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Bronchial Asthma.

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Presentation on theme: "Bronchial Asthma."— Presentation transcript:

1 Bronchial Asthma

2 Bronchial Asthma One of the most common chronic diseases. One of the most common cause of absentees in schools. deaths per year world over In India 7.24% incidence

3 Bronchial Asthma Bronchial asthma is a chronic inflammatory condition of respiratory tract with hyper-responsiveness to certain irritants. Reversible broncho-constriction Usually episodic

4 Risk Factors Prenatal Maternal smoking Passive smoking
Stress to mother Use of antibiotics by mother Caesarean section

5 Risk Factors Childhood Allergens Smoke in environment Passive smoking
Exposure to animals and birds Bottle fed kids Family size and domestic conditions Economic status Infections Boys more than girls

6 Risk Factors Adults Smoking Occupational hazards
Repeated respiratory tract infections Allergens Women more than men

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8 Precipitating factors

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11 Pathophysiology

12 Clinical features Episodic
Following upper respiratory tract infections Exposure to allergens Progressive dyspnea Wheezing and rhonchi Cough Chest tightness

13 Investigations Pulse Oximetry ABGs X-ray Chest Eiosinophilia PEFR
Spirometry Skin testing

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17 Mild Asthma

18 Features of Serious or life threatening Asthma

19 PEFR(Peak Expiratory Flow Rate)

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21 Morning Dip in PEFR

22 Treatment

23 Inhalers

24 Spacer devices

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26 Nebulizer

27 Nebulizers

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29 Treatment

30 Treatment

31 Managing acute exacerbation

32 Managing acute exacerbation

33 Corticosteroid use Inhaler Nebulized Oral Injectible

34 Antibiotics Oral Injectible NO

35 Prevention Primary Prevention: Patient awareness & Education
Lifestyle modification Secondary Prevention: Avoid precipitating factors Avoid dusting when patient is around Avoid carpets, open book shelves, stuffed toys, paints, chemicals, smoking, brooms Avoid foods containing allergens Maintaining a diary of events, tasks, foods

36 Silent chest Ventilators Cardiac Asthma


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