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ABC of Asthma (ABC Series) by John Rees

By John Rees

Bronchial asthma is a standard with expanding occurrence. This new version of the very popular ABC of bronchial asthma has been completely revised as regards to the newest British Thoracic Society guidance at the administration of bronchial asthma in childrens and adults. It covers the advances in perform and techniques, with a brand new emphasis on supply platforms, self-dose evaluate and supply of care with diversified pharmacological ways.

The ABC of bronchial asthma is a concise, updated evaluation of all features of bronchial asthma and includes two new chapters focussing on GP perform matters including clinical administration and organisation of bronchial asthma care. it's perfect for GPs, junior medical professionals and scientific scholars, nurses, and an individual facing the therapy of bronchial asthma in childrens and adults.

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1 Bronchial reactivity is increased in people with asthma, particularly in those with severe disease. 2 Swimming is the exercise least likely to provoke exercise-induced asthma. 30 minutes before exercise is usually effective and such treatments will normally allow a child to take part in games at school. Sodium cromoglicate and nedocromil sodium also block the response. Long-acting β-agonists and leukotriene receptor antagonists are effective in preventing or minimising exercise-induced asthma.

The prognosis of occupational asthma is improved by early identification and early avoidance of further exposure to its cause. 5. Confirm a diagnosis supported by objective criteria and not on the basis of a compatible history alone because of the potential implications for employment. 6. Arrange for workers whom you suspect of having work-related asthma to perform serial peak flow measurements at least four times a day. 9 Work-related asthma and rhinitis: case finding and management in primary care (from ‘Guidelines for the Identification, Management & Prevention of Occupational Asthma’, British Occupational Heath Research Foundation).

Absorption rates vary with long-acting preparations and the same brand should be used in any individual. 1 Side effects of theophylline Theophylline clearance is increased by smoking, alcohol consumption and enzyme-inducing drugs such as phenytoin, rifampicin and barbiturates. Clearance will be decreased and blood concentrations will rise if it is given at the same time as cimetidine, ciprofloxacin or erythromycin and in the presence of heart failure, liver impairment or pneumonia. Lower theophylline levels, with a lower risk of side effects, have been shown to have an anti-inflammatory effect in vivo and in vitro but are less effective than inhaled corticosteroids.

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