Severe exacerbations of asthma.
All asthmatics regardless of their perceived severity, are at risk of exacerbation, particularly if they are suboptimally treated in the outpatient arena. Fortunately most patients recover after administration of bronchodilators and anti-inflammatory medications, but preventable deaths continue to o...
| Publicado en: | Critical Care Nursing Quarterly Vol. 27; no. 3; pp. 207 - 231 |
|---|---|
| Autores principales: | , |
| Formato: | CEU exam questions review tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul-Sep2004
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106653192&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106653192 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08879303 0NQ jtl: Critical Care Nursing Quarterly issn: 08879303 maglogo: N pubinfo: dt: Jul-Sep2004 vid: 27 iid: 3 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 106653192 2004167227 10.1097/00002727-200407000-00002 NLM15291048 106653192 ppf: 207 ppct: 24 formats: fmt: @attributes: type: P tig: atl: Severe exacerbations of asthma. aug: au: Corbridge SJ Corbridge TC affil: College of Nursing, University of Illinois at Chicago, 845 S. Damen M/C 802, Chicago, IL 60612; sjsmith@uic.edu sug: subj: Asthma Diagnosis Asthma Drug Therapy Disease Exacerbation Acid-Base Equilibrium Adrenal Cortex Hormones Adrenergic beta-Agonists Airway Obstruction Physiopathology Albuterol Administration and Dosage Aminophylline Asthma Physiopathology Asthma Prevention and Control Asthma Radiography Asthma Symptoms Asthma Therapy Bronchodilator Agents Cholinergic Antagonists Critical Care Nursing Diagnosis, Differential Drug Therapy, Combination Education, Continuing (Credit) Extubation Inpatients Intubation, Intratracheal Leukotriene Antagonists Administration and Dosage Magnesium Sulfate Administration and Dosage Methylprednisolone Administration and Dosage Nebulizers and Vaporizers Noninvasive Procedures Oxygen Therapy Peak Expiratory Flow Rate Positive-Pressure Respiration, Intrinsic Respiratory Function Tests Sedation Theophylline Respiration, Artificial ab: All asthmatics regardless of their perceived severity, are at risk of exacerbation, particularly if they are suboptimally treated in the outpatient arena. Fortunately most patients recover after administration of bronchodilators and anti-inflammatory medications, but preventable deaths continue to occur and refractory cases result in hospitalization and need for mechanical ventilation. We begin this article by reviewing the pathophysiology of acute exacerbations to build a foundation for the assessment of clinical status and to provide the rationale for a carefully contemplated and evidence-based therapeutic approach. We end this article with an in-depth examination of the particular problems that are encountered during mechanical ventilation and offer a strategy that helps minimize complications. In the final analysis, however, the greatest gains in the field of acute asthma will come not from its treatment but from its prevention by enhanced educational and environmental efforts and by the delivery of optimal medications at home. pubtype: Academic Journal doctype: CEU exam questions review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|