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Related Concept Videos

Asthma-I: Introduction01:29

Asthma-I: Introduction

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Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
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Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

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Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
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Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

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Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
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Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

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The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
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Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

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The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
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Asthma-II: Pathophysiology and Classification01:26

Asthma-II: Pathophysiology and Classification

3.3K
Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
Additionally, environmental and genetic factors play crucial roles in determining an individual's susceptibility to asthma and the severity of their condition.
Critical processes in asthma pathophysiology include:
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Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
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Asthma in pregnancy: An update.

Simon Couillard1,2, Clare Connolly1, Catherine Borg1

  • 1Respiratory Medicine Unit and Oxford Respiratory NIHR BRC, Nuffield Department of Medicine, University of Oxford, Oxford, UK.

Obstetric Medicine
|October 14, 2021
PubMed
Summary
This summary is machine-generated.

Managing asthma during pregnancy is crucial. Uncontrolled asthma increases risks, but all asthma medications are safe and effective, with new therapies improving outcomes.

Keywords:
AsthmaFeNObiomarkersblood eosinophilsfetal outcomesmaternal outcomespregnancy

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Area of Science:

  • Obstetrics
  • Pulmonology
  • Pharmacology

Background:

  • Asthma is the most common chronic illness in pregnancy.
  • Uncontrolled asthma during pregnancy poses significant risks to both mother and fetus.
  • Many pregnant women do not use their inhalers, often due to lack of information and reassurance.

Purpose of the Study:

  • To provide obstetric care providers with updated guidance on asthma management during pregnancy.
  • To emphasize the safety and efficacy of all asthma medications in pregnant individuals.
  • To highlight recent advancements in asthma treatment and monitoring relevant to pregnancy.

Main Methods:

  • Review of current literature and clinical trial data on asthma in pregnancy.
  • Analysis of adherence patterns and patient-reported needs.
  • Evaluation of biomarkers for asthma control and treatment response.

Main Results:

  • Evidence strongly supports that uncontrolled asthma significantly increases maternal, fetal, and neonatal complications.
  • A substantial proportion of pregnant women (one in four) do not use inhalers, likely due to adherence issues rather than medication necessity.
  • Biomarkers like blood eosinophils and fractional exhaled nitric oxide can effectively assess asthma attack risk and response to inhaled corticosteroids.
  • Switching from reliever-only to controller-and-reliever therapy in mild asthma is effective and practice-changing.

Conclusions:

  • All asthma medications, old and new, are considered safe and appropriate for use during pregnancy.
  • Addressing patient concerns and improving adherence are key to managing maternal asthma effectively.
  • Implementing updated treatment strategies, including biomarker use and controller-and-reliever therapy, can improve pregnancy outcomes for women with asthma.