4 symptoms of asthma||Test for asthma||Treatment/Drugs of asthma
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4 symptoms of asthma
There are many sing and symptoms of asthma butt we will discus only 4 here:
1.Respiration rate increased(normal resp rate is 14…..to...16/min)
2.Intera costal and sub costal recession esp in child.cyanosis may occur in severe cases.
3.chest wull be hyper resonant on percussion.
4.wheeze is heard on auscultation.
Note:Between the attacks,patient may be symptoms free and examination may be normal.
Tests for asthma
i.chest X ray usually normal
ii.ABGs(Arterial Blood Gases)
iii.pulmonary funcations test e.g FEVI(forced expiratory volume in 1st second)PEFR(peaked expiratory flow rate)etc.
Treatment/Drugs of asthma
a)General measures:
1)O2 inhalation.
2)Avoid precipirating factors;
e.g stop smoking,early treatment of respiratory infection. Avoid beta blockers etc.
b)Specific treatment of asfhma;
Itdepends on severity os asthma,age of patient and availability of facilities but generally following line is followed:
i.O2 inhalation.
ii.ventoline nebulization by nebul8ser.Mic 1cc ventolime solution with 2cc normal saline and putin nubuliser for nebolization.(vapours formation)
iii.Beta agonist(beta stimulant)bronchodilators are started.e.g
▪ salbutamol
▪turbutaline are available in form of syps ,tab,sprays and injections.
iv.steriods have good responsein asthma.they have anti inflammatoryanf bronchodilators effects.they available in form of injections,tabs,syps and sprays.e.g
▪Dexamethasone
▪prednisolone
▪Hydrocortisone etc.
V.Aminophyllinehave anti inflammatory and bronchodilarot effects.(1cc=25mg).
>.it is available is inj,tab or syp.inj are used in emergency and given in infusion.
>Tab theophylline can b used for long time for asthma.
Vi.other drugs includs;
●ketotfin
●mountileukast
●Ipratropium bromide
●antibiotics are given only in infection is present.
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