Learning outcomes
Prep
Tut 1
IDL
Task 1
- Two or more of which symptoms, when present in the child, adolescent, or adult, make asthma a likely diagnosis symptoms relating to reverible airway obstruction
- do these symptoms follow any sort of pattern often they from in response to a trigger
- outline the utility of the asthma control test in adults fast, easy and repeatable. This allows patient to self identify when it might be needed to talk to health care professional.
- what are the features of the patient’s asthma associated with increased risk for them having severe asthma? histroy of severe attacks poor control lots of medication, contast trigger exposure ets
- For children in particular, what other factors would put them at increased risk poor adherence to treatment
- outline the role of ICS . fast onset beta 1 agonist combinations as a reliever for asthma, give and example of this and state what its use is currently preferred over Symbicort. its a maintenence and reliever and is preferred over 2 inhaler therapy
- what is the relationship of budesonide/ formoterol to air therapy and the smart approach therapy? it is used in both but air therapy uses it only when needed for symptom relief and smart is used on a daily basis
Task 2
http://asthmafoundation.org.nz/ Go to ‘NZ Adolescent and Adult Asthma Action Plan’ on Pages 14 & 15. Familiarise yourself with this information. It is required for Task 4 in Tutorial 2. Also revisit the guidelines in IDL task 1 for additional information.
Task 3
Tut 2
You are asked to outline a strategy for acute attack and longer term management of asthma.
Use the principles of
- Relieve the symptoms
- Prevent complications
- Alter the disease process
Acute phase response/Prevent complications you need to manage the whole patient look for cyanosis, monitor patient talk to then see how long it has been going for
monitor breathing fatigue last thing you want to do is intubate and ventilate
Alter disease process Preventers and relievers, action plans, healthcare education, talking to patients