Hi, welcome to another one of our
videos on respiratory medications.
In this video, we’re gonna look at the medications to treat
the other problem with asthma patients - inflammation.
Now these are not rescue meds but these are, we
give these medications to prevent asthma attacks.
So we can start with some
Sometimes you take corticosteroids and put it with
a long acting beta-2 adrenergic agonist or a LABA.
When we put these medications together,
remember the goal is to prevent inflammation,
not for rescue inhalers, it's just for prevention.
Now stop a minute and take a look at the drawing that
they have for you here, this graphic is beautiful.
On the bottom, you see the blue space
represents how the air flows through.
That’s what you would want - that’s a
nice open airway (inhales, exhales).
You could easily take a
nice relaxing breath.
But someone who has inflammation in
their airways- that’s the top drawing, see that?
how the airway is much much smaller.
So even on a good day, somebody who
suffers from an inflamed airway
from like asthma or any respiratory disorder
that causes this inflammatory response,
is already gonna start with a
So they did a really good job giving
you a graphic representation there
of what the difference is in an airway in somebody
who has an inflamed airway and somebody who does not.
So take your time and just write
your note there,
I want you to add in the words on that
picture - “inflamed airway, narrowed”.
So that will remind you that’s what
we’re dealing with.
which is why attacks are such
a problem for your patients.
They already have a narrowed airway, and then
when they have an asthma attack, it's even worse.
I'm gonna list some medication
for you there on your screen.
You can see the names that these, these are
medications that we use that will give us
both a corticosteroid which directly supresses inflammation,
and a LABA (a long acting beta-2 adrenergic agonist)
Put the two together and that really helps us minimize
the risk for ongoing attacks as we go forward.
NOT a rescue inhaler
LIke wow! how many times
is she gonna say that?
A thousand times more.
Because I need to be sure that these nurses out in the
public with your family and teaching your patients
that this is stuff that will save a life.
You have to know the difference between LABAs and
SABAs or the short acting and the long acting.
And also, one of my dear friends
was on one of these medications
and she would just take it on the days when
she felt like she was having a problem.
I couldn't believe it, she's gone the
same specialist and extra people
and it wasn't till we got to talking
and asking the right questions.
Now this is somebody who's precious to
me, somebody I hang out with all the time
and she was having severe asthma.
They never explained to her that
she needed to take these everyday
no matter how she felt and that's why she was
having all these serious asthma attacks.
She was just taking them on the day she
didn't feel great, was having some problems.
Once we went to a regular schedule
with her - worked like a charm.
So there's somebody in my own
circle that I could have impacted
but I didn't realize the wrong advice
they had gotten
so your job is to make sure your
patients are more effectively educated
and their lives are gonna be much better.