Take a deep breath asthma in children
Download
1 / 20

Take a Deep Breath Asthma in Children - PowerPoint PPT Presentation


  • 231 Views
  • Updated On :

Take a Deep Breath Asthma in Children. Michael W. Peterson, M.D. Professor and Chief of Medicine UCSF Fresno. Why should we talk about asthma?. The most common chronic disease in children The most common cause for children missing school One in six Fresno children have asthma!

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Take a Deep Breath Asthma in Children' - MikeCarlo


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Take a deep breath asthma in children l.jpg

Take a Deep BreathAsthma in Children

Michael W. Peterson, M.D.

Professor and Chief of Medicine

UCSF Fresno


Why should we talk about asthma l.jpg
Why should we talk about asthma?

  • The most common chronic disease in children

  • The most common cause for children missing school

  • One in six Fresno children have asthma!

  • Asthma is increasing in the developed world

  • Asthma deaths are increasing



The lung airways l.jpg

alveoli

Airways=

bronchi

The Lung Airways


What happens to the airways in asthma l.jpg

Smooth

muscle

Epithelial cells

What Happens to the Airways in Asthma?


What happens to the airways in asthma6 l.jpg

Constricted airway

Muscle contraction =

Bronchoconstriction

Airway inflammation =

Swelling (edema)

Inflammation +

Constriction

Inflamed airway

What happens to the Airways in Asthma?





What causes asthma10 l.jpg
What causes asthma?

  • ?

  • Genetics/ Inheritance

  • Living in a house with parents who smoke

  • Frequent and recurrent viral URI

  • Abnormal immune responses to environmental agents (allergy)

  • Unhealthy air (air pollution)


How do i know if i have asthma l.jpg
How do I know if I have asthma?

  • Coughing

  • Shortness of breath

  • Waking up at night (with a cough)

  • Coughing after exercise or cold air exposure

  • Wheezing (example)

  • Breathing tests (spirometry and peak flow)


Managing asthma l.jpg
Managing Asthma

  • Prevention: Recognizing and Avoiding triggers (1 ounce of prevention = 1 pound of cure?)

  • Treating asthma:

    • Controllers

    • Relievers


Preventing l.jpg
Preventing

Dust mites: live on human skin debris in carpets, pillows,

Clothes, bedding


Managing dust mite exposure l.jpg
Managing Dust Mite Exposure

  • Minimize carpets (hardwood floors)

  • Wash bedding with hot water

  • Dry cleaning or washing clothing

  • Use of barriers

  • Low humidity


Preventing15 l.jpg
Preventing

Cockroaches: most important in urban environments. Management with cleanliness, keeping food containers sealed, etc.


Prevention l.jpg
Prevention

  • Avoiding situations known to exacerbate the asthma (strong odors, smoke, etc.)

  • Pretreating where you anticipate exacerbations (cold air, exercise)


Treating asthma l.jpg
Treating Asthma

  • Controllers: Asthma is an inflammatory disease

    • Anti-inflammatory medication: inhaled steroids and oral steroids

      • Use in any patient with symptoms that occur more often than twice a week, if any night-time symptoms more often than twice per month or if abnormal lung function

    • Leukotriene inhibitors (Singulair or Accolate)


Treating asthma18 l.jpg
Treating Asthma

  • Controllers/ Relievers

    • Long acting beta agonist inhalers (Serevent)

  • Relievers: should only be used for short-term symptom relief. Heavy use signals TROUBLE

    • Short-acting beta agonists (albuterol)

    • Anticholinergic medications (Atrovent)


Treating asthma19 l.jpg
Treating Asthma

  • Asthma is a chronic disease like diabetes

  • Patients need to understand their own disease

  • Every patient should have an action plan: What to do in the event of problems-when to call the doctor, when to increase medications


Asthma l.jpg
Asthma

  • Asthma is a chronic disease that can be managed and controlled

  • The goal should be “NORMAL ACTIVITY”


ad