asthma treatment asthma treatment  
 
 
 

 

Treatment of Asthma

Page 1 2 3 4
 
asthma treatment
 

Main aim of asthma treatment is help asthma patient leads a healthy and productive life.

The goals of therapy are to:

1. Prevent chronic and troublesome symptoms (e.g., coughing or breathlessness in the night, in the early morning, or after exertion).
2. Maintain (near) “normal” pulmonary function.
3. Maintain normal activity levels (including exercise and other physical activity)
4. Prevent recurrent exacerbations of asthma and minimize the need for emergency department visits or hospitalizations
5. Provide optimal pharmacotherapy with least amount of adverse effects
6. Meet patients’ and families’ expectations of and satisfaction with asthma care

The Four Components Of Asthma Treatment and Management:

1. Measures of assessment and monitoring asthma,
2. Patient Education for a partnership in asthma care,
3. Pharmacologic therapy for asthma,
4. Allergy immunotherapy.

The Expert Panel Reports presenting clinical practice guidelines for the diagnosis and management of asthma have organized recommendations for asthma care around four components considered essential to effective asthma management.

Measures of assessment and monitoring asthma

This includes objective tests, physical examination, patient history and patient report, to diagnose and assess the characteristics and severity of asthma and to monitor whether asthma control is achieved and maintained.

Patient Education for a partnership in asthma care

Patient education is an essential component of successful asthma management.  It should begin at the time of diagnosis and be integrated into every step of medical care. Asthma education programs have led to improved patient outcomes, including reduced hospitalizations and emergency room visits, fewer asthma symptoms and physician visits, and improvement in asthma management skills. However, the performance and adequacy of education is not easily assessed through medical record review. Therefore, the review and the indicators that follow will not focus on the patient-education component of care.

Control of environmental factors and co morbid conditions that affect asthma

How to control asthma triggers

Pharmacologic therapy for asthma

Asthma treatment has several components: patient education, control of factors contributing to severity, and pharmacological therapy, as well as the use of objective measures to assess the severity of disease and monitor the course of therapy.

Corticosteroids

Corticosteroids are the most potent and the most effective anti-inflammatory medication currently available. Anti-inflammatory medications are proven to improve lung function (i.e. FEV1, airway hyperresponsiveness) and to decrease symptoms, exacerbation frequency, and the need for rescue inhalers. 
Inhaled forms are used for long-term control and are now the mainstay of therapy, Oral or systemic corticosteroids are often used to obtain prompt control of the disease when beginning long-term therapy.
Inhaled corticosteroids, at currently approved doses, are safe and effective for the treatment of asthma and are being utilized more frequently as primary therapy.

In any patient requiring chronic treatment with oral corticosteroids (i.e., exceeding one month in duration), a trial of inhaled corticosteroids should be attempted in an effort to reduce or eliminate oral steroids.
High doses of inhaled steroids are used if conventional doses fail to permit oral steroid tapering. Pulmonary functions (PEF or FEV1) are monitored during tapering.

Prolonged daily use of oral corticosteroids is reserved for patients with severe asthma despite use of high-dose inhaled corticosteroids. In patients on long-term oral corticosteroids, pulmonary function tests should be used to objectively assess efficacy.

Is your asthma under control.

Is my asthma under control

Next page

Last edited 02-8-2010

   Contents page 1:
 Patient Education
 Pharmacological Therapy:
Corticosteroids
 
 Contents page- 2
 Mast cell stabilizers
 Beta2-agonists
 
 Content page- 3
 Methylxanthines
 Leukotriene Modifiers
 Anticholinergics
 
 Content of page-4
 Influenza vaccinations
 Immunotherapy
 Indications for immunotherapy
 

What is Heliox therapy