A Client With Asthma Receives A Prescription

The Test Can Save Money

A spirometry test generally costs less than $100. Not having the test can cost a lot more money. If the test shows that you do not have asthma, this can save you hundreds of dollars a month for asthma medicines. If you do not have the test and you have asthma, an emergency room visit for an asthma attack can cost thousands of dollars.

Skipping The Test Has Risks

Many people who need a spirometry test never have one. Some healthcare providers only rely on symptoms to decide whether a patient has asthma or another disease.

If your doctor assumes you have asthma without giving you a spirometry test, you could be taking asthma drugs when you dont need them. And the real cause of your symptoms would not be treated.

On the other hand, you and your doctor might assume the cause of your symptoms is a mild problem, when in fact it is asthma. If your asthma is not treated, you could have severe asthma attacks. About nine people die from asthma attacks every day in the U.S. Untreated or poorly managed asthma can also cause scarring in the lungs, which can lead to COPD. Once the lungs are scarred, asthma medicines wont work as well.

Asthma Action Plan Based On Peak Flow Readings

It is important to know your peak flow reading, but it is even more important to know what to do based on that reading. Work with your healthcare provider to develop an Asthma Action Plan that follows your green-yellow-red zone guidelines.

Record the peak flow readings that your healthcare provider recommends for your green zone, yellow zone and red zone. Then work out a plan with your healthcare provider for when your peak flow falls in each of those zones.

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What Should I Do To Avoid Asthma Attacks During Pregnancy

Keep Your Asthma Well-Controlled

Avoiding asthma triggers is always important, but is even more important during pregnancy. Pregnant women with asthma should increase avoidance measures to gain greatest comfort with the least medicine.

• Stay away from people who are sick with respiratory infections.
• Reduce your exposure to allergens like dust mites, animal dander, pollen, mold, and cockroaches

Stop Smoking Cigarettes/Tobacco

Giving up cigarette smoking is important for any pregnant woman. Smoking may worsen asthma and harms the health of the growing fetus as well.

Exercise

Regular exercise is important to health. Talk to your doctor for the best advice about exercising during pregnancy. Swimming is a great exercise for people with asthma. Using quick-relief medicine 10 to 15 minutes before exercise may help you tolerate recommended exercise.

How Can I Determine A Normal Peak Flow Rate For Me

Three zones of measurement are commonly used to interpret peak flow rates. It is easy to relate the three zones to the traffic light colors: green, yellow and red. In general, a normal peak flow rate can vary as much as 20 percent.

Be aware of the following general guidelines. Keep in mind that recognizing changes from “normal” is important. Your healthcare provider may suggest other zones to follow.

• Green Zone:80 to 100 percent of your usual or “normal” peak flow rate signals all clear. A reading in this zone means that your asthma is under reasonably good control. Continue your prescribed program of management.
• Yellow Zone:50 to 80 percent of your usual or “normal” peak flow rate signals caution. It is time for decisions. Your airways are narrowing and may require extra treatment. Your symptoms can get better or worse depending on what you do, or how and when you use your prescribed medication. You and your healthcare provider should have a plan for yellow zone readings.
• Red Zone:Less than 50 percent of your usual or “normal” peak flow rate signals a Medical Alert. Immediate decisions and actions need to be taken. Severe airway narrowing may be occurring. Take your rescue medications right away. Contact your healthcare provider now and follow the plan they have given you for red zone readings.

Some healthcare providers may suggest zones with a smaller range, such as 90 to 100 percent. Always follow your healthcare provider’s suggestions about your peak flow rate.

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Once-daily TRELEGY is a prescription medicine used long term to treat COPD, including chronic bronchitis, emphysema, or both and to treat asthma in adults. TRELEGY 100/62.5/25 mcg is the only strength approved for COPD. TRELEGY is not used to relieve sudden breathing problems and wont replace a rescue inhaler.

Once-daily TRELEGY is a prescription medicine used long term to treat COPD, including chronic bronchitis, emphysema, or both and to treat asthma in adults. TRELEGY 100/62.5/25 mcg is the only strength approved for COPD. TRELEGY is not used to relieve sudden breathing problems and wont replace a rescue inhaler.

Once-daily TRELEGY is a prescription medicine used long term to treat COPD, including chronic bronchitis, emphysema, or both and to treat asthma in adults. TRELEGY 100/62.5/25 mcg is the only strength approved for COPD. TRELEGY is not used to relieve sudden breathing problems and wont replace a rescue inhaler.

Limitations of UseTRELEGY is not used to relieve sudden breathing problems and will not replace a rescue inhaler. TRELEGY should not be used in children younger than 18 years of age. It is not known if TRELEGY is safe and effective in children younger than 18 years of age.

• TRELEGY contains vilanterol. Long-acting beta2-adrenergic agonist medicines such as vilanterol,

Beta Blockers For The Treatment Of Asthma

• Study Details

Current asthma medicines include inhalers. A common inhaler used in asthma is called a beta-agonist . They improve asthma symptoms by stimulating areas in the human airway resulting in widening of the human airway. Although these drugs are useful after the first dose, longterm use can cause worsening asthma symptoms.

Beta-blockers are the complete opposite type of medication. Just now they are avoided in patients with asthma as after the first dose they can cause airway narrowing and cause an asthma attack.

New research has suggested that long term use of beta-blockers can reduce airway inflammation which can improve asthma control and improve symptoms.

This research was done in asthmatic patients who didn’t need inhaled steroids to control their asthma. What the investigators want to do is see if the same benefit of beta-blocker use is asthma can be seen in people who take inhaled steroids.

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Who Benefits From Using A Peak Flow Meter

People with asthma, especially those with a new diagnosis or someone who takes a daily controller medicine, can benefit from the use of a peak flow meter. If you need to adjust your daily medication for asthma, a peak flow meter can be an important part of your asthma management plan.

People ages 5 years and older are usually able to use a peak flow meter to help manage their asthma. Some people with chronic bronchitis and emphysema also may benefit from the use of a peak flow meter.

Not all healthcare providers recommend peak flow meters to help children and adults manage their asthma. Many healthcare providers believe a peak flow meter may be of most help for people with moderate and severe asthma. If your asthma is mild or you do not use daily medication, a peak flow meter may not be useful for your asthma management.

Schools may request a peak flow meter for your child so they can help monitor your child’s asthma symptoms.

A Stepwise Management Approach

There is no National Institute for Health and Care Excellence guidance for asthma management. However, a quality standard outlines 11 high-priority areas for quality improvement linked to British Thoracic Society and Scottish Intercollegiate Guidelines Network guidance on asthma management .

In most patients, asthma is effectively managed with inhaled corticosteroids and inhaled ß2-agonists according to steps 1-3 of the BTS/SIGN stepwise management plan . However, a minority of patients have poorly controlled asthma despite the prescription of optimal inhaled medication. These patients require additional maintenance therapies such as leukotriene receptor antagonists, sustained-release theophylline, oral ß2 agonists, or intermittent or regular oral corticosteroids . All patients at step 4 or 5 require referral to specialist asthma services for assessment and evaluation of their suitability for individualised therapy .

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Does Asthma Cause Complications During Pregnancy

Potential Complications

Asthma is one of the most common medical concerns that occurs during pregnancy. Complications from asthma are possible and may include:

• A small increased risk of preterm labor and delivery
• High blood pressure and a related condition known as pre-eclampsia
• Low birth weight

It is not known if asthma is the direct cause of these problems or if other reasons are to blame. Keeping asthma well-controlled may help reduce the chance of complications.

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How To Give This Medicine

• Read the label carefully and make sure you are giving your child the right dose. It is easy to confuse the many different dosage forms and strengths.
• Give the exact dose of medicine that your childs doctor ordered.
• Stay with your child until he has used the right dose of medicine.
• Shake this medicine before giving it if it is a metered dose inhaler or liquid for use in a nebulizer.
• Do not shake this medicine if it is a dry powder inhaler.
• It is very important to give the medicine every day as ordered, even if your child is feeling fine. Do not change doses or stop the medicine without talking to your childs doctor.
• After each dose, your child should rinse his mouth with water or brush his teeth to wash the steroid medicine out of his mouth.
• Keep track of the remaining doses. It is important to keep a record of when the medicine is given. You may use a calendar or the Helping Hand: Medication Record, HH-V-1.
• Get this prescription refilled at least ______days before the last dose is given. This is very important.

How Do You Use A Peak Flow Meter

Step 1: Before each use, make sure the sliding marker or arrow on the Peak Flow Meter is at the bottom of the numbered scale .Step 2: Stand up straight. Remove gum or any food from your mouth. Take a deep breath . Put the mouthpiece of the peak flow meter into your mouth. Close your lips tightly around the mouthpiece. Be sure to keep your tongue away from the mouthpiece. In one breath, blow out as hard and as quickly as possible. Instead of slowly blowing, blow a fast, hard blast until you have emptied out nearly all of the air from your lungs.Step 3: The force of the air coming out of your lungs causes the marker to move along the numbered scale. Note the number on a piece of paper.Step 4: Repeat the entire routine three times. Step 5: Record the highest of the three ratings. Do not calculate an average. This is very important. You can’t breathe out too much when using your peak flow meter but you can breathe out too little.Step 6: Measure your peak flow rate close to the same time each day. You and your healthcare provider can determine the best times. One suggestion is to measure your peak flow rate twice daily between 7 and 9 a.m. and between 6 and 8 p.m. You may want to measure your peak flow rate before or after using your medicine, or both. Try to do it the same way each time.Step 7: Keep a chart of your peak flow rates. Discuss the readings with your healthcare provider.

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A Client With Asthma Receives A Prescription For High Blood Pressure During A Clinic Visit Which Prescription Should The Nurse Anticipate The Client To Receive That Is Least Likely To Exacerbate A Study Guides Study Notes & Summaries

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What Is Theophylline

Theophylline is a type of medicine called a bronchodilator, which means it opens your airways. It can help some people to manage their asthma better.

Theophylline is not a steroid medicine. You still need to take your usual corticosteroid preventer medicine and any other add on medicines prescribed for your asthma to help you avoid symptoms.

Your GP may prescribe theophylline if your asthma is not well controlled with your usual steroid preventer, plus other add on treatments.

You also need to use your reliever inhaler to deal with symptoms getting worse. Theophylline cannot help if symptoms get worse or you have an attack. Make sure you keep your reliever inhaler with you at all times, so you can use it if you have an asthma attack.

Also Check: How To Tell If You Have Asthma

Can Asthma Be Cured

Most people with asthma are able to control their condition if they work together with a health care provider and follow their treatment regimen carefully.

People who do not seek medical care or do not follow an appropriate treatment plan are likely to experience worsening of their asthma and deterioration in their ability to function normally.

When Should I Use My Peak Flow Meter

Use of the peak flow meter depends on a number of things and should be discussed with your healthcare provider.

If your asthma is well controlled and you know your “normal” rate, you may decide to measure your peak flow rate only when you sense that your asthma is getting worse. More severe asthma may require several measurements daily.

Don’t forget that your peak flow meter needs care and cleaning. Dirt collected in the meter may make your peak flow measurements inaccurate. If you have a cold or other respiratory infection, germs or mucus may also collect in the meter.

Proper cleaning with mild detergent in hot water will keep your peak flow meter working accurately and may keep you healthier.

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Is It Safe To Breastfeed

Doctors do not believe asthma medicines are harmful to a nursing baby when used in usual amounts. The transfer of asthma medicines into breast milk has not been fully studied.

When breastfeeding, drinking extra liquids to avoid dehydration is also important . Discuss this with your babys pediatrician.

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The Potential Risks Associated With Administration Of

In a double-blind, randomized, crossover study, Wilcox et al investigated the effect of metoprolol and bevantolol in 16 patients with asthma. Cumulative doses, ie, 12.5 mg, 25 mg, 50 mg, and 100 mg of metoprolol or 18.75 mg, 37.5 mg, 75 mg, and 150 mg of bevantolol, were administered at 2-hour intervals. Symptoms and lung function were monitored, and treatment was stopped if significant symptoms or a 20% decline in FEV1 were observed. The cumulative dosing regimen in general proved to be a safe and effective means of assessing bronchial responsiveness to -blockers in asthma, but one patient had to be withdrawn after the first dose due to severe bronchoconstriction. Of the 15 patients exposed to both -blockers, seven patients were withdrawn prematurely. The maximum tolerated cumulative dose of metoprolol and bevantolol was 26.8 mg and 45.5 mg, respectively, doses much lower than usually required for therapeutic activity. The authors concluded that even in patients who tolerate single doses of -blockers, the response to repeated treatment is unpredictable and, therefore, that -blocker therapy should be avoided in patients with asthma.