The bronchial asthma refers to the reversible airway obstruction which is caused by an inflammation of the airways. In susceptible individuals this inflammation causes recurrent episodes of wheezing, breathlessness, chest tightness and coughing, particularly at night and early morning.
Acute bronchial asthma in adults
The application of the guidelines on the treatment of acute bronchial asthma assumes you have been diagnosed with asthma after excluding other differential diagnosis in pathological situations such as:
1. COPD exacerbation;
2. congestive heart failure;
3. pulmonary embolism;
4. mechanical obstruction of the airways;
5. laryngeal dysfunction.
The asthma exacerbations (acute asthma) are a marked, often progressive worsening of asthma symptoms and bronchial obstruction, which appear in the space of hours or even days and can last up to weeks. The goals of treatment of asthma attack are:
1. The answer to the bronchial asthma as soon as possible.
2. Plan for preventing future recurrences.
The severe asthma attack is a potentially fatal situation. Therefore, once diagnosed, treatment should be started as soon as possible. The therapy differs depending on the severity of the crisis and therefore it is necessary to advance a rapid assessment of severity, which is essential for detecting a range of symptoms and signs, and some objective parameters of respiratory function and oxygenation status of the patient. The assessment of respiratory function by measuring the PEF (peak expiratory flow) is easy to perform and can be made by the patient at home. The management of asthma attack should include:
1. Early intervention: It is important that the patient be educated to recognize the severity of asthma in early action at home and seek medical attention when necessary.