- Cromolyn – This Levolin Inhaler drug prevents inflammation of the airways and can be used via an inhaler to deliver nebulized drugs.
- Omalizumab is an immunotherapy drug that acts against Immunoglobulin (anti-IgE), which causes narrowing of the airways. The medication is administered as an injection once a month. It prevents your immune system from reacting to triggers for asthma. However, it is not recommended as a first-line treatment for asthma.
- Inhaled long-acting beta2-agonists are often combined with inhaled corticosteroids to create a synergistic effect that expands the lumen of your lung airways.
- Leukotriene Modifiers – These oral medications reduce inflammation in the airways.
- Theophylline: Theophylline is an oral or intramuscular drug that opens the airways to the lungs.
Symptoms can rebound if long-term medications are abruptly stopped. Side effects are possible with all long-term medications. Before you start long-term treatment, please consult your primary doctor.
Short-acting Beta 2 Agonists are the most common first-line medications in this group. These medications are usually delivered by Seroflo Inhaler in a nebulized form. They relax the muscles of the airways and allow for more air to flow.
It is important to take immediate action as soon as symptoms begin.
If the medication is required for longer than two days per week, your doctor should be notified to create a plan for your asthma.
Asthmatics should always have their quick-relief inhaler on them.
These medications cannot be used to treat inflammation in the airways.
Documentation of Asthma Progress
The primary tools for documenting Asthma progression are the regular use of the peak flow and regular visits with your primary doctor.
As a general rule, asthma can be controlled by:
- Symptoms are usually only experienced for 2 days per week
- Sleep disturbances are not more frequently than once a month.
- Your daily activities are unlimited.
- You will only need quick-relief medications for less than two days per week.
- Oral steroids are required for less than one severe asthma attack per year
- Peak flow meter readings are still at 80% of the baseline level
Peak Flow Meter
The peak flow meter will be recommended by your primary care physician.
The peak flow meter measures the exhalation rate and the flow rate to the lungs. The patient should keep track of their peak flow each morning to document the progression of asthma. Regular measurements can be used to help you monitor your progress.
It is crucial to determine baseline peak flow during the initial phase of diagnosis. This is known as the patient’s “Personal Best”, peak flow reading. This baseline is crucial for future asthma control. Maintaining a peak flow of at least 80% is a good way to control asthma.
Predictions of impending attacks can also be made by monitoring peak flow levels. Aim to include a plan for Asthma Action Plan if you notice a gradual decline in peak flow.
During the initial phase, frequent medical visits with your primary doctor are a common practice. Your primary physician may decide to visit you for a longer time once your asthma has been controlled.
Important information that your primary doctor will need to know during the medical review is:
- Frequency of Asthma Attack
- Changes in symptoms
- Changes in Peak Flow Measurements
- Exercise tolerance and other daily activities can be modified
- Adherence to the Asthma Action Plan is difficult
- Current medications can cause problems
- Asthma attacks can’t be treated with regular medications.
- Peak flow readings fall to less than half of the baseline
- The stage when walking becomes difficult is reached when you feel severe shortness of air.
- Blushing of your tongue and lips
Asthma: A Lifelong Problem
Asthma cannot be cured. To manage asthma successfully, the patient must take an active role by following an asthma action plan.
To develop an asthma action plan, your primary physician should be your partner. Your action plan will remind you of your asthma medication regimen, triggers, protocols, and what to do if your symptoms worsen. Children should participate in the creation and maintenance of the action plan. It is their effort that will make a difference in long-term care for asthma.
Asthma: A Overview
Asthma can affect anyone at any age, but it is most common in childhood.
Asthmatics can inflame their lungs. Inflamed airways can be very sensitive and narrowed, making it difficult to breathe in allergens.
The muscles surrounding the airways can tighten and cause the airways to narrow, reducing airflow to the lungs. This swelling can cause further narrowing of the airways. This is associated with an increased production of mucus, which is a sticky, thick fluid that further narrows already narrowed airways.
These symptoms include wheezing, chest tightness, and shortness of breath.
Most asthmatic symptoms resolve quickly or can be treated with minimal treatment. In some cases, however, the symptoms can get worse and progress to what is known as an asthmatic episode.
Asthma cannot be cured. With proper ongoing treatment, asthma can easily be controlled and patients can continue living active normal lives.