*  Pediatric Asthma Deserves Special Considerations
... and patient education can control asthma and its symptoms and allow patients to live fully active lives. ... Asthma pathophysiology and evidence-based treatment of severe exacerbations. Am J Health Promot. 2006;63(10 suppl 3):S5-S13. ... Patient education, especially regarding appropriate inhalation technique, is essential to ensure adequate medication delivery. ... The use of devices such as spacers and valved holding chambers also have been shown to reduce the risk for oral candidiasis.8 ...
  http://www.pharmacytimes.com/publications/issue/2008/2008-04/2008-04-8487
*  Drug Treatment of Asthma - Pulmonary Disorders - Merck Manuals Professional Edition
... treatment of Asthma and Related Disorders from the Professional Version of the Merck Manuals. ... which can be prevented or minimized by having the patient use a spacer, gargle with water after corticosteroid inhalation, or ... Major drug classes commonly used in the treatment of asthma and asthma exacerbations include ... MDI-DPI is as effective as nebulized therapy if patients can coordinate the inhalation maneuver using the spacer and holding ...
  http://www.merckmanuals.com/en-ca/professional/pulmonary-disorders/asthma-and-related-disorders/drug-treatment-of-asthma
*  Albuterol (Professional Patient Advice) - Drugs.com
Acute treatment: 1 inhalation (200 mcg) as needed; maximum: 4 inhalations (800 mcg)/day; patient should be advised to promptly ... Exacerbation of asthma (acute, severe) (NAEPP 2007): Inhalation:. Metered-dose inhaler or dry powder inhaler (90 mcg/actuation ... The need to increase frequency of use may indicate deterioration of asthma, and treatment must not be delayed. A spacer device ... Patient Education. • Discuss specific use of drug and side effects with patient as it relates to treatment. (HCAHPS: During ...
  https://www.drugs.com/ppa/albuterol.html
*  Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper | European Respiratory...
Patient education. Check inhalation technique. Consider use of spacer devices. Bronchodilators. Short-acting β2‐agonist# and/or ... Assess effectiveness by treatment response criteria. If forced expiratory volume ,50% predicted and exacerbations of COPD ... Standards for the diagnosis and treatment of patients with COPD: a summary of the ATS/ERS position paper. B.R. Celli, W. MacNee ... ipratropium MDI with spacer or hand-held nebuliser as needed. Consider adding long-acting bronchodilator if patient is not ...
  http://erj.ersjournals.com/content/23/6/932.figures-only
*  Managing adults with asthma in primary care: the four-step consultation - Best Practice Advocacy Centre New Zealand
As a patient's symptom control and exacerbation risk can vary, it may be necessary at times to adjust treatment; this is Stage ... Administer one dose of the medicine at a time into the spacer, followed quickly by an inhalation ... Asthma treatment may be stepped up for patients with uncontrolled symptoms or a recent exacerbation, e.g. adding an ICS or ... After establishing the patient's level of symptom control and risk of exacerbation, Stage two of the consultation involves ...
  https://bpac.org.nz/2017/asthma.aspx
*  Guideline for the management of chronic asthma in children - 2009 update
An MDI with a spacer is as effective as, or more effective than, nebulised treatment for of acute, severe asthma exacerbations. ... selecting treatment that achieves outcomes and addresses preferences that are important to the patient, and reminding patients ... or a homemade spacer device made from a 500 ml plastic cold-drink bottle, are preferable.27 A child's inhalation technique ... Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma. Cochrane Database Syst Rev 2006(2): ...
  http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742009001200024&lang=en
*  Drug Summary
Instruct patient on proper inhalation technique.. Use of Qvar with a spacer device in children younger than 5 years is not ... are not indicated for primary treatment of an acute exacerbation, they may be initiated at any time during an exacerbation for ... Instruct patient on proper inhalation technique.. Do not use with a spacer device or volume holding chamber.. The Redihaler ... Initially, 40 mcg via oral inhalation twice daily, regardless of prior treatment. May titrate after 3 to 4 weeks if patient ...
  http://www.pdr.net/drug-summary/Qnasl-beclomethasone-dipropionate-2770
*  The optimal management of patients with COPD - Part 1: The diagnosis - BPJ66
... and spacer using correct inhalation technique. *Repeat spirometry 15 - 30 minutes after the bronchodilator has been given *An ... Generally a slow progression of symptoms despite treatment. Will often improve spontaneously or with treatment, but can develop ... the likelihood of a patient having COPD. These can be downloaded and completed by the patient and clinician in a few minutes. ... Frequency of exacerbations is likely to increase with severity. Other long-term conditions are likely to be present in patients ...
  https://bpac.org.nz/BPJ/2015/February/copd-part1.aspx
*  Nebulizer - Wikipedia
An MDI with a spacer may offer advantages to children who have acute asthma. Those findings refer specifically to the treatment ... For COPD, especially when assessing exacerbations or lung attacks, there is no evidence to indicate that MDI (with a spacer) ... If the patient needs to inhale medicine on a daily basis the use of a pMDI can be rather expensive. Today several manufacturers ... In 1966 the Task Group on Lung Dynamics, concerned mainly with the hazards of inhalation of environmental toxins, proposed a ...
  https://en.wikipedia.org/wiki/Nebulizer
*  Salbutamol nebulizor dosage children
Find patient medical information for Albuterol Sulfate Inhalation on WebMD. Learn all instructions for the use of this ... A metered-dose inhaler with spacer versus a nebulizer for acute asthma treatment in the pediatric emergency department. Methods ... HM NVS to deliver aerosolized salbutamol in acute exacerbation of asthma in children. Given its high tolerance, repeated 50-μg/ ... The order of treatment modes, nebulizer first or ASD first, was randomized. ...
  http://canadapharmacybsl.bid/zoloft+20+mg/salbutamol-nebulizor-dosage-children-25/
*  Fluticasone/formoterol combination therapy is as effective as fluticasone/salmeterol in the treatment of asthma, but has a more...
... patient assessment of asthma medication was analysed using a proportional odds model; asthma exacerbations were analysed using ... in FEV1 after salbutamol inhalation (two actuations, 100 μg per actuation) in order to be eligible for randomization. Only ... Plus spacer device (GlaxoSmithKline, Uxbridge, UK). ... to treatment were documented for one patient in each treatment ... Serious AEs (SAEs) were also reported for one patient in each treatment group. The SAEs experienced by the patient in the ...
  https://rd.springer.com/article/10.1186/1471-2466-11-28
*  These highlights do not include all the information needed to use AEROSPAN® safely and effectively. See full prescribing...
For oral inhalation only. Inhaler includes a built-in spacer. Do not use with external spacers or holding chambers. Shake well ... Treatment groups were AEROSPAN 160 mcg twice daily and placebo. Growth velocity was estimated for each patient using the slope ... current control of asthma symptoms and risk of future exacerbation. The recommended starting dosage for patients aged 6 to 11 ... Note: For Oral Inhalation Only Read this Patient Information leaflet before you start using AEROSPAN Inhalation Aerosol and ...
  https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?type=display&setid=ac3900d0-483d-11e5-b970-0800200c9a66
*  Fluticasone Propionate Monograph for Professionals - Drugs.com
Do not use fluticasone/salmeterol with a spacer device.43. Inhalation Aerosol. Shake well (5 seconds) immediately prior to ... Fixed combination with salmeterol as the oral inhalation powder (Advair Diskus) is used for maintenance treatment of airflow ... Flovent Diskus (fluticasone propionate) inhalation powder patient instructions for use. Research Triangle Park, NC; 2000 Sep. ... oral inhalation powder, since clinical features of pneumonia and COPD exacerbations frequently overlap.18 ...
  https://www.drugs.com/monograph/fluticasone-propionate.html
*  Diagnosis and management of asthma in preschoolers: A Canadian Thoracic Society and Canadian Paediatric Society position paper ...
This delays treatment and contributes to both short- and long-term morbidity. Members of the Canadian Thoracic Society Asthma ... Holding chambers (spacers) versus nebulisers for beta-agonist treatment of acute asthma. Cochrane Database Syst Rev 2013;(9): ... Managing the paediatric patient with an acute asthma exacerbation. Paediatr Child Health 2012;17:251-6. ... Comparative study of budesonide inhalation suspension and montelukast in young children with mild persistent asthma. J Allergy ...
  https://www.cps.ca/en/documents/position/asthma-in-preschoolers
*  Guideline for the management of acute asthma in children: 2013 update - Part 3: March 2013
Homemade spacers are as effective as commercial spacers in the treatment of acute asthma.[15,16] If using a pMDI and spacer ... Mild asthma exacerbations are just outside the normal range of variation for an individual patient and are difficult to ... Continuous intravenous infusion should be considered when there is uncertainty about reliable inhalation of ß2-agonists or for ... Severe asthma exacerbations necessitate urgent action by the patient/parent and doctor to prevent a serious outcome, such as ...
  http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742013000300032&lng=pt&nrm=iso
*  Guideline for the management of chronic obstructive pulmonary disease: 2011 update
7.1.5 Nebuliser treatment This is an alternative for stage 3 and 4 patients with poor inhalation technique and/or acute ... An exacerbation is defined as an increase in symptoms of COPD above the usual day-to-day variation experienced by the patient, ... 10.5.4 spacer devices and delivery methods The use of spacer devices may improve delivery of medication to the lower airways in ... Prevention and treatment of complications The main complications include right heart failure, severe exacerbations, pulmonary ...
  http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0256-95742011000100024&lng=pt&nrm=iso
*  Outpatient management of childhood asthma by paediatrician or asthma nurse: randomised controlled study with one year follow up...
... and no exacerbation of asthma in the last month) of the patient's asthma was achieved. At subsequent visits the dose was ... Kamps AW A, van Ewijk B, Roorda RJ, et al. Poor inhalation technique, even after inhalation instruction, in children with ... Secondly, the treatment protocol gave clear guidelines when to increase, reduce, or maintain the dose of ICS, allowing the ... These drugs were prescribed by dry powder inhaler (Diskus, GlaxoSmithKline) or by metered dose inhaler plus spacer (Volumatic, ...
  http://thorax.bmj.com/content/58/11/968
*  Allergic and Environmental Asthma: Overview of Asthma, Patient History, Differential Diagnosis
Testing should not be performed during an asthma exacerbation, and the testing site should be equipped for the treatment of ... Allergen-Inhalation Tests. Allergen-inhalation challenges can be performed in selected patients but are generally not needed or ... Go to Use of Metered Dose Inhalers, Spacers, and Nebulizers for complete information on this topic. ... Patient History. All patients should be asked about or should undergo assessment regarding exacerbation of asthma symptoms. ...
  https://emedicine.medscape.com/article/137501-overview
*  Asthma Workup: Approach Considerations, Blood and Sputum Eosinophils, Serum Immunoglobulin E
... blood gases and pulse oximetry are valuable for assessing severity of exacerbations and following response to treatment. ... Allergen-inhalation challenge. Allergen-inhalation challenges can be performed in selected patients but are generally not ... A limitation of PEF is that it is dependent on effort by the patient. FEV1 is also effort dependent but less so than PEF. FEV1 ... bronchodilatator administration between metered dose inhalers with disposable spacers and nebulizers for acute asthma treatment ...
  https://emedicine.medscape.com/article/296301-workup
*  A Randomized Controlled Trial of 2 Inhalation Methods When Using a Pressurized Metered Dose Inhaler With Valved Holding Chamber...
A pressurized metered dose inhaler (pMDI) with spacer is preferred asthma treatment method for children of all ages due to its ... Children with exacerbations of asthma (ie, as per Global Initiative for Asthma [GINA] report: breathlessness on walking or ... The study was conducted between August and December 2012 at the out-patient pediatric chest clinic of a tertiary care hospital ... Spacer inhalation technique and deposition of extrafine aerosol in asthmatic children. Eur Respir J 2007;29(2):299-306. ...
  http://rc.rcjournal.com/content/60/12/1743
*  Flovent Diskus, Flovent HFA (fluticasone inhaled) dosing, indications, interactions, adverse effects, and more
Respiratory: Asthma exacerbation, chest tightness, cough, dyspnea, immediate and delayed bronchospasm, paradoxical bronchospasm ... Risk of infections of nose and pharynx, including Candida albicans; must rinse mouth after inhalation to reduce risk ... Maintenance treatment as prophylactic therapy; not indicated for relief of acute bronchospasm ... Prior PO corticosteroid use: Starting dose should be determined on basis of individual patient assessment ...
  https://reference.medscape.com/drug/flovent-diskus-flovent-hfa-fluticasone-inhaled-343415
*  Metered-dose inhaler - Wikipedia
Anti-asthmatic combinations comprising surface active phospholipids PHOSPHOLIPID-BASED INHALATION SYSTEM UpToDate Patient ... Bronchodilators delivered by nebuliser versus pMDI with spacer or DPI for exacerbations of COPD. John Wiley & Sons, Ltd. doi: ... corticosteroid or a combination of both for the treatment of asthma and COPD. Other medications less commonly used but also ... With proper use, a spacer can make an inhaler somewhat more effective in delivering medicine. Spacers can be especially helpful ...
  https://en.wikipedia.org/wiki/Metered-dose_inhaler
*  Asthma - Renal and Urology News
... research and treatment articles for urologists and nephrologists to stay updated. Clinical reviews on renal and urology ... If you are able to confirm that the patient has asthma, what treatment should be initiated? * Treatment and education ... In the management of exacerbations for a child who has increased symptoms, the first line treatment is always a bronchodilator ... Patients of all ages should use a spacer with a metered dose inhaler to ensure adequate delivery of the medication. ...
  https://www.renalandurologynews.com/pediatrics/asthma/article/621145/
*  Teva Announces FDA Approval of QVAR® RediHaler™ (Beclomethasone Dipropionate HFA) Inhalation Aerosol | Business Wire
Teva Announces FDA Approval of QVAR® RediHaler™ (Beclomethasone Dipropionate HFA) Inhalation Aerosol Maintenance Treatment ... NYSE and TASE: TEVA) is a leading global pharmaceutical company that delivers high-quality, patient-centric healthcare ... It should not be used with a spacer or volume holding chamber. ... thus placing them at increased risk for asthma exacerbations. ... QVAR® RediHaler™ (beclomethasone dipropionate HFA) Inhalation Aerosol is indicated for the maintenance treatment of asthma as ...
  https://www.businesswire.com/news/home/20170807005360/en/Teva-Announces-FDA-Approval-QVAR%C2%AE-RediHaler%E2%84%A2-Beclomethasone
*  Tobramycin Side Effects
Dosage: Single Implantatio, Implanted With Knee Spacer. Patient was hospitalized and became disabled. ... A 65-year-old male patient was diagnosed with arthritis infective, device related infection, treated with TOBRAMYCIN and ... May 10, 2013 this consumer started treatment with Tobramycin Inhalation Powder (dosage: 8 Df, Daily For Every Other Month). The ... Infective Pulmonary Exacerbation Of Cystic Fibrosis. This Infective Pulmonary Exacerbation Of Cystic Fibrosis side effect was ...
  http://www.patientsville.com/medication/tobramycin_side_effects.htm