A 2019 update: approach to asthma management in adults

  • N Schellack Sefako Makgatho Health Sciences University
  • N Mokwele Sefako Makgatho Health Sciences University
  • K Mogale Sefako Makgatho Health Sciences University
  • A Esterhuizen Sefako Makgatho Health Sciences University
  • A Truter Highveld MediClinic
  • P N Ntuli Dr George Mukhari Academic Hospital
Keywords: asthma, bronchodilator, inhaled corticosteroids, β-agonist, peak expiratory flow, spirometry, SABA, LABA

Abstract

Asthma is a chronic inflammatory disease that causes hyper-responsiveness of the bronchial tree, with reversible airflow obstruction. The condition places a significant burden on our healthcare system. Chronic asthma can cause remodelling of the airway. Patients suffering from asthma should be aware of the signs and symptoms thereof, as well as the factors that can precipitate an asthmatic attack. Asthma is mostly classified as either acute or chronic; the diagnosis of asthma is based on identifying both a characteristic pattern of respiratory symptoms and variable expiratory airflow limitation. Treatment is based on how the patient presents and includes bronchodilators, inhaled corticosteroids and mast cell stabilisers. This article provides an overview on the diagnosis, characterisation and treatment of asthma.

Author Biographies

N Schellack, Sefako Makgatho Health Sciences University

School of Pharmacy, Faculty of Health Sciences, Sefako Makgatho Health Sciences University

N Mokwele, Sefako Makgatho Health Sciences University

School of Pharmacy, Faculty of Health Sciences, Sefako Makgatho Health Sciences University

K Mogale, Sefako Makgatho Health Sciences University

School of Pharmacy, Faculty of Health Sciences, Sefako Makgatho Health Sciences University

A Esterhuizen, Sefako Makgatho Health Sciences University

School of Pharmacy, Faculty of Health Sciences, Sefako Makgatho Health Sciences University

A Truter, Highveld MediClinic

Pharmacist, Highveld, MediClinic

P N Ntuli, Dr George Mukhari Academic Hospital

Pharmacist, Dr George Mukhari Academic Hospital

Published
2019-04-29
Section
Reviews