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Asthma


    By: The Virtual Presenter
Symptoms



Breathlessness              Dyspnea



             Wheezing



    Cough              Chest tightness
Causes



   Animal               Pollen
   dander


                          Smoke
Dust

               Air
            pollution
Asthma


Airway inflammation

 Epithelial damage
Asthma


Epithelial damage


    Causes airway hyperresponsiveness,
        loss of barrier function allowing
  penetration of allergens, loss of enzymes
  that break down inflammatory mediators,
   and exposure of sensory nerves leading
     to reflex neural effects on the airway
Asthma


Airway inflammation

 Epithelial damage

Mucus hypersecretion
Asthma


Mucus hypersecretion



            Causes mucus plugs that
              occlude the airway
Asthma


Airway inflammation

 Epithelial damage

Mucus hypersecretion

      Edema
Asthma


Edema



        Increased airway secretions
          and bronchial narrowing
Asthma


Airway inflammation

 Epithelial damage

Mucus hypersecretion

      Edema

   Bronchospasm

 Airway remodelling
Asthma


Airway remodelling



         Changes in structural cells and
       tissues lead to permanent fibrotic
                    damage
Management




             Inhalers/
             Nebulizers
Management

Chest Physiotherapy

 -breathing exercises
 -physical training

*not recommended during an acute
     exacerbation
Management


Allergen control

 -prevention and reduction of
   exposure to airborne and
   environmental allergens
 -skin testing
Management

In an acute asthma attack

     •Assess airway patency
     •Administer humidified oxygen by
     nasal prongs or face mask
     •Administer quick-relief (rescue)
     medications
Management

In an acute asthma attack


 •Continuously monitor respiratory status,
 pulse oximetry, and color
 Be alert to decreased wheezing or a silent
 chest. This may signal further narrowing of
 airways resulting to the inability to move air
Management

In an acute asthma attack

     •Initiate and intravenous line to correct
        dehydration, acidosis, or electrolyte
        imbalances
     •Do a chest xray
     •Obtain samples for arterial blood
         gases and serum electrolytes
Thank You!
References

• Powerpoint template by Medicine PPT
• Asthma inhaler, the different types and tips on how to use them
  properly. Retrieved December 26, 2012, from
  http://www.asthmasymptoms86.com/asthmainhaler.html#.UNp
  NSuRkyDQ
• Dust allergy testing. Retrieved Decmber 26, 2012, from
  http://dustallergy.org/dust-allergy-testing/
• Kaufman, G. (2011). Asthma: Pathophysiology, diagnosis and
  management. Nursing Standard, 26(5), 48-56.
• Silvestri, L. (2006). Comprehensive review for the NCLEX-RN
  examination (Third ed.). Singapore: Elsevier.
• wise GEEK. Pathology of asthma. Retrieved December 26,
  2012, from http://www.wisegeek.com/what-causes-chest-
  cramps.htm

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Asthma

  • 1. Asthma By: The Virtual Presenter
  • 2. Symptoms Breathlessness Dyspnea Wheezing Cough Chest tightness
  • 3. Causes Animal Pollen dander Smoke Dust Air pollution
  • 5. Asthma Epithelial damage Causes airway hyperresponsiveness, loss of barrier function allowing penetration of allergens, loss of enzymes that break down inflammatory mediators, and exposure of sensory nerves leading to reflex neural effects on the airway
  • 6. Asthma Airway inflammation Epithelial damage Mucus hypersecretion
  • 7. Asthma Mucus hypersecretion Causes mucus plugs that occlude the airway
  • 8. Asthma Airway inflammation Epithelial damage Mucus hypersecretion Edema
  • 9. Asthma Edema Increased airway secretions and bronchial narrowing
  • 10. Asthma Airway inflammation Epithelial damage Mucus hypersecretion Edema Bronchospasm Airway remodelling
  • 11. Asthma Airway remodelling Changes in structural cells and tissues lead to permanent fibrotic damage
  • 12.
  • 13. Management Inhalers/ Nebulizers
  • 14. Management Chest Physiotherapy -breathing exercises -physical training *not recommended during an acute exacerbation
  • 15. Management Allergen control -prevention and reduction of exposure to airborne and environmental allergens -skin testing
  • 16. Management In an acute asthma attack •Assess airway patency •Administer humidified oxygen by nasal prongs or face mask •Administer quick-relief (rescue) medications
  • 17. Management In an acute asthma attack •Continuously monitor respiratory status, pulse oximetry, and color Be alert to decreased wheezing or a silent chest. This may signal further narrowing of airways resulting to the inability to move air
  • 18. Management In an acute asthma attack •Initiate and intravenous line to correct dehydration, acidosis, or electrolyte imbalances •Do a chest xray •Obtain samples for arterial blood gases and serum electrolytes
  • 20. References • Powerpoint template by Medicine PPT • Asthma inhaler, the different types and tips on how to use them properly. Retrieved December 26, 2012, from http://www.asthmasymptoms86.com/asthmainhaler.html#.UNp NSuRkyDQ • Dust allergy testing. Retrieved Decmber 26, 2012, from http://dustallergy.org/dust-allergy-testing/ • Kaufman, G. (2011). Asthma: Pathophysiology, diagnosis and management. Nursing Standard, 26(5), 48-56. • Silvestri, L. (2006). Comprehensive review for the NCLEX-RN examination (Third ed.). Singapore: Elsevier. • wise GEEK. Pathology of asthma. Retrieved December 26, 2012, from http://www.wisegeek.com/what-causes-chest- cramps.htm