Special Treatment of Bronchial Asthma

Special Treatment of Bronchial Asthma :
a. Mild asthma
Limitations:
Complaints arising tightness or cough less than two times a week, outside attacks asymptomatic sufferers. On physical activity may occur seranagn tightness or coughing which the period is short (<½ hours). Night asthma attacks rarely occur (<2 times a month). Pulmonary Physiology pasa asymptomatic state> / 80%, while the attacks may be decreased 20% or more.

Treatment:
1. Beta 2 agonists: 2 sprays, may be repeated every 3-4 hours.
2. Cromolyn: can be added; before exposure to allergens, physical activity or other exposure.
b. Moderate Asthma
Limitations:
Complaints arise more frequently (> 1-2 times a week), that affect activity and sleep sufferers. Attacks can last several days. Sometimes required emergency treatment. Pulmonary physiology during asymptomatic approximately 60-80%, while time attack decreases to 20-30% or may be even tougher.
Treatment:

• 2 times daily inhaled corticosteroids (400-800 ug / day) or cromolyn sprays 4 times a day 2. Coupled with the beta-2 agonist inhalation with a dose as needed up to 4 times a day. If more than 4 doses a day, need plus other drugs.
• If still arise tightness, the dose of inhaled corticosteroids may be increased (up to 2000 mcg / day dose of> 1000 ug need strict supervision) and / or given oral theophylline (slow-release) and / or supplemented with beta-2 agonists by oral route.
• Sometimes required oral corticosteroids (prednisone) for several days (40 mg / day in single or divided doses 2-4 doses) in a week, then lowered in a dose of next week.

c. Severe asthma
Limitations:
Complaints continued at any time with daily activities are limited. Frequent asthma attacks and often occur at night. Sometimes to require treatment in the emergency department or hospitalization.
Pulmonary Physiology day-to-day less than 60%, the attack can be decreased to 50%.
Treatment:

• Inhaled corticosteroids 2-4 times a day 2-6 sprays (generally> 1000 ug / day) with or without cromolyn sprays 4 times a second and plus with beta-2 agonists. 
• Beta-2 agonist inhalation, the dose is the same as in chronic asthma is. Can be given an additional extra 2-4 sprays in a day when required or given nebulizer.
• To prevent asthma evening coupled with oral theophylline (slow-release) and / or beta-2 agonists by oral route.
• Oral corticosteroids (prednisone) may be added to the dose and how as in chronic asthma is. Can be considered the provision in continuous with the minimal dose that gave the effect of a single repair 24/48 hour every morning.

d. Asthma and pregnancy
Uncontrolled asthma treatment can jeopardize health of mother and fetus. Will become more severe complications.
Treatment:

• Must be optimal and should be given by inhalation.
• Steroid injections can be administered, if necessary. (Risk to the fetus can be ignored).

Prognosis
Generally good, if diagnosis, treatment and prevention is made as early as possible with treatment adcquate.

Bronchial Atshma

Management / Procedure of  Bronchial asthma>

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