Jan 25, 2018 in Nursing

Asthma and Stepwise Management

Summary

It is an essay that explains asthma disorder and how to manage the condition using the stepwise approach. The essay notes that asthma is a condition that affects the airways that carry air to and from the lungs. The victims of asthma find it difficult to inhale and exhale. It is because of their asthmatic condition. Asthma makes airways to swell or develop an inflammation. The paper illustrates the essence of advanced practice nurses to use appropriate management options in curbing the condition. The paper explains that use of the stepwise approach in managing asthma helps health care practitioners to gain a quick control of the disease. It helps medical practitioners to gain control of asthma with the least amount of medication to avoid adverse effects. The paper concludes that advanced practice nurses must consider different patient factors when recommending treatment options for asthma patients. In addition, it highlights that the stepwise approach is essential in managing asthma.

Application: Asthma and Stepwise Management

Asthma is one of the respiratory diseases that affect children and adults. One of the responsibilities of an advanced practice nurse is to provide treatment for this disorder. However, sometimes patients may require immediate treatment. It makes it essential for practicing nurses to recognize and distinguish minor asthma symptoms from severe and life threatening symptoms. Advanced practice nurses should help patients to identify triggers that cause their symptoms. The nurses should also recommend appropriate asthma management options for patients. This essay explores the stepwise approach of drug therapy for asthmatic patients (Arcangelo & Peterson, 2013).

Patients must be aware of the triggering factor for their asthma before commencing a treatment option. Some factors can include smoke, seasonal allergies, cockroach droppings, and stress. There are two categories of treatment for asthma (Wan & Silverman, 2009). The first is a long-term medication, while the second option is short-term quick relief medications. The long term medications include inhaled steroids, cromolyn sodium such as Intal, and nedocromil (Tilade). The other drugs include leukotriene modifiers and methalyxanthines. The quick relief medications include bronchodilators and systemic oral corticosteroids. These medications are available in oral forms, metered dose inhalers, and nebulizer solutions.

The impact these drugs may have for children and adults include oropharyngeal candidiasis, dysphonia, hoarseness, cough, and headache. Most of these impacts are dose dependent and can be minimized through using an appropriate method for delivery and rinsing the mouth after use (Drugs.com., 2012).

Asthma contains a stepwise approach that corresponds to the patient’s classification. The step studies the manifestation of asthma in the patient and advocates that dose and number of medications and frequency of administration should increase as the situation dictates. The drug administration should also reduce when possible. The stepwise approach begins with an assessment of the symptoms of asthma. It helps the practitioner to determine the severity of asthma. The nurse can select the appropriate treatment option that corresponds to the patient’s symptoms. The nurse writes a prescription that contains different dosages and the circumstances of increasing and decreasing such dosages (National Heart Lung and Blood Institute, 2007).

The use of the stepwise approach in managing asthma helps health care practitioners to gain a quick control of the disease. The method helps medical practitioners to gain control of asthma with the least amount of medication to avoid adverse effects. The principles of the stepwise approach are to reduce the impairment and risk of the patient. The application of the stepwise approach begins with a simple treatment plan and proceeds to high levels in accordance with the severity of the symptoms (Evensen, 2010). The approach helps to reduce chronic symptoms during the day and night. It decreases or eliminates exacerbations and maintains regular pulmonary function among patients. The approach also reduces the application of short term asthma medication. In addition, it reduces the adverse effects of asthma. It is essential in assisting the clinical decision-making to meet the individual patient requirements. The approach is crucial in providing asthma management education to patients and their carers (Barnes, 2008).

In conclusion, there are various approaches to treating and managing care for asthmatic patients. The management or care options depend on individual patient factors. The stepwise approach is one of methods that support the clinical decision-making in terms of drug therapy plans for asthmatic patients. Advanced practice nurses must consider different patient factors when recommending treatment options for asthma patients. The nurses should assess potential impacts of drugs they prescribe to patients before recommending a treatment. It will ensure that they contain any potential risks to the patient. The stepwise approach in asthma management is one of tools for efficient control of asthma. Stepwise approach is crucial in prescription of dosages to patients to control asthma.

References

  • Arcangelo, V. P., & Peterson, A. M. (Eds.). (2013). Pharmacotherapeutics for an advanced practice: A practical approach (3rd ed.). Ambler, PA: Lippincott Williams & Wilkins.
  • Barnes, P. (2008). Emerging Pharmacotherapies for chronic obstructive pulmonary disease. Chest. 134(6). 278-286.
  • Drugs.com. (2012). Retrieved from http://www.drugs.com/
  • Evensen, A. (2010). Management of COPD exacerbation. American Family Physician, 87(5), 607-613.
  • National Heart Lung and Blood Institute. (2007). Expert panel report 3 (EPR3): Guidelines for the diagnosis and management of asthma. Retrieved from http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm
  • Wan, E., & Silverman, E. (2009). Genetics of COPD and emphysema. Chest, 136(3), 87-92. 

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