Treatment Guidelines Used for the Treatment of Asthma
Select a medication and apply evidence or treatment guidelines used for the treatment of asthma, COPD, or an acute exacerbation of COPD. Share the mechanism of action of this medication and hints for monitoring, side effects, and drug interactions, including interactions with CAM. Integrate information regarding where the medication is found in asthma or COPD guidelines. What other considerations need to be made when prescribing these medications in relation to other systems and receptors? Discuss evidence and treatment guidelines to determine appropriate therapeutic options for a patient with respiratory disorders. Include the name of the medication in the subject line so that the medications can be followed. Include references using APA format
Treatment Guidelines Used for the Treatment of Asthma
Asthma is a chronic inflammatory disease of the airway with airflow obstruction leading to recurrent episodes of cough, wheezing, and chest tightness that resolve with or without treatment. In the stepwise approach to asthma control and management, Short-Acting Beta-Agonists (SABAs) are first considered as they provide quick relief of the symptoms and reduce airway inflammation (Chisholm-Burns et al., 2019). However, SABAs do not prevent worsening conditions in symptomatic asthma, and inhaled corticoid steroid (ICS) is a better option. Flovent HFA (fluticasone) is an inhaled ICS used alone or combined with other medications, and the medication controls asthma symptoms and is effective even in low doses. Fluticasone works by reducing airway inflammation and enhancing symptom control.
Fluticasone inhalations prevent asthma symptoms and are a maintenance medication for COPD, and the inhalation should be rinsed after use (Chisholm-Burns et al., 2019). Low doses of the ICS are sufficient to control many cases of asthma in children, but higher doses are required to achieve optimal control. When compared with other classes of asthma medications drugs, the risk/benefit ratio is favorable to the fluticasone, but it is necessary to achieve optimal outcomes with the lowest possible doses. Fluticasone’s efficacy is related to asthma severity, patient’s age, and the duration of treatment, and combined therapy reinforces fluticasone’s anti-inflammatory action. For ages 12 and older, fluticasone can be used once daily, twice, or in two doses per day, depending on the type of medication (Chisholm-Burns et al., 2019).
Fluticasone can interact with aspirin, HIV protease inhibitors, macrolide antibiotics, and the HIV protease inhibitors affect the way fluticasone is removed from the body (MedBroadcast, 2022). The medication can also interact with other anti-inflammation drugs, such as Advair Diskus (fluticasone/salmeterol) and albuterol (MedBroadcast, 2022). There should be close monitoring of airflow obstruction and reductions in exacerbations to avoid complications if drug interactions affect the medication’s effectiveness.
Long-term use of corticosteroids may interact with Complementary and Alternative medicine (CAM) and cause lower magnesium, c...