Medium urgency
-Moderately severe
In asthma there is inflammation and mucus in the airways that impede (to a greater or lesser extent) airflow: there will be difficulty breathing and shortness of breath, coughing, wheezing and sometimes secretion. There is a genetic predisposition and triggers for asthma (pollen, mites, hair, etc.) that must be avoided. Diagnosis is clinical. An x-ray will rule out pneumonia or other causes of shortness of breath. In mild cases, inhaled bronchodilator drugs and/or corticosteroids with a few hours of hospital monitoring are often sufficient. In more severe cases, oxygen will be added as well as an assessment when admitted to intensive care. A hospital with a pediatric department must be consulted when it is the first episode or, if the patient is known to be asthmatic when symptoms are more severe or last longer than usual. Warning signs: Severe difficulty breathing, drowsiness and signs of exhaustion.
- Christopher H Fanta, MD. An overview of asthma management. UpToDate. Mai 31, 2016.
- National Asthma Education and Prevention Program: Expert panel report III: Guidelines for the diagnosis and management of asthma. Bethesda, MD: National Heart, Lung, and Blood Institute, 2007. (NIH publication no. 08-4051). www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm .
- Global Strategy for Asthma Management and Prevention, Global Initiative for Asthma (GINA). www.ginasthma.org (Accessed on January 30, 2015).
- Gregory Sawicki, MD, MPH. Kenan Haver, MD. Acute asthma exacerbations in children: Home/office management and severity assessment. UpToDate. Jan 04, 2016.
- Barnes PJ. Asma. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición: 1669-1681.
Dr. Sara Vitoria
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