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Old 09-14-2011
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Lungs Acute asthmatic attack question

23 YO male is history of asthma, presented to the ER with SOB & wheezing, at ER they started O2 supplementation. What is the best step to do in this patient to take him out of this exacerbation state?

1. Albuterol
2. Anticholinergic drug
3. Steroid
4. Albuterol & antibiotics
5. Pulmonary function tests

Last edited by ag2011n; 09-14-2011 at 05:01 AM. Reason: typo
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Old 09-14-2011
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Acute exacerbation treatment options are o2, albuterol, steroid.
o2 is given. so i think its 1.albuterol. since steroid take long time to start its effect but short acting beta agonist start acting immediately and provide relief from exacerbation episode.

pulmonary function test are not done in exacerbation.

Anticholinergics mainly effective in COPD not in asthma.
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Cool

also antibiotics have no role in asthma !

good q !
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3. Steroid
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I'm Predictable In The Unpredictable Future !
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The answer is 3. Steroid.
The best step to do to take the patient out of the state of acute attack is Steroid.
The best step to improve the hypoxemia after O2 is bronchodilater.
As you know guys, asthma is inflammatory state, beside hyperreactive bronchi.
To take the patient out of the inflammatory state is steroid.
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Quote:
Originally Posted by ag2011n View Post
The answer is 3. Steroid.
The best step to do to take the patient out of the state of acute attack is Steroid.
The best step to improve the hypoxemia after O2 is bronchodilater.
As you know guys, asthma is inflammatory state, beside hyperreactive bronchi.
To take the patient out of the inflammatory state is steroid.
yes but to take out immidiatly i thought albuterol since it act immidiatly to provide relief and steroid also helps but it will long time to start its action. so it may helpful more for preventing occurence and long term prophylaxis.

see below link http://emedicine.medscape.com/article/296301-treatment

may i know the source of q please?
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Old 09-14-2011
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It is true, short acting broncho dilaters give immdeiate relief from the bronchspasm, but, the attack is not over yet, since as you know there is inflammatory part to the episode, and that will not be taken care of unless, you give steroid, & this is the real end of the episode.
My source is kaplan pulmonary videos.
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Quote:
Originally Posted by ag2011n View Post
It is true, short acting broncho dilaters give immdeiate relief from the bronchspasm, but, the attack is not over yet, since as you know there is inflammatory part to the episode, and that will not be taken care of unless, you give steroid, & this is the real end of the episode.
My source is kaplan pulmonary videos.
kaplan is a good source
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Old 09-14-2011
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hey guys ..
u all r posting nice questions ?what is the source?kaplan qbank ?
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Old 09-15-2011
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My source is kaplan pulmonary videos.Not Q bank.
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