There determine the severity which can range from

There is
about 1 person to every 12 who is diagnosed with Asthma, and they numbers
increase every year to a more drastically. Asthma is a respiratory disease that
narrows your airways and swell that also can produce extra mucus. There are
several symptoms that people affected by asthma which includes: shortness of
breath, chest tightness or pain, coughing or wheezing. Although asthma is a
respiratory disease it can be treated several different ways depending on what
is comfortable or works best with the patient.

Asthma is
the leading excuse for children to miss days in school. It is more common to
develop or become more noticeable in children rather than adults.
African-Americans in the United States due from asthma at a much higher rate
than other people. It also accounts for more than fourteen million doctor
office visits and close to two million emergency room visits each year. If one
person would have to be hospitalized their stay is averaged at 3.6 days.
African-Americans are three times more likely to be hospitalized from asthma.

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Asthma can
come and go at any time. There may be times where you are having a minor asthma
attack or others where you are in extreme respiratory distress. Your diagnosis
can also be based on your family’s past medical history or physical exams. Your
primary care physician or PCP will determine the severity which can range from
intermittent to severe.

Most
children develop asthma before they reach the age of five-year-old. Children
less than five can be hard to diagnose because they may have a childhood
condition. Children also has smaller airways so when they grow so does their
airways and the size increases as well, the children may have wheezing at a
younger age however may not have any wheezing or asthma when they get older. Its
found to be difficult for doctors to perform lung function tests who are less
than five. They must rely on children’s medical histories, signs and symptoms,
and physical exams to diagnose the respiratory illness.

There are
several tests that can be used to diagnose asthma. The most common which is
also the recommended test is by using a spirometer. This test measures the
amount of air that you are able to breathe in and out as well as the rate of
the flow. Another test that can be used is the Peak Airflow which is a smaller
device that measures how much volume you can intake and then forcibly exhale as
hard and fast as possible. If you are ever diagnosed with the respiratory
disease you can take this device home and track your condition on your own.

Asthma can
have different triggers to aggravate the respiratory system. They range from
animals to irritants in the air or atmosphere, medication induces, weather,
exercise, and stress. Certain allergies can also trigger asthma. You may only
have one of the things above or may have several, it all depends on the
individual and their lifestyle. Whatever the issue may be, you always want to
be cautious around the stimulants that may cause your asthma to trigger.

 

Asthmas has
changed throughout the years, from how it was discovered to how its treated and
maintained with each patient. There are never two patients that has the same
exact asthma. With that being said, you may treat Patient A with certain
activity and Patient B with pharmaceuticals. Asthma has also changed on the way
doctors look at it today from airway hypersensitivity to airway inflammation.

In 2010,
there were 300 million patients that suffered from asthma, 225,000 died of
asthma in 2005. It is the most common disease among children, however it is the
most difficult to test for due to their age and size.

There have
been several studies performed to see any new treatments that has worked for
patients who suffer from asthma. There are a few studies that uses medications
that aren’t approved by the FDA. There are also special restrictions that the
participants must follow to be able to complete the trial.

Throughout
the years asthma has been on the increase due to the effect of a wide number of
environmental and lifestyle risk factors. In many countries, asthma, is not
considered a priority in healthcare. Asthma as well as any other respiratory
factor has an estimated cost of $3,100 in the United States, which can place a
burden on patient who can not afford the proper treatment which they may need.

Per the
National Health Interview System in the United States it is estimated that
about 40 million people in 2012 had suffered from asthma. It is estimated that
today there are more than 300 million people who has asthma. The number
increases every year due to the environment and the atmosphere which we breathe
every day.

Asthma can
be a health problem which may require emergency care or even hospitalizations.
It is also responsible for the highest missed school or work days. A patient
with asthma may have limitations on physical or social aspects, when its not
controlled, treatment can cost very high. Recent studies showed that those
patients who left their asthma untreated had significantly higher medical costs
then those who didn’t have the respiratory illness. The cost can include all
healthcare visits, medications, and even work-related loses, you can even have
permanent disability.

There are
about 180,000 deaths related to asthma each year. In recent years, the number
of deaths decreased, however chronic respiratory diseases are growing with an
aging population. With new treatments getting released the number of deaths per
year have dropped substantially in most high-income areas. Both premature
deaths and permanent disabilities from respiratory diseases are costly.

There are
several treatments available for asthma and other respiratory diseases. You can
have simple interventions such as breathing exercises or more complex such as
mechanical ventilations. As in the prehospital setting you are limited on the
amount of space which you may have in your ambulance rather then being in a
hospital where you could have a large room for your equipment and you patient.

Depending on
your protocols and procedures that you have to follow in the prehospital
setting you have limited interventions in which you could do in the field,
which may have a direct connection to how long the patient will stay in the
hospital if needed. It also depends on what stage or respiratory distress may
have intermittent asthma, mild, moderate, or severe which also includes their
respiratory effort. There may be an underlying issue causing the patients
asthma to trigger.

Breathing
exercises should always be used when appropriate to help the patient. A patient’s
airway is always important, while treating a patient with an asthma attack, its
helpful to know what had triggered the episode, so medical providers don’t
inhibit the asthma. Allergies could be causing the patient to have an asthma
attack.

Some other
interventions which may include the following: Albuterol nebulized, Albuterol
& Atrovent nebulized, Bronchodilators, Epinephrine 1:1,000, Solu-Medrol,
CPAP, BiPap, and even RSI Intubation. Depending on how severe the patient is at
the time of the attack and if it worsens over time could depend on the
intervention picked and the proper protocols and procedures. Respiratory arrest
is always a risk in someone with asthma or any other respiratory disease.

The last
resort for the patient is to have them intubated and their airway maintained by
mechanical ventilation. Once the patient is placed on the mechanical ventilator
you have extended their stay by seven days. Also, once a person is intubated
they are at a higher risk for other pulmonary issues which includes pneumonia.

Overall
asthma which is a respiratory disease may be difficult to diagnose depending on
the patients age. There are different ways to test including the patient’s
family medical history could play a big roll in the diagnosis. Once the diagnosis
is made, there may be several trials on different medications to see which works
best for the patient. In Emergency Medical Services, asthma can start as a
minor flare and end with hospitalization with the patient being intubated and
airway controlled with mechanical ventilation. It is always important to have an
aggressive treatment plan for anyone with asthma or any other respiratory
diseases.