ABC of Asthma by John Rees

By John Rees

The recent variation of this most sensible promoting ABC has been up-to-date to incorporate the recent British Thoracic Society instructions released in 2003 at the administration of bronchial asthma.

Concise and hugely illustrated, the publication contains chapters on leukotriene antagonists and lengthy performing beta agonists.

The major subject matters integrated within the textual content conceal the corporation of bronchial asthma care, analysis, administration of youth and boy or girl bronchial asthma.

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

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Sample text

Nebulised ipratropium seems to be as effective as a nebulised ␤ agonist in acute asthma. The dose of ipratropium is 500 ␮g, and there are no problems with increased viscosity of secretions or mucociliary clearance at such doses. Ipratropium starts working more slowly than salbutamol: the peak response may not occur for 30-60 minutes. Adverse reactions such as paradoxical bronchoconstriction have been reported occasionally. These were related mainly to the osmolality of the solution or to the preservatives, and they have been corrected in the current preparations.

The BTS/SIGN guidelines are an excellent resource General features As a preliminary step in all patients with asthma, obvious precipitating factors should be sought and avoided when practicable. This is possible for specific allergens such as animals and foods but more difficult with widespread allergens such as pollens and house dust mites. A common non-specific stimulus is cigarette smoking. Up to a fifth of asthmatics continue to smoke; strenuous efforts should be made to discourage smoking in them and their families.

Indoor environment Indoor pollution can also cause problems. Oxides of nitrogen are produced from heating and cooking. Formaldehyde and moulds and other biological compounds may occur in dwellings. Concentrations of nitrogen dioxide found in the home may increase airway responses to common allergens such as house dust mite, and the average UK citizen spends 85-90% of their time indoors. Air quality can be poor, especially in large cities. From Florida-James G, Donaldson K, Stone V. Sports performance in a polluted evironment.

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