Asthma is caused by inflammation and obstruction of the bronchi. The bronchi are the tubes that help the lungs inhale and exhale. According to the 2009 American Academy of Asthma, Allergy, and Immunology, 1 in 12 people in the United States has asthma compared to 1 in 12 in 2001.
Investigating the cause of X during an attack In asthma, the surrounding muscles contract and dilate, narrowing the airways and making breathing difficult. Common triggers for asthma attacks include allergens (grass, hair, pollen, etc.), air irritants (smoke, strong odors, etc.), illnesses (flu, etc.), stress, and extreme weather (heat, etc.). And so on. It contains. ). Extreme), or physical activity and sports.
#1. Assessment of the situation
Learn the first symptoms of an asthma attack . People with chronic asthma may experience wheezing from time to time, and may need asthma medications to control these symptoms. Episodes, unlike normal dyspnea, are long-lasting, cause more serious symptoms, and require immediate attention. The first signs of an asthma attack are:
Itching in the throat
I feel sick and frustrated
Feel stressed or anxious
Bear under the eyes
Learn about the onset of asthma attacks. Asthma attacks can be exacerbated to life-threatening conditions and require immediate treatment. Learn to recognize asthma attacks so that you can start treatment as soon as possible. The signs and symptoms of an asthma attack vary from person to person, but the most common are:
Wheeze enough when breathing. The whistling sound is usually heard when the patient exhales, but it is also heard when the patient inhales.
cough. People with asthma may cough to clear the airways and bring more oxygen to the lungs. The cough gets worse at night.
Dyspnea. People with asthma attacks usually complain of shortness of breath. It can breathe shallowly and is clearly faster than normal breathing.
problem. Seizures are usually accompanied by chest tightness and pain on the left or right side of the chest.
Decreased peak expiratory flow (PEF). If the patient has a peak flow meter, it is a small device that monitors the expiratory volume by measuring the peak expiratory rate and a score of 50% to 79% of the highest score, indicating severe asthma attacks. ..
Examine the symptoms of asthma in a child. Children usually have the same asthma symptoms as adults, such as wheezing, wheezing, shortness of breath, chest tightness, and pain.
Babies usually breathe rapidly during an asthma attack.
Babies may show a kind of “pull”. In this case, the neck is tilted backwards and the abdomen pulls the ribs inward, inhaling and exhaling.
In some children, the only symptom of an asthma attack is a chronic cough.
In other cases, asthma symptoms in children are exacerbated by viral infections or are limited to coughing during sleep.
Evaluate a particular situation. Evaluate what happened and determine if emergency care is needed and if not, what treatment should be given. People with mild symptoms can use self-medication to resolve the symptoms quickly. Those with more serious problems should consult with an emergency medical personnel. If you have a severe asthma attack, call someone or ask for medical services before you start treatment for the attack . Learn to distinguish the situation you were at that time.
People with asthma who need medication but do not need immediate treatment do the following:
He whistles to the point where he whistles, but that doesn’t seem to matter.
Cough to clean the airways and inhale more air
There is little or no breathing, but you can talk and walk
He doesn’t look grumpy or frustrated
Knowing he has asthma and looking for medicine
People with severe distress who need immediate treatment:
Her complexion is pale and her lips and fingers are bluish.
Same symptoms as above, but more severe
It contracts the chest muscles and breathes.
I’m out of breath, so I’m out of breath.
The sound of a loud whistle as you inhale and exhale
You become more and more worried about the situation.
He may be confused or unresponsive as usual
Shortness of breath makes walking and talking difficult.
#2. Coping with asthma attacks
Create an action plan. If you are diagnosed with asthma, work with your doctor to develop an action plan. This plan is basically a step-by-step process in the face of a large-scale attack. The plan should include an emergency number and, if necessary, family and friends numbers that can be met at the hospital.
Once diagnosed, talk to your doctor about the specific symptoms of asthma exacerbation and what to do if you experience these symptoms (taking medication, moving to an emergency room, etc.).
Make sure you know how to use the inhaler .
Make a note of this plan and always carry it with you.
Avoid the factors that cause asthma attacks. Remember that in general, preventing symptoms is the best way to treat and manage asthma. If you are aware of the situation that is causing the asthma attack (for example, if you are near a furry animal, or if you are in a very hot or cold climate, avoid it if possible).
Take the inhaler prescribed by your doctor . There are two types of rescue medications that doctors may prescribe: prescription dose inhalers (MDI) or dry powder inhalers (DPI) .
MDI is the most commonly used inhaler. This inhaler delivers asthma medication via a small aerosol can with a chemical booster that delivers the medication to the lungs. MDI can be used alone or with a clear plastic tube called a chamber or spacer that separates the mouth from the inhaler . This allows you to receive the medicine with normal breathing and get the medicine into your lungs more efficiently.
DPI is a trigger-free dry powder asthma drug inhaler . Brands include PPE Flovent, Serevent, or Advair. PPE is difficult to use during an asthma attack because it requires quick and deep breathing. Therefore, it is not a more common option than standard MDI.
Always carry it with you, regardless of the type of inhaler your doctor prescribes .
Use MDI. For asthma attacks, only MDIs filled with bronchodilators ( such as salbutamol), non-corticosteroids, or long-acting beta 2 agonist bronchodilators should be used. Shake the inhaler for 5 seconds to mix the drug into the container.
Inhale as much air as possible into your lungs before using the inhaler .
Raise your chin and place your lips firmly against the tip of the chamber or inhaler .
When using the room, breathe normally and inhale slowly. If using only the inhaler, start inhalation and press the inhaler once .
Continue to inhale until there is no more air.
Hold your breath for 10 seconds, then repeat at least one more time, usually more, and hold for 1 minute between each use. Always follow the asthma planning instructions.
Use PPE. PPE varies from manufacturer to manufacturer, so please read the instructions carefully before using.
Exhale and exhale as much air as possible.
Close the lips around the PPE and inhale vigorously until the lungs are full.
Hold your breath for 10 seconds.
Remove the PPE from your mouth and exhale slowly.
If multiple doses are prescribed, repeat again after 1 minute.
Find out more about asthma emergencies. If the symptoms of asthma worsen after using an inhaler , urgent medical assistance is needed. If you can call an ambulance crew, do it. However, if you have difficulty breathing and cannot speak clearly, you may need to call an emergency medical service such as a close friend, family member, or passerby.
A good business plan should include the ER number. Doctors can also help you know when to seek help by determining when your symptoms are getting worse or when an emergency is needed. If you cannot mitigate the inhaler attack , call your nearest emergency number within minutes.
Take a break while the medical staff waits. Sit and rest while the rescuers move. Some people with asthma have found that they can relieve pressure on the diaphragm by sitting on a tripod with their hands on their knees and bending forward.
please calm down. Insomnia can exacerbate symptoms.
Have someone nearby sit next to you and stay calm until the ambulance crew arrives.
#3. Help others
Help the patient find a comfortable position. For most asthma patients, sitting is more comfortable than sitting or lying down. Lifting your body expands your lungs and makes breathing easier. Have him lean on you a little or on a chair to support him. A person with asthma may sit on a tripod and lean forward with his hands on his knees to relieve pressure on the diaphragm.
Asthma can be exacerbated by anxiety, but not by anxiety. This means that during a seizure, the patient reacts more quickly when he or she calms down. Anxiety releases cortisol into the body through the nose and mouth. This narrows the bronchi, the tubes that carry air to the air sacs of the lungs.
It is important to calm and reassure others. Because it’s important to help calm the other person.
‘Do you have asthma? ‘Please listen quietly. Even if you become unresponsive due to shortness of breath or coughing, you may still shake your head or indicate the location of the inhaler and instructions for use.
Ask him if he has an emergency asthma action plan. Many people preparing for an asthma attack today have a written emergency plan. If he has it, take it and help him follow the plan.
Delete all triggers in the crash area. Asthma is usually exacerbated by certain triggers or allergens. Ask if there are areas that can cause seizures, and if they respond, remove the trigger or remove the victim from environmental stimuli (pollen, weather, etc.).
as soon as
High humidity or cold
Let’s say you are looking for his inhaler . Do this until he calms down and believes you are helping him.
Women usually put the inhaler in their purse and the man in their pocket.
People with asthma, especially children and the elderly, have spacer tubes attached to the inhaler . The spacer inserts the drug into the mouth with moderate force to facilitate inhalation by the patient.
Children and adults with frequent asthma attacks may also carry a nebulizer, a device that applies oral asthma medications or masks. This device is easy to use because the patient is breathing normally. Great for toddlers and the elderly, but larger than MDI and requires a connection.
Contact the emergency room if the patient does not have an inhaler, especially if it is a young or elderly patient . People who have an asthma attack without an inhaler are at risk of developing severe dyspnea that can be fatal.
Instruct the patient to take the medicine from the inhaler . When your head goes down, lift your upper body a little.
If the patient’s MDI has a spacer , shake it to attach it to the inhaler. Remove the cap from the MDI mouthpiece.
If necessary, help the victim raise his head.
Exhale as much air as possible before using the inhaler .
Please give me medicine. The inhaler dose needs to be precisely controlled, so let the patient control this process. If necessary, help attach an inhaler or spacer to your lips.
Most people with asthma stop for a minute or two between uses.
Please call the emergency room. Monitor the patient until help arrives.
It is best to continue the evaluation of the inhaler by a paramedic or physician, even if the patient appears to have improved after using the inhaler. If you don’t want to go to the hospital, you can see a doctor and evaluate your health before making a decision .
If necessary, continue to assist him in using the inhaler. Although the severity of the asthma attack does not decrease, the drug helps prevent the asthma attack from getting worse by relaxing the airways.
#4. Dealing with asthma attacks without an inhaler
Please call the emergency room. If you or someone else does not have an inhaler, you should contact emergency medical services immediately. There are also many actions you can take while waiting for a healthcare professional. However, be sure to consult your doctor when answering the phone.
Open the hot water tap in the bathroom. If you are at home, opening the tub or tub faucet can turn the bathroom into a recovery space due to steam.
Practice breathing. Many people become anxious, panicked, and breathe faster when they have an asthma attack. However, panic attacks usually exacerbate asthma attacks because they reduce the amount of oxygen that the lungs get. Breathe slowly and recognize each inhalation and exhalation. Inhale 4 counts through your nose and exhale 6 counts.
Apply pressure to your lips as you exhale. This helps delay the storm and keep the airways open longer.
Look for caffeine drinks. The chemical composition of caffeine is similar to that of common asthma medications, and a small amount of coffee or soda can help relax the airways and reduce breathing problems.
One drug known to resemble caffeine is theophylline, which helps prevent and treat wheezing, shortness of breath, and chest tightness. Coffee and tea may not contain enough theophylline to fight an asthma attack, but that’s an alternative.
Take your medicine regularly at home. Some medications can help mitigate the effects of an emergency asthma attack, but they should not replace emergency assistance.
If you or someone thinks your asthma response is due to an allergen, use a fast-acting antihistamine (allergic drug). This usually happens when you are outdoors during the day when the pollen index is high. Antihistamines include Allegra, Benadryl, Dimethane, Claritin, Arabat, Tabist, Chlortrimeton, Zyrtec. Natural antihistamines are echinacea , ginger, chamomile and saffron. If you find tea that contains natural antihistamines, you should take it to relieve the symptoms of asthma, but it usually doesn’t work. Some people are allergic to the ingredients, so be careful when using herbs and natural supplements.
Use pseudoephedrine like Sudafed . Sudafed is a nasal decongestant that can open the bronchi and is useful for asthma attacks in the absence of an inhaler. To reduce the risk of choking, it is best to grind the pills and dissolve them in warm water or tea before drinking. It will take 15-30 minutes for this method to work. Pseudoephedrine can increase heart rate and blood pressure.