By John Rees
The hot version of this top promoting ABC has been up-to-date to incorporate the recent British Thoracic Society guidance released in 2003 at the administration of bronchial asthma.
Concise and hugely illustrated, the ebook contains chapters on leukotriene antagonists and lengthy performing beta agonists.
The major subject matters incorporated within the textual content disguise the enterprise of bronchial asthma care, diagnosis, administration of youngsters and little one bronchial asthma.
An crucial textual content for GPs, clinical scholars, nurses and an individual facing the therapy of bronchial asthma in either adults and kids.
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Extra info for ABC of Asthma
The guidelines suggest that control of asthma should be assessed against the following standards: ● Minimal symptoms during day and night ● Minimal need for reliever medication ● No exacerbations ● Normal lung function (in practice FEV and/or PEF Ͼ80% 1 predicted or best) This degree of control would be the aim for the first three steps in the guideline. At steps four to five such freedom from symptoms may not be achievable without side effects, and the objectives are: ● Fewest possible symptoms ● Least possible need for relief bronchodilators ● Least possible limitation of activity ● Least possible PEF variation ● Best PEF ● Fewest adverse effects of treatment Uncontrolled inflammation Inflammation reduced by treatment Airway remodelling Reverse or limit damage?
From Florida-James G, Donaldson K, Stone V. Sports performance in a polluted evironment. In: Whyte GP, et al (eds) ABC of Sports and Exercise Medicine, 3rd ed. Blackwell Publishing, 2005 23 ABC of Asthma Asthma and pregnancy The control of asthma during pregnancy can change, but the effect is variable. About a third of patients improve, a third worsen, and a third continue unchanged. The effect may vary in different pregnancies in the same woman. Breathlessness may be more pronounced in late pregnancy as the diaphragmatic movement is limited even without any change in airflow obstruction.
Leukotriene receptor antagonists are best avoided until more safety information is available. Control and supervision of asthma should be improved during pregnancy to reduce the likelihood of an acute exacerbation. Acute attacks should be treated vigorously in the normal way. Severe asthma and hypoxia rather than treatments for asthma are the potential danger during pregnancy. Further reading ● ● Gotzsche P, Johansen H, Schmidt L, Burr M. House dust mite control measures for asthma. Cochrane Database Syst Rev 2004;(4):CD001187.