ASTHMA

❄️ASTHMA❄️

"It is reversible bronchoconstriction"

Symptoms:

• Cough
• Wheezing
• Shortness of breath
• Chest Tightness

Emergency:

• Inj. Solocortif 250-500mg
• Inj. Aminophyline 250mg
• Inj. Rocephin 1g
• Nabulize ē;
  • Atem (Ipratropium)
  • Clenil (Beclomethasone)
  • Ventoline (Beta agonist) Not in tachycardia
  • N-Acetylcysteine (Expectorant)
• Humidifies Oxygen
  • Mask>> 6L/min
  • Nasal Pronges>> 3L/min

History: Triggers are Pollen, stress, excercise, cold, smoke, dust, Family History.

Examination: 

• Auscultation>>Rhonchi>Spasm
• SPO2
• Prolonged Expiration

Investigations:

• CBC ē ESR (Eosinophils Raised)
• CXR (InterCostal Space Widening)
• PFT's (dec. FEV)

Rx:

• Avoid Triggers.
• Tab. Myteka 10mg OR Tab. Montica 10mg
• Rotacap Combivair Inhaler 200/6, 400/6 in BD (Budesonide/Formoterol)   OR 
• Rotacap Tiovair Inhaler in OD (Tiotrpium 18mcg)
• Tab. Deltacortril 10mg (Prednisone) 6 Tabs OD