wersja polska  
Mediton - Publishing House
Start page  Journals  Books  Conferences  News  Mediton  Contact   
print this
   Allergy Asthma Immunology - archive  

Allergy Asthma Immunology
     Editorial staff
     Editorial board
     For authors
Allergology Review

 Search in articles:
  Authority of Polish Society of Allergology

vol 12. no 4. December 2007  

 Postgraduate education
Management of acute asthma exacerbations
Krzysztof Kowal, Anna Bodzenta-Łukaszyk

Asthma exacerbations can be defined as episodes of progressively worsening of symptoms such as dyspnea, cough and wheezing with concomitant deterioration of the expiratory airflow. The main goals of therapy are reversal of bronchoconstriction and prevention of hypoxemia. The most effective bronchodilators are selective beta2-agonists with rapid onset of action. Treatment of asthma attacks should be introduced without any delay. Measurement of peak expiratory flow rate (PEF), which is the best objective parameter evaluating severity of asthma exacerbation and response to therapy, should be performed before beta2-agonists have been introduced. The preferred way for delivery of beta2-agonists is either by nebulization or by metered dose inhaler equipped with a spacer. Beta2-agonists are administered at high doses, which are several folds greater than dose used routinely by a patient. In severe asthma exacerbations corticosteroids should be introduced. They are administered either orally or parenterally. In a small proportion of patients addition of anti-cholinergic medication is associated with significant improvement of lung function. Improvement in lung function evaluated as increase in PEF after the first hour of intensive therapy is considered the best prognostic factor.

keywords: zaostrzenie astmy, beta2-mimetyki, nebulizacja, szczytowy przepływ wydechowy, asthma exacerbation, beta2-agonists, nebulization, peak expiratory flow

pages: from 171 to 176

estimated time of download (172 kB)
broadband speed:561282565121024[kbps]

You need to have Adobe Acrobat Reader to view the PDF file. It's free. If you don't have the Adobe Acrobat Reader plugin yet, you can get it HERE.

Start page | Journals | Books | Conferences | News | Mediton | Contact

Copyright © 1996-2020 Mediton Publishing House | All rights reserved.