bronchial asthma management, Slides of Clinical Medicine

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Bronchial asthma

Acute and long term management

Case study Age: 4 years 7 months old Gender: Male Underlying: Bronchial asthma on MDI Salbutamol 2 puffs PRN, started by GP Presented with:

1. Shortness of breath 1 day
2. Cough 1 day
3. Fever 1 day- no documented temperature
4. Runny nose 1 day

Atopic triad

Case study

Mild persistent?

Newer classification? The current concept of asthma severity is based on “difficulty to treat” -GINA Severe asthma: asthma that remains uncontrolled despite optimized treatment with high dose ICS-LABA or that requires high dose ICS-LABA to prevent it from becoming uncontrolled. Moderate asthma: asthma that is well controlled with Step 3 or Step 4 treatment Mild asthma: asthma that is well controlled with low intensity treatment (as needed low dose ICS-Formoterol or low dose ICS plus as needed SABA)

What is asthma Asthma is a heterogenous disease, usually characterized by chronic airway inflammation. It is defined by the history of respiratory symptoms, such as wheeze, shortness of breath, chest tightness and cough, that vary over time and in intensity, together with variable expiratory airflow limitation GINA 2023

Asthma in Malaysia

What happens in acute asthma?

What happens in acute asthma?

Drugs used in asthma

Anti-interleukin-5 therapy for severe asthma: A new therapeutic option

HEALTH

AREAS

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Definition of asthma exacerbation Exacerbations of asthma are episodes characterized by a progressive increase in symptoms of shortness of breath cough, wheezing or chest tightness and progressive decrease in lung function, ie they represent a change from the patient’s usual status that is sufficient to require a change in treatment. GINA 2023