5-Minute Emergency Consult
Asthma, Adult
Asthma, Adult is a topic covered in the 5-Minute Emergency Consult.
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Basics
Description
Description
- Increased expiratory resistance:
- Airway inflammation
- Bronchospasm
- Mucosal edema
- Mucous plugging
- Smooth muscle hypertrophy
- Consequences:
- Air trapping
- Airway remodeling
- Increased dead space
- Hyperinflation
- Status asthmaticus refers to disease that does not respond to therapy within 30–60 min
- Risk factors for life-threatening disease:
- Prior intubations
- Intensive care unit admissions
- Chronic steroid use
- Hospital admission for asthma during the past year
- Inadequate medical management
- Increasing age
- Ethnicity (African Americans)
- Lack of access to medical care
- Multiple comorbidities
Etiology
Etiology
- Inflammatory process of the airways evidenced by episodic and reversible airflow obstruction and hyperresponsiveness with many cells and cellular elements contributing to the disease:
- Neutrophils
- Mast cells
- Eosinophils
- Macrophages
- T-lymphocytes
- Epithelial cells
- Cytokines
- Triggers:
- Pollen
- Dust mites
- Molds
- Animal dander
- Other environmental allergens
- Viral upper respiratory infections
- Occupational chemicals
- Tobacco smoke
- Environmental change
- Cold air
- Exercise induced
- Emotional factors
- Menstrual associated
- Drugs:
- Aspirin
- NSAIDs
- β-Blockers
-- To view the remaining sections of this topic, please log in or purchase a subscription --
Basics
Description
Description
- Increased expiratory resistance:
- Airway inflammation
- Bronchospasm
- Mucosal edema
- Mucous plugging
- Smooth muscle hypertrophy
- Consequences:
- Air trapping
- Airway remodeling
- Increased dead space
- Hyperinflation
- Status asthmaticus refers to disease that does not respond to therapy within 30–60 min
- Risk factors for life-threatening disease:
- Prior intubations
- Intensive care unit admissions
- Chronic steroid use
- Hospital admission for asthma during the past year
- Inadequate medical management
- Increasing age
- Ethnicity (African Americans)
- Lack of access to medical care
- Multiple comorbidities
Etiology
Etiology
- Inflammatory process of the airways evidenced by episodic and reversible airflow obstruction and hyperresponsiveness with many cells and cellular elements contributing to the disease:
- Neutrophils
- Mast cells
- Eosinophils
- Macrophages
- T-lymphocytes
- Epithelial cells
- Cytokines
- Triggers:
- Pollen
- Dust mites
- Molds
- Animal dander
- Other environmental allergens
- Viral upper respiratory infections
- Occupational chemicals
- Tobacco smoke
- Environmental change
- Cold air
- Exercise induced
- Emotional factors
- Menstrual associated
- Drugs:
- Aspirin
- NSAIDs
- β-Blockers
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Citation
Schaider, Jeffrey J., et al., editors. "Asthma, Adult." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307267/all/Asthma__Adult.
Asthma, Adult. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307267/all/Asthma__Adult. Accessed February 2, 2023.
Asthma, Adult. (2016). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (5th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307267/all/Asthma__Adult
Asthma, Adult [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2023 February 02]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307267/all/Asthma__Adult.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Asthma, Adult
ID - 307267
ED - Barkin,Adam Z,
ED - Shayne,Philip,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307267/all/Asthma__Adult
PB - Lippincott Williams & Wilkins
ET - 5
DB - Emergency Central
DP - Unbound Medicine
ER -
