Thursday, November 26, 2015

ASTHMA EMERGENCY

Every time I see an Asthma  patient in emergency I realize that  its communication by us doctors
which was not effective otherwise nothing could land him in emergency.
He started feeling confident of his Asthma control that he stopped coming for follow up and stopped use of inhaler in Sept October on his own. Remained well for 4 days but landed in emergency on 5th day. He did not have any written protocol , he panicked and started with multiple puffs on Steroid inhale instead of the bronchodilator salbutamol.
This is one of the stories.
Its wrong to abruptly stop the inhaler in the aggravating season even if you feel well.
Inhalers could be changed stopped only  on advise of doctor. Even after stopping ,
one should make use of peak flow meter to judge that airways are not in spasm. If they are ,use brochodilator followed by steroid preventive inhaler
If you get into spasm and have a written protocol you will be more confident to handle
the bronchospasm. Multiple puffs of salbutamol inhaled properly without panic is the key to
reversing the spasm.
There are many other reasons for patients to stop inhalers inappropriately.
Inhalers are safe. Do not be in a hurry to stop them.
Doctors ought to hammer into patient the science and art of inhalers and disease.
Doctors ought to give written protocols to handle emergencies.
Lets win  Asthma , Let there never be an emergency and asthma related death.