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By ULY CLINIC

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Asthma

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Introduction

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It is a chronic reversible obstructive inflammatory airways disease caused by constriction of bronchial smooth muscle causing bronchospasm, oedema of bronchial mucous membrane and blockage of the smaller bronchi with plug of mucous.

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Diagnostic Criteria

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  • wheeze, 

  • shortness of breath, 

  • chest tightness 

  • cough  

 

Non-pharmacological

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  • Avoid polluted environment which can trigger asthmatic attack

  • Avoid heavy exercise

  • Stop smoking 

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Note: The management of asthma in children is similar to that in adult. Infants under 18 months, may not respond well in bronchodilator

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Assessment and treatment of severity of asthma attack in children ≥2 years & adults 

Assessment-and-treatment-ulyclinic

Nocturnal Asthma

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Patients who get night attacks should be advised to take their medication on going to bed.

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Chronic Asthma in Adults

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The assessment of the frequency of daytime and nighttime symptoms and limitation of physical activity determines whether asthma is intermittent or persistent. 

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Therapy is step-wise (Step 1–4) based on the category of asthma and consists of:

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  • Preventing the inflammation leading to bronchospasm (controllers)

  • Relieving bronchospasm (relievers)

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Controller medicines in asthma

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  • Inhaled corticosteroids e.g. Beclomethasone 

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Reliever medicines in asthma

 β2 agonists e.g. Salbutamol (short-acting

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Long-term treatment of asthma according to severity 

Long-term-treatment-ulyclinic

Updated on, 2.11.2020

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References

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1. STG 

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