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226: The Peak Flow Meter and the Acute Attack
Peak flow meter readings may be used to direct the management of an acute asthmatic attack. The patient's strategy for treatment should include peak flow meter readings. The patient and physician should design a plan of treatment based largely on peak flow measurements.
227: Treatment Strategy: Mild Childhood Asthma
In mild intermittent childhood asthma the initial treatment is use of the B2-adrenergic agonist. Due to difficulty using MDIs in younger patients (under age five) there must be increased reliance on nebulized medication and oral preparations (tablets or elixirs).
228: Fitness Tips For Getting Fit At Home
The general motion is that fitness is what you achieve by going out in the gym and getting that special treatment in a good gym. But you can achieve the same level of fitness if you can work out at home with a few things in mind.
229: The Next Step in Moderate Asthma
Patients in the moderate group who are still symptomatic with reduced activity and flow rates despite the combination of a long-acting B2-adrenergic agonist and medium doses of an inhaled corticosteroid will require additional second-line therapy. For bronchodilatation, adding an oral preparation of the B-agonist, theophylline, and/or ipratropium bromide may be helpful.
230: Strategy for Medication Treatment
Treating asthma requires a step-by-step approach in order to provide the correct medication. In general, therapy is initiated at a higher level to establish prompt control and is then "stepped down" to reduce the risk of adverse effects of medication. This "step therapy" also ensures that medication will be given in the proper dosage and that unnecessary medication will not be given.
231: Asthma - The Challenge: Remembering To Take Daily Medicines
Asthma is a chronic, or long-term, disease. If you have asthma, at times your airways (the air passages of your lungs) become inflamed (see picture). When this happens, your airways get red and swollen. They become narrow, making it harder for you to breathe. You may also wheeze or cough. This is called an asthma flare-up (or "attack").
232: Asthma - Which System Is Better For Your Child, Symptom Recognition Or Peak flow?
Every child is different, and the choice of a system will depend on your individual child. Let's look at how two children, Tyrone and Tammy, learned to gain control of their asthma by these two systems.
233: What Do You Need to Do to Improve Your Fitness?
why exercise and diet are important
234: Asthma and Sleepovers
Jasmine was doing well when she was invited to sleep over at her friend Katelynn's home. Jasmine's mother didn't know that Katelynn had a dog and a cat. At the time of the sleep over, Jasmine's asthma was under good control. She was doing so well, in fact, that her mom forgot to tell Katelynn's parents about her asthma and her allergy to dogs and cats.
235: Asthma and Camp
Dylan went to camp for the first time last summer. His parents did everything right. They organized all his medicines, sent an extra spacer, got him a special backpack to hold his medicines for day outings, and gave the camp nurse a copy of his asthma management plan. So what could possibly go wrong?
236: Traveling With A Child Who Has Asthma
Mindy is a toddler with mild persistent asthma. She had never been hospitalized or treated in the emergency room. On a family trip to Florida, she ended up in the emergency room with an asthma attack. This took her parents totally by surprise because her asthma had always been under control.
237: Asthma - School Policies On Medicines
Some schools don't have a full-time school nurse, so ask the principal or your child's teacher who will be responsible for giving medicine when the nurse is not in school. Policies about children carrying and taking their own medicine vary, depending on state and school regulations, so it's important to learn your local policies and plan ahead before a crisis arises.
238: Asthma - At Day Care And School
Kia's asthma was diagnosed when she was a year old, only a few months after she started attending a day care program. Her parents gave copies of her asthma management plan to the day care director and Kia's teacher. They reviewed the plan to be certain that everyone could recognize symptoms and give Kia quick relief medicine when necessary.
239: Asthma Specialty Care
Asthma causes the airways of the lungs to swell and become narrower. This can make it hard to breathe and cause wheezing as you breathe in and out. Asthma cannot be cured, but can be relieved with medicine. Repeat attacks are common.
240: Asthma Care In The Home
Home care is a growing area of medicine that is very applicable to asthma. In addition to teaching about asthma in the comfort of a child's usual setting, home care staff can check asthma equipment, such as nebulizers, and assess the condition of the home.
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