Asthma and Step wise Management Essay

Asthma and Step wise Management Essay

It is an essay that explains asthma disorder and how to manage the condition using the stepwise approach. The essay notes that asthma is a condition that affects the airways that carry air to and from the lungs. The victims of asthma find it difficult to inhale and exhale. It is because of their asthmatic condition. Asthma makes airways to swell or develop an inflammation. The paper illustrates the essence of advanced practice nurses to use appropriate management options in curbing the condition. Asthma and Step wise Management Essay. The paper explains that use of the stepwise approach in managing asthma helps health care practitioners to gain a quick control of the disease. It helps medical practitioners to gain control of asthma with the least amount of medication to avoid adverse effects. The paper concludes that advanced practice nurses must consider different patient factors when recommending treatment options for asthma patients. In addition, it highlights that the stepwise approach is essential in managing asthma.

Application: Asthma and Stepwise Management

Asthma is one of the respiratory diseases that affect children and adults. One of the responsibilities of an advanced practice nurse is to provide treatment for this disorder. However, sometimes patients may require immediate treatment. It makes it essential for practicing nurses to recognize and distinguish minor asthma symptoms from severe and life threatening symptoms. Advanced practice nurses should help patients to identify triggers that cause their symptoms. Asthma and Step wise Management Essay. The nurses should also recommend appropriate asthma management options for patients. This essay explores the stepwise approach of drug therapy for asthmatic patients.

Patients must be aware of the triggering factor for their asthma before commencing a treatment option. Some factors can include smoke, seasonal allergies, cockroach droppings, and stress. There are two categories of treatment for asthma (Wan & Silverman, 2009). The first is a long-term medication, while the second option is short-term quick relief medications. The long term medications include inhaled steroids, cromolyn sodium such as Intal, and nedocromil (Tilade). The other drugs include leukotriene modifiers and methalyxanthines. The quick relief medications include bronchodilators and systemic oral corticosteroids. These medications are available in oral forms, metered dose inhalers, and nebulizer solutions.

The impact these drugs may have for children and adults include oropharyngeal candidiasis, dysphonia, hoarseness, cough, and headache. Most of these impacts are dose dependent and can be minimized through using an appropriate method for delivery and rinsing the mouth after use.

Asthma contains a stepwise approach that corresponds to the patient’s classification. Asthma and Step wise Management Essay. The step studies the manifestation of asthma in the patient and advocates that dose and number of medications and frequency of administration should increase as the situation dictates. The drug administration should also reduce when possible. The stepwise approach begins with an assessment of the symptoms of asthma. It helps the practitioner to determine the severity of asthma. The nurse can select the appropriate treatment option that corresponds to the patient’s symptoms. The nurse writes a prescription that contains different dosages and the circumstances of increasing and decreasing such dosages.

The use of the stepwise approach in managing asthma helps health care practitioners to gain a quick control of the disease. The method helps medical practitioners to gain control of asthma with the least amount of medication to avoid adverse effects. The principles of the stepwise approach are to reduce the impairment and risk of the patient. The application of the stepwise approach begins with a simple treatment plan and proceeds to high levels in accordance with the severity of the symptoms. The approach helps to reduce chronic symptoms during the day and night. It decreases or eliminates exacerbations and maintains regular pulmonary function among patients. The approach also reduces the application of short term asthma medication. In addition, it reduces the adverse effects of asthma. It is essential in assisting the clinical decision-making to meet the individual patient requirements. The approach is crucial in providing asthma management education to patients and their carers.


In conclusion, there are various approaches to treating and managing care for asthmatic patients. The management or care options depend on individual patient factors. The stepwise approach is one of methods that support the clinical decision-making in terms of drug therapy plans for asthmatic patients. Advanced practice nurses must consider different patient factors when recommending treatment options for asthma patients. The nurses should assess potential impacts of drugs they prescribe to patients before recommending a treatment. It will ensure that they contain any potential risks to the patient. The stepwise approach in asthma management is one of tools for efficient control of asthma. Stepwise approach is crucial in prescription of dosages to patients to control asthma. Asthma and Step wise Management Essay.

Long-term control and quick relief treatment, and the effect on patients

Health care comprises of giving treatment for acute asthmatic incidents andmanagement of persistent symptoms, which includes exercise-provoked and nocturnal asthmatic symptoms. Pharmacological controls entail the application of management mechanisms: inhaled corticosteroids, theophylline, long-acting bronchodilators (anticholinergics and beta-agonists), leukotriene transformers and the more current tactics for example the utilization of Ige, that is, anti-immunoglobulin E. antibodies (Omalizumab), and the use of anti-IL-5 antibodies in the case of selected patients. Considering all and especially the most severely affected patients, the crucial objective is to minimize symptoms, reduce morbidity experienced from acute instances and negate psychological and functional morbidity to give a healthy or near normal life expected of a child’s age (Morris, 2016).

Majority of the population with asthma have to depend on long-term control medications on a daily basis to aid prevent the symptoms. Most efficient long-term medications minimize airway irritation; which aids prevent the symptoms from occurring. However, the drugs do not offer fast symptom relief. Asthma and Step wise Management Essay.

Inhaled corticosteroids.

These are the much-favored medication for long-term asthma control. They are the most efficient alternative for long-term respite from the swellings andinflammation, which makes the airways very susceptible to some inhaled particles. These medicines are generally safe when used as prescribed to the patient. They are not the same as the prohibited anabolic steroids used by some sportspersons. They are not habit-forming, even if taken daily for years.

Similar to other medicines, inhaled corticosteroids may also have some side effects. However, majority of the doctors concur that the advantages of using inhaled corticosteroids to thwart asthma attacks immensely outweigh the possible risk of the side effects. An example of a familiar side effect of using this drug is ‘thrush’, an infection of the mouth. However, it is possible to apply holding chamber or spacer on the inhaler to prevent thrush. The devices are fixed in the inhaler and they help prevent the drugs from getting into your mouth and the rear end of your gullet.

Cromolyn. This drug is taken by means of a device known as a nebulizer, whereby as you inhale; the nebulizer hurls a fine spray of medicine into the lungs. It aids mitigate airway irritation.

Omalizumab (anti-Ige).

Omalizumab is given as an injection once or twice in a month. This drug aids in preventing your body system from responding to asthma…   Asthma and Step wise Management Essay.