4
- Symptoms ˃ 2 TimesWeek .
- Night-TimeSymptoms ˃ 2 TimesMonth .
- FEV1 OR PEF ≥ 80% Predicted.
- PEF Variability = 20 - 30% .
- Symptoms ≤ 2 TimesWeek .
- Night-TimeSymptoms ≤ 2 TimesMonth .
- Normal PEF Between Exacerbations .
- FEV1 OR PEF ≥ 80% Predicted.
- PEF Variability ˂ 20% .
MildPersistent
Mild Intermittent

5. SWA'EDTEAM @RaedRayani
5
# Management :
 Step Intermittent :
- Short-Acting B2 Agonist.
 Step MildPersistent :
- AddLow DoseOf InhaledSteroids.
 Step Moderate Persistent :
- Give Medium Dose Of Inhaled Steroids.
- AddLong-Acting Bronchodilator .
- If NoResponse Give High DoseOf InhaledSteroids .
 Step SeverePersistent :
- Give High Dose Of InhaledSteroids .
- AddLong-Acting Bronchodilator .
- AddLowestDoseOf Oral Steroids .
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6. SWA'EDTEAM @RaedRayani
6
Management Of Status Asthmaticus
- O2 .
- InhaledShort-Acting B2 Agonist Nebulizer ( 1,2,3 Times20 minutes ).
- Give Steroids Oral OR IV .
- Give Anti-Cholinergic Ipratropium .
If NoResponse
- Give IV Short-Acting B2 Agonist.
- Give IV Magnesium Sulfate .
- Give Subcutaneous Epinephrine.
If NoResponse
- Intubation & Mechanical Ventilation .
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