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Interactive Case Study: Severe asthma
Prof. Andrew Bush
Просмотров: 1824 Paediatric Monitor
Studying Asthma and Status Asthmaticus in Nursing School
GOAL i. Decrease worsening of asthma ii. Improve asthma control iii. Fewer doctor visits or emergency room iv. Knowledge of irritants Asthma a. What? i. A chronic inflammatory disease of the airways ii. Has no cure but can be treated b. Why? i. triggers ii. Allergens iii. Exercise iv. Air pollutants v. Respiratory Infections vi. Nose and sinus problems c. Who is at risk? i. Boys before puberty ii. Girls after puberty iii. Genetics d. Signs and Symptoms i. Shortness of breathe ii. Wheezing iii. Chest tightness iv. Cough v. Mucus in bronchioles vi. Edema vii. Tired viii. Neck vein distention ix. Hypoxemia x. confusion e. Interventions i. Identify and avoid triggers 1) Fish 2) Shellfish 3) Wheat 4) Egg whites 5) Dairy products 6) Nuts 7) Animals 8) smoke ii. Keep the humidity at home to 50% to 60% to avoid triggers iii. Take daily peak flow meter and note daily log 2. Peak flow meter results: 80-100 % of highest – 50-80% is yellow or caution, meaning a need for medication or treatment. Red is less than 50% and indicates immediate need for bronchodilator and medical treatment 1) Monitor trends a) Can help identify triggers b) Can help identify increase or decrease of therapy iv. Follow providers advice v. Follow prescribed medication vii. Monitor for status asthmaticus 1) They stopped breathing 2) Does not respond to treatment 3) Life threating asthma attack viii. Monitor for lung sounds f. Medication i. 3 types of Bronchodilator (BAM) 1. Beta 2 adrenergic agonist 1) Albuterol a) Life saver b) Shake inhaler c) 1-2 inches away from the mouth d) Hold breath as long as possible e) Administer next puff after 15-30 sec 2. Anticholinergic 1) Atrovent 1) Short-acting anticholinergic 2) Spiriva 1) Long-acting anticholinergic 3) Side effect 1) Dry mouth 3. Methylxanthines 1) Theophylline b) Monitor theophylline level a) 10-20 is normal ii. 4 types of Anti-inflammatory (SLMM) 1. Steroid 1) Beclomethasone a) For mild persistent asthma b) Preferred inhaled therapy to use at home 2) budesonide 2. Leukotriene Modifiers 1) Montelukast (Singulair) 2) Zafirlukast (Accolate) 3) Zileuton (Zyflo) 1) Long term treatment for asthma 2) Maintenance therapy 3) Not used for acute attacks 3. Mast cell Stabilizer 1) Cromolyn sodium 2) Nedocromil 4. Monoclonal anti-body to IgE 1) omalizumab (Xolair) iii. Expectorants 1. guaifenesin (Mucinex) h. Complications i. Absence of breathing ii. Absence of wheezing Personal Item I used: These links will direct you to amazon at no cost to you. If you buy from my link, I will be getting few pennies worth. Thank you! YouTube plugin: https://www.tubebuddy.com/redhawk Saunders Book 7th Ed NCLEX-RN: http://amzn.to/2iG6YHS Saunders Drug Book 2017: http://amzn.to/2jXuZuZ Saunders Nursing Today 8th Ed: http://amzn.to/2jXpqNj blender bottle: http://amzn.to/2jFn3hP Weightlifting belt: http://amzn.to/2ippd4f shoes: http://amzn.to/2il8QKC Camera Setup Canon t6: http://amzn.to/2jFmogp waterproof vlogging camera: http://amzn.to/2jXpLPV vlogging tripod: http://amzn.to/2jwZcnF 5 Life saving nursing kit clinical items must have: https://youtu.be/6smxIZAcLQE Learn about blood pressure at http://abnormalbloodpressure.com/ Top 5 Books to Lower High Blood Pressure without Medication http://wp.me/P864rR-9H Top 5 Wrist Blood Pressure Monitor http://wp.me/P864rR-9e Top 3 Upper Arm Blood Pressure Monitor http://wp.me/P864rR-9q Top 5 Fitbit Wristband Fitness Tracker http://wp.me/P864rR-a2 Top 5 Weighing Scale http://wp.me/P864rR-aC come join me and become a member: https://www.goherbalife.com/jbegdamin step 1: click the link above step 2: register step 3: sign in step 4: choose your product of choice step 5: checkout step 6: let's do it together! #nursing #nursingschool #nursingstudents #studentmursejb #stundentnurse #murse Disclaimer: This video is for educational purposes only. If you are experiencing the same signs and symptoms, please do not diagnose yourself. Call your primary provider immediately.
Просмотров: 4147 James Bryan JB
Asthma Treatment, Symptoms, Pathophysiology, Nursing Interventions NCLEX Review Lecture
Asthma treatment (asthma attack), symptoms, pathophysiology nursing NCLEX review lecture. This lecture will detail the pathophysiology of asthma along with the early warning signs vs active signs of an asthma attack. In addition to a sample asthma action plan along with using a peak flow meter to monitor asthma, asthma triggers, nursing interventions for asthma, and all the medications used to treat asthma, which are bronchodilators and anti-inflammatory medications. What is asthma? Asthma is a chronic lung disease (no cure) that causes narrowing and inflammation of the airways (bronchi and bronchioles) that leads to difficulty breathing. How does it happen? Normally, when you breathe in air, it travels down through your upper airway to your lower airway, which includes the trachea, bronchi, bronchioles, and alveoli (where gas exchanges happens). The oxygen you breathe in crosses over into your blood stream, and the carbon dioxide in your blood crosses over into the airway to be exhaled. In patients with asthma, the bronchi and bronchioles are chronically inflamed and can become so inflamed that it leads to an asthma attack (wheezing, chest tightness, shortness of breath, coughing), which is usually due to a trigger of some type. Asthma triggers include: -Environment: smoke, pollen, pollution, perfumes, dander, dust mites, pests (cockroaches), cold and dry air, mold -Body Issue: respiratory infection, GERD, hormonal shifts, exercise-induced -Intake of Certain Substances: drugs (beta adrenergic blockers that are nonselective), NSAIDS, aspirin, preservatives (sulfites) Signs and Symptoms of an asthma attack include: chest tightness, wheezing (auscultate…expiratory wheezing and can progress to inspiratory wheezes in severe cases), coughing, difficulty breathing (***especially exhaling), increased respiratory rate Asthma treatment includes: bronchodilators (beta-agonists, anticholinergics, theophylline along with anti-inflammatories (corticosteroids, leukotriene modifiers, immunomodulators, cromolyn). Asthma NCLEX questions: http://www.registerednursern.com/asthma-nclex-questions/ Notes: http://www.registerednursern.com/asthma-nclex-review/ Instagram: https://www.instagram.com/registerednursern_com/ Facebook: https://www.facebook.com/RegisteredNurseRNs Subscribe: http://www.youtube.com/subscription_center?add_user=registerednursern Nursing School Supplies: http://www.registerednursern.com/the-ultimate-list-of-nursing-medical-supplies-and-items-a-new-nurse-student-nurse-needs-to-buy/ Popular Playlists: NCLEX Reviews: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWtwCDmLHyX2UeHofCIcgo0 Fluid & Electrolytes: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWJSZ9pL8L3Q1dzdlxUzeKv Nursing Skills: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUhd_qQYEbp0Eab3uUKhgKb Nursing School Study Tips: https://www.youtube.com/playlist?list=PLQrdx7rRsKfWBO40qeDmmaMwMHJEWc9Ms Nursing School Tips & Questions" https://www.youtube.com/playlist?list=PLQrdx7rRsKfVQok-t1X5ZMGgQr3IMBY9M Teaching Tutorials: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUkW_DpJekN_Y0lFkVNFyVF Types of Nursing Specialties: https://www.youtube.com/playlist?list=PLQrdx7rRsKfW8dRD72gUFa5W7XdfoxArp Healthcare Salary Information: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVN0vmEP59Tx2bIaB_3Qhdh New Nurse Tips: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVTqH6LIoAD2zROuzX9GXZy Nursing Career Help: https://www.youtube.com/playlist?list=PLQrdx7rRsKfVXjptWyvj2sx1k1587B_pj EKG Teaching Tutorials: https://www.youtube.com/playlist?list=PLQrdx7rRsKfU-A9UTclI0tOYrNJ1N5SNt Dosage & Calculations for Nurses: https://www.youtube.com/playlist?list=PLQrdx7rRsKfUYdl0TZQ0Tc2-hLlXlHNXq Diabetes Health Managment: https://www.youtube.com/playlist?list=PLQrdx7rRsKfXtEx17D7zC1efmWIX-iIs9
Просмотров: 155870 RegisteredNurseRN
Asthma in children: Guidelines for primary care management
Dr. Thomas Saba, pediatric pulmonologist, presents best practices for primary care providers in the care of pediatric patients with asthma. Presented at the 2018 Partners in Pediatric Care CME. Learn more about University of Michigan C.S. Mott Children's Hospital's services for children with asthma at https://www.mottchildren.org/conditions-treatments/peds-respiratory-care/asthma
Просмотров: 40 Michigan Medicine
Managing Asthma in the School Environment
According to the Centers for Disease Control and Prevention (CDC), approximately 1 in 12 children had asthma in 2015. The agency also reports that in 2013, 13.8 million school days were missed due to the disease making it a leading cause of school absenteeism. Asthma is a long-term, inflammatory disease that causes the airways of the lungs to tighten and constrict, leading to wheezing, breathlessness, chest tightness and coughing. The inflammation also causes the airways of the lungs to become especially sensitive to a variety of asthma triggers. The particular trigger or triggers and the severity of symptoms can differ for each person with asthma. This sometimes life-threatening respiratory disease can be controlled through proper medical treatment and by managing exposure to environmental triggers that can cause an asthma attack. The U.S. Environmental Protection Agency (EPA) lists the following asthma triggers commonly found in or around school buildings, they include: • Respiratory viruses • Cockroaches and other pests • Mold resulting from excess moisture in the school • Dander from animals in the classroom • Dander brought in on clothing from animals at home • Secondhand smoke • Dust mites • Cleaning agents, perfumes, pesticides and other sprays • Ozone • Particle pollution • Bus exhaust Fortunately, there are environmental tests and air monitoring instruments to identify these and other known asthma triggers along with common respiratory irritants and allergens. If detected, corrective actions can be taken to mitigate or eliminate exposure concerns. These are just a few things to know about managing asthma and identifying asthma triggers in the school environment. To learn more about this or other building science, indoor air quality, industrial hygiene, environmental, health or safety issues, please visit the websites shown below. Clark Seif Clark http://www.csceng.com EMSL Analytical, Inc. http://www.emsl.com LA Testing http://www.latesting.com Zimmetry Environmental http://www.zimmetry.com
Просмотров: 217 Paul Cochrane
Scary ER Asthma Attack with Toddler ... she turned blue and couldn't breathe!
B L O G / / / U P D A T E S : : : http://www.saramichaels.com TODDLER ASTHMA JOURNEY: https://www.saramichaels.com/toddler-asthma-timeline DATE: 10.29.17 2 years ago Lia contracted RSV for the first time and then secondary pneumonia. I knew her symptoms were not "normal" for a toddler. She had pneumonia for weeks. Then last year at the same time of year . . . again she contracted RSV and pneumonia that left her struggling for air in the middle of the night. It was BEYOND what I had seen for RSV / pneumonia before. I knew there must be something else but every time we went into the doctor they dismissed us as her just having a cold / warm baths / dehumidifier . . . etc. FEBRUARY 2017 :((the night after Jordan and I got married)) I took her into the ER for the 3rd time. I as adamant about getting answers and she was finally diagnosed with RSV, pneumonia (fluid in lungs seen on chest xray) and influenza A . . . all at once. This time she was given an inhaler with face mask. MARCH 2017 : she had an appointment with her primary care doctor where they ran labs and she was found to have extremely elevated / abnormal platelet levels. They said they would follow-up in a few months for monitoring. NO special instructions or care given . . . but said they would check later for leukemia / autoimmune conditions . . . . APRIL 2017 : Lia did not improve. She was fevering and home from daycare. We were going through inhalers regularly. I decided to do research into diet and we removed gluten / dairy / "trigger" foods / processed foods + sugar . . . within 72 hours she was symptom free and off of the inhaler OCTOBER 2017: this was the first time she has had any incident since spring. I believe there is something else going on and effective immediately we are putting her back on her strict nutrition regimen that we will be staying on and making this a complete lifestyle change . . . . : : : : : S T A Y U P D A T E D : : : : : B L O G : (Lia's Journey) http://www.saramichaels.com Please also check out the "Lia's Asthma Journey Playlist on my channel xo We will share what we learn as we go. If you have tips or have experience with this PLEASE feel free to comment or send me a private message on my social media. F A C E B O O K : http://www.facebook.com/saramichaelsonline I N S T A G R A M : http://www.instagram.com/saramichaelsonline
Просмотров: 4246 Sara Michaels
How to use a peak flow meter | Boston Children's Hospital
This video shows how to use a peak flow meter to measure breathing. A peak flow meter measures how much air you can breathe out quickly. For more information visit our website: http://www.childrenshospital.org/centers-and-services/programs/a-_-e/allergy-and-asthma-program/overview Boston Children’s Hospital’s Allergy and Immunology Program is widely recognized as a leading center for the evaluation and treatment of children with allergic disorders and immunodeficiencies. The Program evaluates children with all types of allergy problems. We also conduct skin testing to determine what your child is allergic to. Our program is one of the most experienced of its kind, caring for more than 11,600 children each year from communities throughout New England. Allergists across the world refer their patients with complex, rare immunodeficiencies for evaluation and second opinions. Download our fact sheet about the Allergy and Asthma Program: http://www.childrenshospital.org/~/media/centers-and-services/programs/a_e/allergy-and-asthma-program/allergy-immunology-pdf.ashx?la=en
Просмотров: 3262 Boston Children's Hospital
"Asthma" by Gerhard Wolf, MD for OPENPediatrics
Learn about important pathophysiologic and clinical considerations in the ICU management of patients with asthma. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.
Просмотров: 1016 OPENPediatrics
Wearable Asthma Monitoring Device
Nanyang Technology University (Singapore) invented a wearable device, which continuously monitors a child's asthma condition.
Просмотров: 47 Jinlin Edmund Shao
Asthma | Nursing Care for Asthma Patient in 2 Minutes
Nursing care for the asthma patient including medications, interventions, and assessment findings. Everything the nursing student needs to know to ace the NCLEX on asthma questions in under five minutes. Tired of professors who don't seem to care, confusing lectures, and taking endless NCLEX® review questions? . . . Welcome to NRSNG.com | Where Nurses Learn . . . Prepare to DEMOLISH the NCLEX. Blog: http://www.NRSNG.com Apps: http://www.RNcrush.com | http://www.Simclex.com Books: http://www.NursingStudentBooks.com Facebook: http://www.facebook.com/NRSNG Visit us at http://www.nrsng.com/medical-information-disclaimer/ for disclaimer information. NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC. and hold no affiliation with NRSNG.
Просмотров: 27134 NRSNG
Asthma Awareness - Joshua West's Story
GSK - Do more, feel better, live longer. Find out more on http://www.gsk.com Follow @GSK on Twitter: http://twitter.com/GSK Like GSK on Facebook: http://www.facebook.com/GSK Follow GSK on LinkedIn: http://www.linkedin.com/company/glaxosmithkline Subscribe to GSK on YouTube: http://www.youtube.com/subscription_center?add_user=gskvision See more photos on GSK Flickr: http://www.flickr.com/photos/glaxosmithkline Follow GSK on Google+: https://google.com/+GSK
Просмотров: 1698 GSK
"Respiratory Assessment" by Brienne Leary for OPENPediatrics
In this video, Brienne Leary, RN, demonstrates how to perform a pediatric respiratory exam, reviews respiratory considerations for the intubated patient, and explains how to monitor a patient's respiratory status. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause.
Просмотров: 25878 OPENPediatrics
Asthma Managment - Dr. Osama Felemban
Index: 1. [0:29] definitions: 2. [1:00] pathophysiology 3. [1:50] factors influencing the development of asthma 4. [2:12] clinical diagnosis 1- History 2:16 2- physical exam 3:05 3- Tests for diagnosis & monitoring 3:43 (lung function 3:52, assessment of allergic status 4:18, children 5 years & younger (categories of wheeze) 4:56) 5. [5:50] Differential diagnosis of recurrent wheeze 6. [6:16] Management 1- GINA Management Aim (asthma control) 6:44 2- levels of Asthma control 7:38 3- PET/Spirometer (Obstructive type) 8:57 4- Self-management plan (SINA) 9:29 5- Inhaler device for asthmatic children 10:16 6- the GINA approach to asthma management 11:39 7- the SINA approach to asthma management 11:57 8- Pharmacologic treatment 13:01 (controllers 13:13, relievers 13:25) 9. [13:35] controllers medications 1- inhale glucocorticosteroids 13:53 2- LABAs 14:31 3- safety of LABAs for treatment of asthma 15:40 4- Leukotriene modifiers 16:43 5- Omalizumab (Monoclonal antibody directed against IgE) 17:07 10. [18:38] Management of preschool wheeze 11. [19:23]inhale glucocorticosteroids 12. [20:21] Leukotriene modifiers conclusion 20:58 second part Acute asthma 1. [22:17] definition - things that must be carefully checked in Hx. 22:50 - referral to a specialist center 22:20 2. [23:51] criteria for admission - KAUH Policy 24:36 3. [25:46] initiation of therapy 1- Reassessment after 1 hour 26:55 2- in sever episode 27:54 3- Reassessment after 1-2 hours 28:28 4- incomplete response 29:19 5- poor response 30:15 6- summary of management of exacerbation in acute care settings 31:05 4. [31:40] assessment of severity 1. assessment of severity under 5 year, PRAM score 32:13 2. acute asthma in children less than 5 years 32:42 For any questions or comments, please don't hesitate to contact us through the following Twitter: @KAUPeds Email: peds.kau@gmail.com http://pediatrics.kau.edu.sa/
Просмотров: 3468 Pediatric Department - KAU
Asthma in kids
Просмотров: 17 Abby Trott
Asthma diagnosis | Respiratory system diseases | NCLEX-RN | Khan Academy
Created by Amy Fan. Watch the next lesson: https://www.khanacademy.org/test-prep/nclex-rn/rn-respiratory-system-diseases/rn-asthma/v/asthma-severity?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn Missed the previous lesson? https://www.khanacademy.org/test-prep/nclex-rn/rn-respiratory-system-diseases/rn-asthma/v/asthma-pathophysiology?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn NCLEX-RN on Khan Academy: A collection of questions from content covered on the NCLEX-RN. These questions are available under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License (available at http://creativecommons.org/licenses/by-nc-sa/3.0/us/). About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content. For free. For everyone. Forever. #YouCanLearnAnything Subscribe to Khan Academy’s NCLEX-RN channel: https://www.youtube.com/channel/UCDx5cTeADCvKWgF9x_Qjz3g?sub_confirmation=1 Subscribe to Khan Academy: https://www.youtube.com/subscription_center?add_user=khanacademy
Просмотров: 85715 khanacademymedicine
Asthma in children - Understand Wheezing! | Dr. Bharath Kumar Reddy
Asthma is inflammation of Lower Airways, caused due to allergies or many other causes. Airways are nothing but pipes that transport air to lungs. They are made up of cartilage, muscle and some amount of soft tissue. They have patent opening or circumference through which air passes in and out. This is Normal Airway. If airways get inflamed due to allergy or other reasons, airway circumference becomes narrow and are called Narrow Airway. Air moving through narrow pipe produces whistling sound called Wheezing. Breathing gets difficult and symptoms of cough develop. Repeated asthma symptoms result in Remodelled Airway that is airway tend to grow in narrow fashion, tend to get blocked with mucus plugs and get remodelled to asthmatic airway or narrow airways. Different medications through Nebulisers and Inhalers change narrow airway to normal airway. Bronchodilators like salbutamol and Levo sorbitol give a temporary action. Medications called Preventers reduce inflammation and using them over period of time avoids Remodelling of airway. Asthma can be prevented, Asthma severity in children can be prevented by using asthma medications wisely.
Просмотров: 455 pinkWhale Healthcare Service
Novel biomarkers in childhood asthma – Video abstract [ID 149577]
Video abstract of a review paper “Severe bronchial asthma in children: a review of novel biomarkers used as predictors of disease” published in the open access Journal of Asthma and Allergy by Uwaezuoke et al. Severe asthma or therapy-resistant asthma in children is a heterogeneous disease that affects all age-groups. Given its heterogeneity, precision in diagnosis and treatment has become imperative, in order to achieve better outcomes. If one is thus able to identify specific patient phenotypes and endotypes using the appropriate biomarkers, it will assist in providing the patient with more personalized and appropriate treatment. However, there appears to be a huge diagnostic gap in severe asthma, as there is no single test yet that accurately determines disease phenotype. In this paper, we review the published literature on some of these biomarkers and their possible role in bridging this diagnostic gap. We also highlight the cellular and molecular mechanisms involved in severe asthma, in order to show the basis for the novel biomarkers. Some markers useful for monitoring therapy and assessing airway remodeling in the disease are also discussed. A review of the literature was conducted with PubMed to gather baseline data on the subject. The literature search extended to articles published within the last 40 years. Although biomarkers specific to different severe asthma phenotypes have been identified, progress in their utility remains slow, because of several disease mechanisms, the variation of biomarkers at different levels of inflammation, changes in relying on one test over time (eg, from sputum eosinophilia to blood eosinophilia), and the degree of invasive tests required to collect biomarkers, which limits their applicability in clinical settings. In conclusion, several biomarkers remain useful in recognizing various asthma phenotypes. However, due to disease heterogeneity, identification and utilization of ideal and defined biomarkers in severe asthma are still inconclusive. The development of novel serum/sputum-based biomarker panels with enhanced sensitivity and specificity may lead to prompt diagnosis of the disease in the future. Read the review paper here: https://www.dovepress.com/severe-bronchial-asthma-in-children-a-review-of-novel-biomarkers-used--peer-reviewed-article-JAA
Просмотров: 69 Dove Medical Press
The Value of Objective Adherence Monitoring of Patients with Persistent Asthma
Despite the advances in diagnosing and managing patients with chronic diseases, including asthma, approximately 50 % of patients do not follow clinicians medication recommendations, non-adherence. Under use of medication is associated with increased morbidity, over utilization of emergency and hospital services and increased cost of care. Effective asthma adherence management programs have been developed to improve adherence to treatment but they are complex and costly. Payers are willing to assume the cost of these adherence programs for their most costly patients, but patients with lesser morbidity do not receive these services resulting in persistent disease and poor quality of life. This presentation will discuss a program proven to improve asthma control and adherence to preventative therapy as well as outline a model to enhance medication adherence for patients with other chronic diseases with all degrees of severity. At the end of this talk you will be able to: understand methods to diagnose adherence, identify patient and clinical barriers to adherence and review the Asthma Adherence Management Model and its application to other chronic diseases. Dr. Andrew Weinstein is assistant clinical professor of pediatrics at the Sidney Kimmel Medical College, Thomas Jefferson University and President of Asthma Management Systems. Dr. Weinstein has conducted numerous asthma adherence outcome trials at Christiana Care, Nemours/Alfred I. duPont Hospital for Children, Highmark, Allegheny Hospital Network (Merck) and Geisinger Health Plan (NIH). From these research efforts, Dr. Weinstein has developed the Asthma Adherence Management Model and will be discussing its application in the areas of clinical care and Tele-health. Dr. Weinstein is a fellow of the American Academy of Allergy Asthma and Immunology.
Просмотров: 27 DE-CTR ACCEL
What Parents Want to Know About Asthma
If you think your child has asthma, you may have a few questions. How is asthma diagnosed? Can you outgrow asthma? What are common asthma medications? Lila Kurtz answers these questions and more in this week’s episode of Mom Docs. How is asthma diagnosed? Doctors look for recurring episodes of coughing or wheezing when diagnosing asthma in children. The first coughing or wheezing event typically is not enough for an asthma diagnosis. What asthma medications are prescribed? All children and infants receive albuterol as treatment for asthma. Albuterol will relieve cough, shortness of breath, and chest tightness. In severe cases, treatment for asthma includes inhaled corticosteroids. What kinds of tests will my child receive? Lung function testing begins around age 5 and is monitored with each visit. Can children outgrow asthma? It is possible for asthma to go away. However, children with a history of allergy are at risk for not outgrowing asthma. When should I talk to a doctor about asthma? If you have concerns about your child’s recurring cough, wheeze, or shortness of breath, it’s time talk to your pediatrician to see if asthma is a potential diagnosis. Visit Children’s MomDocs (a blog by mom physicians at St Louis Children’s Hospital and Washington University School of Medicine): http://bit.ly/2h5EsSG Learn more about St. Louis Children’s Hospital – Find a Physician, Get Directions, Request an Appointment, See current ER Wait Times http://bit.ly/2gkSwsp Want to hear more from St. Louis Children’s Hospital? Subscribe to the St Louis Children’s Hospital YouTube Channel: http://bit.ly/2htSbjm Like us on Facebook: https://www.facebook.com/stlchildrens Follow us on Twitter: https://twitter.com/STLChildrens Learn More About Donating on YouTube: https://support.google.com/youtube/? The St. Louis Children’s Hospital YouTube channel is intended as a reference and information source only. If you suspect you have a health problem, you should seek immediate care with the appropriate health care professionals. The information in this web site is not a substitute for professional care, and must not be used for self-diagnosis or treatment. For help finding a doctor, St. Louis Children's Hospital Answer Line may be of assistance at 314.454.KIDS (5437). The opinions expressed in these videos are those of the individual writers, not necessarily St. Louis Children's Hospital or Washington University School of Medicine. BJC HealthCare and Washington University School of Medicine assume no liability for the information contained in this web site or for its use. Subtitles/Closed Captions: Asthma’s not typically diagnosed with the first episode of cough or wheeze, but rather we look for a pattern of recurrent cough or wheeze in all children, especially those that are young, such as toddlers. All children and infants who have asthma are prescribed medicine called albuterol which is used for rescue - to help take away cough, shortness of breath, chest tightness. If your child’s asthma is more severe, then it's likely he or she is prescribed other medications such as inhaled corticosteroids. Parents can have fears about inhaled corticosteroids but we have to remember that if your child has a history of recurrent cough and/or wheeze, the benefits of the inhaled steroids usually outweigh the potential risks. There are other types of medications that can be used for treatment of asthma as well. If your child's asthma is more severe or not well controlled on inhaled steroids alone, talking to your pediatrician or your allergist or pulmonologist is extremely important to figure out the right regimen for your particular child. Lung function testing is typically started around age 5 and is monitored with each visit as you come to see your allergist or pulmonologist. It is possible that your child could outgrow his or her asthma. Children who have a history of allergy, and we confirm this either with in testing or blood work, are considered at risk for not outgrowing their asthma. If you have concerns about your child having recurrent cough, wheeze shortness of breath, difficulty while they're in P.E. class or on the soccer field, it's important that you talk to your pediatrician to see if asthma is a potential diagnosis and, if so, is your child in need of expert care with an allergist pulmonologist.
Просмотров: 2393 St. Louis Children's Hospital
severity of asthma
severity of asthma mild moderate severe subset
Просмотров: 216 Medicos library
See & Save - The First Aid Kit for Asthma, Allergies and Anaphylaxis
After working in Childcare for over 10 years we saw first hand the rise in Asthma, Allergies and Anaphylaxis and the difficulties of identifying/monitoring these kids amongst others. We've invented the 'See & Save' pack to help.
Просмотров: 1201 OOSH Bands
Asthma for USMLE Step 2
Asthma will be discussed, in particular its pathophysiology, causes, sign and symptoms chronic management and management of acute exacerbation. This handwritten asthma lecture is for medical students planning on taking the USMLE. Asthma is defined based on it pathophysiology, airway inflammation and intermitten obstruction due to bronchial hyperresonsive. This is typically mediated by mast cells, eosinophils and other markers which leads to airway edema and mucus plug. This obstruction increases restriction and decreased expiratory flow rate. Therefore asthma is considered an obstructive disease. CAUSES Environmental allergen Viral infection such as rhinovirus and RSV Sinusitis Exercise induced GERD - acid in esophagus trigger vagus response and bronchoconstriction Aspirin induced increase leukotrienes leading to bronchoconstriction Obesity Occupational Exposure Emotional CLINICAL SIGN AND SYMPTOMS OF ASTHMA Begins at any age, but generally diagnosed before 7 years old and remit at adolescents. Cough - nonproductive, paroxysmal in night and early morning Chest Tightness and Chest Pain Wheeze which is initially end expiratory then present in entire expiration and then present on expiration and inspiration. Finally silent chest which is an emergency. Tachypnea initially and when severe hypoventilation with use of accessory muscles (Sternucleiodomastoid). Pulsus parodoxus where on inspiration there is a drop in blood pressure. Asthma patients also become breathless and can only speak in phrases and words. EVALUATION Astham can be diagnosed by clinical findings. Also use spirometry and rule out other alternatives. Bronchoprovocation test is the gold standard by giving asthma patient methacholine and mannitol or exercise and wait for symptoms to occur. If positive need to rule our COPD, rhinitis and other causes. However, negative rules out asthma. In spirometry the asthma patient pushes out air in one second (FEV1) and the ratio of FEV1/FVC is less than 80%. And asthma will be reversed with bronchodilator and the COPD, Emphysema and Bronchiectasis is not reversible. The peak expiratory flow monitor will be low in asthma patients. Patient should be greater than 80% of peak value depending on values in chart. Blood and sputum eosinophils tend to be greater than 4% in asthma and if greater than 8% there are more differentials. Also helps guide therapy. Chest X-ray in asthma patients is normal, but it helps rule out other causes. STAGING Intermittent asthma, the patient is asymptomatic between exacerbations. Will have less than 2 episodes per week and 2 night episodes per month. Normal Activity Level. Severe exacerbation defined as requirement of oral glucocorticoid less than once a year. FEV1 is greater than 80% Mild Persistent asthma the patient has 2-6 episodes per week, 3-4 nights out of the month. Moderate persistent asthma the patient has daily episodes and more than 1 night symptom a week. Some acitivity limitation. FEV1 is between 60-80% and the FEV1/FVC ratio is decreased by 5% Severe persistent asthma the patient has symptoms throughout the day and night symptoms every night. Severe Activity limitation. Acute exacerbation of asthma more than 2 times a year. FEV1 is less than 60% and FEV1/FVC is decreased by more than 5%. MANAGEMENT of ASTHMA Education has decreased mortality the most with discussion of asthma action plan and avoiding triggers. Step system for asthma management a step up is required with 2 days a week requirement of SABA and step down with well controlled for 3 months. Step 1 - Short Acting Beta Agonist (SABA) as needed Step 2 - Low dose Inhaled Corticosteroids (ICS) Daily Step 3 - Low dose ICS and LABA Step 4 - LABA and Medium dose ICS Step 5 - LABA and High Dose ICS and omalizumab Step 6 - LABA and High Dose ICS and Oral Glucocorticoid and Omalizumab due to allergies Alternative to LABA is LTRA, Zileuton, and Theophylline. MANAGEMENT OF ACUTE EXACERBATION OF ASTHMA If Peak Expiratory Flow is 50-79% then take 2-6 puffs of SABA 3 times ever 20 minutes and repeat PEF. If better continue SABA and change medication. If doesn't improve, take Oral glucocorticoids continue SABA and change medications. If Less than 50% then go to emergency Department. Managing asthmatic patient in emergency department is first by doing physical examination to confirm asthma. Start management with oxygen. If cannot reach greater than 90% then intubate and admit to ICU. Otherwise start SABA and if PEF is less than 40% start with SABA, Ipratropium and oral Glucocorticoid. Reassess with PEF and if improving (70%) then observe and discharge. If not improving then admit into wards monitor vitals. If worsening admit to ICU and give IV glucocorticoids and mechanical ventilation.
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How To Use A Peak Flow Meter
A Peak Flow Meter is a measuring device which enables airflow to be assessed in the lungs. It is particularly useful for monitoring asthma and can form part of a self-management plan. There are a number of different types of Peak Flow Meter but they all work on the same principle. In this episode we show how to correctly use one type of Peak Flow Meter. Asthma is a common condition that can cause variable and intermittent symptoms such as cough, wheezing and breathlessness. A Peak Flow Meter can also provide essential information into the severity of acute asthma attacks. The meters are easy to use and available on prescription in the UK. The readings from a Peak Flow Meter are generally unreliable in children under the age of six or seven. Do not obstruct the cursor with your hand. Do not obstruct the mouthpiece with your tongue. Stand or sit up straight. Check the cursor is set to zero. Take a deep breath in and seal you lips around the mouthpiece. Blow out suddenly and hard. Check the cursor reading. Repeat twice more using the best reading of the three attempts. The meter records the speed of the blow and is measured in litres per minute. Everyone has a predicted reading depending on age and height. It is important that you know your own best reading. This information is helpful for your doctor as well as for you and your own self-management plan. Builth and Llanwrtyd Medical Practice has made every effort to ensure that the information in these episodes is accurate, up to date, and as helpful as possible. However we will not be responsible for any inaccuracies or omissions. In particular if you are unwell, it is important that you do not rely on information from the Internet - you should seek professional medical advice from your Doctor. If your condition is getting worse, or if you are seriously ill, you should call or visit your Surgery.
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Spacer device for asthmatic children .Dr.Rita Alfattal @ritafattal
Video about spacer device for asthmatic children
Просмотров: 27 Rita Alfattal
My Youngest Son Has to Wear a Heart Monitor for the Next 30 Days.
After a recent trip to the ER, my son met with a cardiologist at Nemours Children's Hospital. An arrhythmia /tachycardia was discovered, and now the journey is on to discover what is causing it. Shortly after he was hooked up to the monitor, it went completely dead, after the charger stopped working. We called the company and a new charger was sent . Very impressed so far with the level of care.
Просмотров: 173 Gina Welds Hulse
Bedfont NObreath FENO breath test for improved asthma management
www.bedfont.com/nobreath The NObreath FENO breath test is a breakthrough device in asthma management. The innovative handheld asthma monitor facilitates better asthma control by giving an indication of the severity of airway inflammation. It does this by measuring the amount of exhaled nitric oxide on a patients breath. Used regularly as part of an asthma management programme, the NObreath allows sufferers to keep track of their airway inflammation. This enables them to accurately determine the dose of treatment required, resulting in optimal asthma control. The asthma monitor is simple to use and gives accurate, easy-to-read exhaled nitric oxide results.
Просмотров: 2984 KentVideoProduction
Patient and Caregiver Testimonials: Severe and Difficult to Control Asthma | The Anderson Story
The Allergy and Asthma Network in conjunction with the CHEST Foundation created an asthma awareness campaign that focuses on spreading awareness of severe and difficult to control asthma. The campaign features several patient and caregiver testimonials that tell the stories of patients and parents of children with severe asthma. "Asthma has been a part of my entire life... I had it as a child.... I lived in a household where my mother smoked indoors. I would constantly complain about not being able to breathe well... in my middle school years, she went cold turkey both to help me breath better and for her own health... Growing up, time to time I missed school, due to my asthma... Now that I have children of my own, I do my best to make sure they do not have the same challenges I did when I was growing up with the disease." Watch and share the testimonial videos to raise awareness of the condition, and encourage patients to take a more active role in managing and monitoring asthma symptoms and choosing the best treatment plan for each individual. To learn more, visit us at asthma.chestnet.org.
Просмотров: 68 ACCPCHEST
Patient and Caregiver Testimonials: Severe and Difficult to Control Asthma | The Johnson Story
The Allergy and Asthma Network in conjunction with the CHEST Foundation created an asthma awareness campaign that focuses on spreading awareness of severe and difficult to control asthma. The campaign features several patient and caregiver testimonials that tell the stories of patients and parents of children with severe asthma. "She suffered alot from asthma...A lot of different attacks. There were several times where she had to be resuscitated... There were a lot of times I thought we were gonna lose her before we actually did...." Watch and share the testimonial videos to raise awareness of the condition, and encourage patients to take a more active role in managing and monitoring asthma symptoms and choosing the best treatment plan for each individual. To learn more, visit us at asthma.chestnet.org.
Просмотров: 76 ACCPCHEST
Patient and Caregiver Testimonials: Severe and Difficult to Control Asthma | The Lowe Story
The Allergy and Asthma Network in conjunction with the CHEST Foundation created an asthma awareness campaign that focuses on spreading awareness of severe and difficult to control asthma. The campaign features several patient and caregiver testimonials that tell the stories of patients and parents of children with severe asthma. "Our collaborative care team involves everyone from his school nurse to his allergist. The school is aware of Nate's asthma and understand what will cause him to have an exacerbation." Watch and share the testimonial videos to raise awareness of the condition, and encourage patients to take a more active role in managing and monitoring asthma symptoms and choosing the best treatment plan for each individual. To learn more, visit us at asthma.chestnet.org.
Просмотров: 59 ACCPCHEST
Insight eNO  a medical breakthrough for asthma treatments and management
The video is a clip from ABC 7 News, KGO-TV. The video details the new FDA approved device Insight eNO system which uses exhaled nitric oxide for effective asthma management, in both adults and children. Insight eNO has revolutionized asthma treatment. Apierons asthma products help in managing asthma for patients suffering from acute asthma attacks by detecting exhaled nitric oxide (eNO) present in the human breath.
Просмотров: 1193 InsighteNO
How To Deal With Asthma People In Emergencies- Asthma Treatment
Emergency hospital treatment for an asthma attack bootswebmd. Managing asthma exacerbations in the emergency department. Asthma attack symptoms and treatment st john ambulance. Also be sure to treat other conditions that may interfere with asthma management. Treatment for asthma medical news todaymedical emergencies cpd dental nursesmanagement of acute in adults the emergency department. Your plan might include the following steps use your emergency inhaler as prescribed. Asthma how to help someone having an attack disabled world. That has very severe symptoms, and you need emergency care to treat them identify the drugs that are used manage asthma. Know how to dealing with patients who suffer from this potentially serious medical condition. Asthma treatment first aid information for asthma webmd. Some people treat asthma using unconventional alternative therapies, but there is little 29 mar 2016 sometimes with need treatment in hospitals. Asthma attack what to do nhs choices. Monitor the person until help arrives. Follow the person's asthma plan, if possibleuse inhaler with a spacer, possible. Asthma emergency treatment for asthma attack, anaphylaxis, and webmd url? Q webcache. It is your reliever isn't helping or lasting over four hours; Your symptoms are getting if you go to a&e (accident and emergency) admitted hospital, this asthma attack information not designed for people on a smart mart regime. Continue using inhaler if breathing is still a problem. Topics, asthma, long term asthma attacks treatment department of education. Googleusercontent search. A sudden or severe flare up is often called an asthma attack 1 aug 2009 the naepp expert panel recommends that all clinicians treating asthmatic patients be prepared to treat exacerbation, recognize. Asthma causes, symptoms, treatment what is the emergency 4 ways to treat asthma attacks wikihow. Use inhaler without a spacer, if necessary. This table describes how to treat a student 6 sep 2016 never be frightened of calling for help in an emergency. Asthma emergency an asthma australia site. But if someone doesn't have an inhaler, or the any person with asthma can a flare up worsening of symptoms at time. How to recognize and treat severe asthma in the emergency attack emergencies. Asthma first aid national asthma council australia. A letter of authorisation from the principal to purchase reliever medication for school's asthma emergency kits. Asthma emergency treatment for asthma attack, anaphylaxis, and first aid information webmd. Follow up 11 sep 2017 what is the emergency medical treatment for asthma? What medications treat People who respond poorly to inhaled beta agonists may be given an injection or iv dose of a agonist such as terbutaline 25 jan assess happening determine if attention people with asthma need their medication but not require additionally, room visits sufferers, both young and old, are very most patients know they do deal attack 30 mar 2016 you. If you to your gp or asth
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Asthma Control
Dr. Copenhaver with Allergy Partners discusses asthma control.
Просмотров: 32 Allergy Partners
Respiratory Illness Enterovirus D68 Confirmed in CT
In the recent weeks, a respiratory virus has mainly affected children in the mid-West. Now parents in Norwalk are being advised to closely monitor their children for signs of Enterovirus D68 as it begins to hit locally. Dr. Vicki Smetak, Chairman of Pediatrics at Norwalk Hospital said, "Enterovirus D68 is a type of virus that causes respiratory disease primarily in children. It is not a virus that has been seen with any sort of frequency if at all since 1962 when it was first identified in California." According to the Centers for Disease Control and Prevention (CDC), from mid-August to September 16 of this year, a total of 104 people in 10 states (Alabama, Colorado, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Missouri and New York) have been confirmed by either the CDC or a state laboratory to have contracted the D68 illness. "Now it has traveled and made its way through the country and we have our first reported case in Connecticut as of last night (Wednesday, September 17) out of Yale-New Haven Children's Hospital," said Dr. Smetak. Dr. Smetak says the illness can infect children from infancy though school age and may be more severe for those children with asthma. "It can be mild just as well as it can be severe. Most children will get a runny nose or a cough, maybe some low grade fever, or aches and pains." Dr. Smetak says parents who have children with asthma should monitor their symptoms. "Worsen cough for example," said Dr. Smetak. "Shortness of breath, weezing, need to use the nebulizer or the inhaler on a more frequent basis. That should prompt parents to bring their children to medical attention as they would anyway." No deaths have been reported from the virus. "The one key message would be don't panic, followed quickly by, but if your child is exhibiting symptoms of difficulty breathing please bring them to medical attention in a timely fashion," said Dr. Smetak.
Просмотров: 23 Kwegyirba Croffie
6c. Responding to Respiratory Distress, Pediatric Advanced Life Support (PALS) (2018)
This lesson covers management of respiratory distress, regarding airway, breathing and circulation. Management is adjusted based on the severity of the current condition, and the responsibilities of the care provider are explained. "Initial management of respiratory distress or failure includes opening and supporting the airway, suctioning, and considering advanced airway. Management of breathing includes monitoring oxygen stats, getting supplemental oxygen and nebulizers. Management of circulation involves monitoring vital signs and establishing vascular access. PALS management of respiratory distress or failure is adjusted based on the severity of the current condition. For example, mild asthma is treated with bronchodilator inhalers, but severe asthma (or status asthmaticus) may require ET intubation. As a provider, you must continually assess the individual’s current needs and adjust care accordingly. For further information on responding to respiratory distress or failure, refer to Table 14 in your corresponding PALS manual that describes treatments for upper airway, lower airway, lung tissue disease, and CNS issues." Need certified or rectified in PALS, visit https://disquefoundation.org/pals-certification-renewal/ ************************************** Follow us on social media! Facebook: https://www.facebook.com/DisqueFoundation Twitter: https://twitter.com/DisqueFNDN Instagram: https://www.instagram.com/savealifeinitiative/ Pinterest: https://www.pinterest.com/disquefoundatio/ LinkedIn: https://www.linkedin.com/company/disque-foundation Website: https://disquefoundation.org/ To find out more about the Save a Life Initiative and the Disque foundation please visit our site or email us at info@DisqueFoundation.org Together, let’s save lives.
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How to Control Asthma Attacks
Watch more How to Handle a Medical Problem videos: http://www.howcast.com/videos/165272-How-to-Control-Asthma-Attacks Limit asthma attacks by learning how to anticipate and prevent them. Step 1: Recognize the symptoms Recognize asthma symptoms, which include wheezing, breathing problems that become worse after physical activity, coughing fits, especially at night or when lying down, and colds that last more than ten days. Tip A family history of asthma increases your chances of having the disease. Step 2: See a doctor If you suspect you have asthma, have a medical doctor evaluate your condition. You may benefit from daily medication to prevent attacks. You may also need to carry a quick-reliever, like an inhaler, in case an attack occurs. Tip Contrary to what some people think, cough medicine doesn't relieve asthma symptoms. Step 3: Know the warning signs Learn to recognize the warning signs of an attack so you can treat it before it becomes severe. Common symptoms include chest tightness, coughing, spitting up phlegm, wheezing, and a whistling noise when you breathe. Tip An asthma attack causes airways to swell and become inflamed and the muscles around the airways to contract, causing your breathing tubes to narrow. Step 4: Avoid triggers Try to avoid or limit your exposure to things that spark attacks. Common triggers include pollen, mold, dust, animals, tobacco smoke, smog, strenuous exercise, certain cleaning products, perfume, cold air, and aspirin and other pain relievers. Tip To reduce contact with dust mites, use mattress and pillow covers, don't use down bedding, and don't sleep with stuffed animals on your bed. Step 5: Monitor your attacks Get a peak-flow meter, a device that measures airflow from the lungs. Blow into the meter when you're not having an attack to determine your "personal best" reading. You can compare the number against future measurements, helping to confirm when an attack may be imminent and determine if your medicine is working. Step 6: Know when to get help Go to the emergency room if you can't speak more than short phrases, are straining to breathe, or if your peak-flow reading is less than 50 percent of your personal best. Did You Know? About 20 percent of summer Olympics athletes have asthma, according to research.
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"Capnography" by Craig Smallwood, RRT for OPENPediatrics
Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause. Carbon dioxide monitoring is an important tool for several reasons, and the proper usage and interpretation of its data can aid clinicians in determining problems and identifying solutions quickly for critically ill children. Uses include: endotracheal tube or tracheostomy tube placement verification; ventilation monitoring, so hypo or hyper-ventilation; as well as early detection of life-threatening events, such as apnea or severe airway obstruction. In addition, we can assess disease severity and CPR quality. Strictly speaking, capnography refers to the graphical display of the partial pressure or concentration of carbon dioxide plotted against time. Capnometry, on the other hand, refers to the display of the numeric value of the fraction or partial pressure of carbon dioxide during a normal respiratory cycle. However, when we are in the ICU, we typically refer to capnography to include all of the interpretation, not only the graph, but the numeric display, as well as the technology. End-tidal CO2 refers to the carbon dioxide detected at end-exhalation using a CO2 monitor. This can be displayed as a partial pressure, mmHg, or concentration, fractions, or percentages. And of course, the partial pressure of arterial oxygen is an important concept when we talk about capnography as well. Normal end-tidal carbon dioxide, across a population from infants to adults, is typically 0-5 mmHg below the arterial CO2. In adults and pediatric patients, this can be anywhere from 3-5 mmHg below, or in infants and smaller pediatrics patients, anywhere from 0-3 mmHg below the arterial CO2. An exhaled tidal volume can be thought of to have two components. The first component is the dead space volume, that is, the portion of the exhaled breath that does not interact with arterial blood, and therefore does not contain CO2 or participate in gas exchange. There are three components that comprise the dead space volume. The first is the airway, or the conducting airway’s dead space. This is usually the volume of the trachea, the right and left mainstream bronchi, and any other conducting airways that don’t have alveoli. We also have the mechanical dead space, which is the volume of any adaptors, including the CO2 adaptor and the endotracheal tube that are in between the breathing circuit and the patient’s airway. We also have alveolar dead space. Because the lung is not a perfect system, there is some component of alveoli that are not participating in gas exchange. We also have the alveolar volume. This is any portion of the exhaled tidal volume that is participating in gas exchange and therefore contains CO2. You can see in the illustration that there is a portion of the breath, the deadspace volume, that does not contain CO2. Relative to the whole breath in health, this is a small fraction of the breath. The alveolar volume here is the bulk of the tidal volume, and contains CO2. If we suppose that this child had a normal arterial partial pressure of CO2, 40mmHg, the alveolar volume would probably have a CO2 partial pressure similar to 40. Now when we combine these two volumes, the dead space volume and the alveolar volume as the child exhales, you’ll see that when we read the end tidal CO2 on the monitor, the number is going to be smaller than the arterial because it mixes with the deadspace volume, and we have some number between 35 or 38 mmHg. Since we have our patient hooked up to CO2 monitoring now, let’s take a look at some normal CO2 waveforms, and also some capnograms that you may encounter when treating children in the ICU.
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Asthma : 6 ways to achieve good control
There are simple things you can do to improve your child's asthma control in addition to optimal medication! This lists of 6 includes a couple of surprises from recent research
Просмотров: 5975 Ask Dr B
Patient and Caregiver Testimonials: Severe and Difficult to Control Asthma | The Eisen Story
The Allergy and Asthma Network in conjunction with the CHEST Foundation created an asthma awareness campaign that focuses on spreading awareness of severe and difficult to control asthma. The campaign features several patient and caregiver testimonials that tell the stories of patients and parents of children with severe asthma. "When Julia is having asthma exacerbations it affects her days, her sleep at night, in fact, I always sleep next to her when she ss having difficulty breathing so I can be right there to give her her medication... Asthma is the number 1 reason she misses school." Watch and share the testimonial videos to raise awareness of the condition, and encourage patients to take a more active role in managing and monitoring asthma symptoms and choosing the best treatment plan for each individual. To learn more, visit us at asthma.chestnet.org.
Просмотров: 51 ACCPCHEST
Salbutamol/Albuterol (Ventolin): Drug for Asthma and COPD Symptoms of Coughing and Wheezing
Source: https://www.medindia.net/ For more information, Please visit : https://www.medindia.net/doctors/drug_information/salbutamol.htm Salbutamol is a bronchodilator that relaxes the smooth muscles of the airways. It helps to open up tight airways and thereby facilitates breathing. Salbutamol is popularly known as Ventolin, Asthalin, Accuneb, Apo-Salvent, Buventol. Salbutamol is prescribed to treat or prevent bronchospasm caused by asthma, chronic obstructive pulmonary disease (COPD), severe bronchitis, and shortness of breath (Emphysema) Adults should help children to ensure proper inhalation. Potassium level should be monitored regularly during treatment. Please help us translate this video in your language to make it more universal and useful to your language community. We present useful and essential information on the drug salbutamol that everyone should know when taking this drug. Use Medindia drug information to check drug to drug interactions if you are taking more than one drug. Share your comments if you are experiencing any unusual side effects.
Просмотров: 755 Medindia Videos
10 More Reasons To Take Vitamin D
http://www.npshealth.com/?tag=vitamin-d 1.) The flu - In a study published in the Cambridge Journals, it was discovered that vitamin D deficiency predisposes children to respiratory diseases. An intervention study conducted showed that vitamin D reduces the incidence of respiratory infections in children. 2.) Muscle weakness - According to Michael F. Holick, a leading vitamin D expert, muscle weakness is usually caused by vitamin D deficiency because for skeletal muscles to function properly, their vitamin D receptors must be sustained by vitamin D. 3.) Psoriasis - In a study published by the UK PubMed central, it was discovered that synthetic vitamin D analogues were found useful in the treatment of psoriasis. 4.) Chronic kidney disease - According to Holick, patients with advanced chronic kidney diseases (especially those requiring dialysis) are unable to make the active form of vitamin D. These individuals need to take 1,25-dihydroxyvitamin D3 or one of its calcemic analogues to support calcium metabolism, decrease the risk of renal bone disease and regulate parathyroid hormone levels. 5.) Diabetes - A study conducted in Finland was featured in Lancet.com in which 10,366 children were given 2000 international units (IU)/day of vitamin D3 per day during their first day of life. The children were monitored for 31 years and in all of them, the risk of type 1 diabetes was reduced by 80 percent. 6.) Asthma - Vitamin D may reduce the severity of asthma attacks. Research conducted in Japan revealed that asthma attacks in school children were significantly lowered in those subjects taking a daily vitamin D supplement of 1200 IU a day. 7.) Periodontal disease - Those suffering from this chronic gum disease that causes swelling and bleeding gums should consider raising their vitamin D levels to produce defensins and cathelicidin, compounds that contain microbial properties and lower the number of bacteria in the mouth. 8.) Cardiovascular disease - Congestive heart failure is associated with vitamin D deficiency. Research conducted at Harvard University among nurses found that women with low vitamin D levels (17 ng/m [42 nmol/L]) had a 67 percent increased risk of developing hypertension. 9.) Schizophrenia and Depression - These disorders have been linked to vitamin D deficiency. In a study, it was discovered that maintaining sufficient vitamin D among pregnant women and during childhood was necessary to satisfy the vitamin D receptor in the brain integral for brain development and mental function maintenance in later life. 10.) Cancer - Researchers at Georgetown University Medical Center in Washington DC discovered a connection between high vitamin D intake and reduced risk of breast cancer. These findings, presented at the American Association for Cancer Research, revealed that increased doses of the sunshine vitamin were linked to a 75 percent reduction in overall cancer growth and 50 percent reduction in tumor cases among those already having the disease. Of interest was the capacity of vitamin supplementation to help control the development and growth of breast cancer specially estrogen-sensitive breast cancer. http://www.naturalnews.com/035089_vitamin_D_deficiency_signs_symptoms.html
Просмотров: 5377 Dr. Mayer Eisenstein
Asthma 1- bronchospasm, types of asthma, symptoms
mild intermittent, mild persistent, moderate persistent, severe persistent
Просмотров: 2325 MD Kiosk Health Channel
Dr. William Berger & Mike Tringale Talk About Asthma
Mike Tringale, M.S.M.: Mike is the director of External Affairs at AAFA, a consumer and patient advocacy organization serving more than 60 million people with asthma and allergies. Mike has written and edited articles for consumer health magazines such as Health Monitor, Coping Magazine and Asthma Magazine, as well as for medical periodicals such as Annals of Allergy, Asthma and Immunology and Academy News. Dr. William Berger: Dr. Berger is one of the nation's foremost experts on allergies and asthma. He practices both adult and pediatric allergy and asthma in Mission Viejo, Calif., and is clinical professor in the College of Medicine, Division of Allergy and Immunology at the University of California, Irvine. He is the author of many academic papers and general press articles in the field of allergy and asthma.
Просмотров: 4771 GoodNewsBroadcast
APT: Asthma Severity and Control Assessment
Presented by Francine Caffey, MD at Envision NM, University of New Mexico School of Medicine, Department of Pediatrics on 2/26/2014.
Просмотров: 1033 EnvisionNM
How to Treat an Asthma Attack - First Aid Training - St John Ambulance
Find out more about asthma attack symptoms & how to treat asthma attacks: http://www.sja.org.uk/sja/first-aid-advice/illnesses-and-conditions/asthma-attack.aspx If you think someone may be having an asthma attack, it is important to know how to help them. This St John Ambulance first aid training video shows you what signs to look out for and how to help someone having an asthma attack. Learn more ways to help people with St John Ambulance first aid training courses: http://www.sja.org.uk/sja/first-aid-training-courses.aspx For more information follow us on Twitter https://twitter.com/stjohnambulance or Facebook https://www.facebook.com/SJA
Просмотров: 55191 St John Ambulance
How to diagnose asthma - what NICE says
Dr Andrew Menzies-Gow talks about the NICE recommendations on asthma diagnosis and monitoring. Find out more here: https://bit.ly/2Fszh83
Meet Emily and Charlie -- Managing Asthma with AsthmaSense™
Meet Emily -- a loving mother dealing with her 2-year old son Charlie's asthma, and how it has impacted their family. Once discovering Charlie's situation, they were faced with new challenges of monitoring and treating asthma as a part of their everyday lives. AsthmaSense has helped give them the tools and confidence to face those challenges.
Просмотров: 1026 AsthmaSense
7  classification of asthma control
Family Medicine Courses Dr Saeed Abduljalil
Просмотров: 1416 Learn Family Medicine
Pilot Program Offers Indoor Air Monitors To Asthma Patients
Alameda County is lending small indoor air monitors to people who have been in the emergency room because of asthma. Jessica Flores reports. (5/20/17)
Просмотров: 137 KPIX CBS SF Bay Area
Signs (2002) - 'Asthma Attack' scene [1080]
A scene depicting an asthma attack is hardly a scene where you'd expect to find gorgeous music, but director M Night Shyamalan and composer James Newton Howard manage to balance this scene beautifully. As the family rushes into the basement to hide from the invasion, they realise they forgot the inhalers. Starring Mel Gibson, Joaquin Phoenix, M. Night Shyamalan, Abigail Breslin and Rory Culkin. Written and directed by M. Night Shyamalan, with a superb score by James Newton Howard.
Просмотров: 2842 Screen Themes