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ABC of Asthma by John Rees

By John Rees

The recent version of this most sensible 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 e-book comprises chapters on leukotriene antagonists and lengthy appearing beta agonists.

The major themes integrated within the textual content disguise the organization of bronchial asthma care, diagnosis, administration of youngsters and toddler bronchial asthma.

An crucial textual content for GPs, scientific scholars, nurses and a person facing the therapy of bronchial asthma in either adults and youngsters.

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Sample text

Combinations of bronchodilators may be used when each component has been shown to be appropriate at the dose in the fixed combination. This is unusual in asthma. Combinations of long acting inhaled bronchodilators and corticosteroids are convenient in many patients and may improve adherence. Combinations of formoterol and budesonide can be varied with the severity and symptoms as both budesonide and formoterol doses can be varied over a reasonable range. Salmeterol is usually restricted to a dose of 50 mg twice daily.

Long acting inhaled ␤2 agonists are good at controlling symptoms. They do not have a significant effect on underlying inflammation and should only be used in combination with inhaled steroids. uk/guidelines/fulltext/63/index. html). 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.

Peak flow or FEV should be monitored throughout the attack and during recovery as they are reliable, simple guides to the effectiveness of treatment. Peak flow values are easier to interpret if the patient’s usual or best readings are known. 40 20 0 0 2 4 6 8 10 12 14 16 Oxygen tension (kPa) Normal oxyhaemoglobin dissociation curve. 0 kPa (that is, not the low PaCO2 expected in milder attacks) are also features of life threatening asthma Blood gases An initial measurement of blood gases should be done in patients with asthma severe enough to warrant admission to hospital.

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