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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

Medication Regimens for Managing Acute Asthma.

Diego J Maselli¹, Jay I Peters²

¹Department of Medicine, Division of Pulmonary Diseases and Critical Care, UT Health, San Antonio, Texas.

Respiratory Care

|May 26, 2018

Summary

This summary is machine-generated.

This summary outlines asthma exacerbation treatments. Systemic corticosteroids are key, while intravenous magnesium sulfate is beneficial for severe cases. Helium-oxygen mixtures aid non-responders.

Keywords:

asthma exacerbation asthma therapy bronchodilators severe asthma

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Area of Science:

Pulmonology
Emergency Medicine
Pharmacology

Background:

Asthma exacerbation involves worsening respiratory symptoms requiring treatment adjustment.
Prompt diagnosis and initiation of therapy are crucial after excluding mimic conditions.

Purpose of the Study:

To review current evidence-based therapies for acute asthma exacerbations.
To guide clinical decision-making in managing asthma attacks.

Main Methods:

Review of current literature and guidelines on asthma exacerbation management.
Analysis of the efficacy and role of various pharmacological and non-pharmacological interventions.

Main Results:

Short-acting bronchodilators (β2 agonists, muscarinic antagonists) are effective for acute symptom relief.
Systemic corticosteroids are the primary treatment for reducing airway inflammation.
Intravenous magnesium sulfate is recommended for severe exacerbations; nebulized magnesium is not routinely advised.
Methylxanthines have a limited role, considered only in refractory status asthmaticus.
Helium-oxygen mixtures are suggested for patients unresponsive to standard treatments or with severe disease.

Conclusions:

A multi-faceted approach combining bronchodilators, systemic corticosteroids, and potentially other agents like IV magnesium sulfate is essential for managing asthma exacerbations.
Treatment selection should be guided by exacerbation severity and patient response.