Edema in bronchial asthma
Clinical characterization of an attack bronchial asthma
Bronchial asthma Is an allergic disease, manifested by attacks of suffocation, associated with spasm of bronchi, increased secretion of their mucous membrane and its edema.
The attack begins sharply. There is an expiratory dyspnea (breathing is difficult), breathing becomes noisy, wheezing, cyanosis develops in the skin. In the lungs, many dry wheezing rales are heard. Patients take a forced position - sitting with an emphasis on the hands (orthopnea).
It is necessary to carry out differential diagnostics with cardiac asthma, in which dyspnoea is inspiratory.
Emergency care for bronchial asthma
• Ensure the flow of fresh air, if possible, to initiate oxygen therapy (if this does not delay drug therapy).
• Intravenously inject intravenously, 2.4% eufillin - 10 ml with 10 ml isotonic sodium chloride solution.
• At a heart rate of more than 90 per min, as well as when combined withcardiac asthma intravenously injected 0.5-1 ml of strophanthin, corglicon or digoxin with 10 ml of isotonic sodium chloride solution, epinephrine 0.1% - 0.5-0.7 ml, or ephedrine 5% - 1 ml intramuscularly . Before the introduction of these drugs, it is necessary to find out whether the patient used multiple inhalers many times before calling the ambulance, since most of them contain similar substances. Their overdose can only exacerbate the condition of the patient! To carry out inhalation of asthmopent, beroteka, salbutamol, etc. if the patient did not do this. No more than three doses in a row! Usually, after such activities, the patient begins to first withdraw mucous, viscous, and then liquid sputum, dyspnea and wheezing in the lungs decrease, and the attack is stopped within 15 minutes-1 hour.
• If no improvement occurs, enter intravenously60-90 mg of prednisolone, necessarily connect oxygen therapy. Sometimes the attack of suffocation is prolonged, it is difficult to undergo therapy. This condition is called asthmatic status. It can result in loss of consciousness and death of the patient. Patients with asthmatic status after assistance are to be transported in a semi-sitting position to an intensive care unit or therapeutic department or to a resuscitation team. Patients after a cupping attack of bronchial asthma can be left at home with an active call to the district doctor. From public places all patients are hospitalized.