Inhalers (Asthma Treatment & COPD Treatment) Explained!

Join Dr. Seheult of www.medcram.co...
as he clarifies the inhalers and progression used for asthma treatment and COPD treatment.
Understand the difference in naming and usage of SABA inhalers (short acting beta agonists, LABA inhalers (long acting beta agonists), ICS (inhaled corticosteroids), and LAMAs (long acting muscarinic receptor antagonists).
This video provides a concise overview of asthma treatment guidelines and the step up inhaler treatment for both asthma and COPD. Includes a discussion of albuterol ("saba"), salmeterol, fluticasone, tiotropium, and many others.
Visit www.medcram.co...
for this entire course and over 100 free lectures. This is the home for ALL MedCram.com medical videos (many medical videos, medical lectures, and quizzes are not on KZbin).
Speaker: Roger Seheult, MD
Co-Founder of MedCram.com ( www.medcram.co... )
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
MedCram: Medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure and Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator associated pneumonia bundles and lectures have been particularly popular with RTs. NPs and PAs have given great feedback on Pneumonia Treatment and Liver Function Tests among many others. Many nursing students have found the Asthma and shock lectures very helpful.
Subscribe to the official MedCram.com KZbin Channel: www.youtube.co...
Recommended Audience - medical professionals and medical students: including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school and board examinations.
More from MedCram.com medical videos:
MedCram Website: www.medcram.co...
Facebook: / medcram
Google+: plus.google.co...
Twitter: / medcramvideos
Produced by Kyle Allred PA-C
Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.

[@Medcram]

Thanks for your comments. Check out our new courses and videos at MedCram.com

[@gsusmakama]

Great video content! Apologies for butting in, I would appreciate your opinion. Have you heard the talk about - Penween Unfamiliar Preeminence (do a google search)? It is a smashing one off product for eliminate your asthma issues without the hard work. Ive heard some pretty good things about it and my close friend Aubrey at last got excellent results with it.

[@mauronicolascanseco1643]

Nice Video clip! Sorry for the intrusion, I would love your opinion. Have you heard the talk about - Penween Unfamiliar Preeminence (probably on Google)? It is an awesome one off product for eliminate your asthma issues without the hard work. Ive heard some awesome things about it and my work colleague after many years got cool results with it.

[@Rosina2727]

Why on earth did 116 give a thumbs down? This gentleman couldn't have described it easier on how to use this inhaler. The instructions are nowhere near as good as this gentleman who described and showed you how to use the Easybreathe inhaler! Many thanks!

[@Stonefalconetti]

No matter how many books I read or how many long and complicated videos I watch, I always come and absorb everything from YOURS. Your videos always make everything so simple and logical. It takes a lot of talent to achieve that. I have always been confused between the treatment of asthma and copd. You managed to erase years of confusion on my part in just a few minutes with clear visual explanation. THANKS A LOT!!!

[@andreabradley4624]

How they get it

[@Medcram]

Thank you for the great feedback!

[@kenvitale6118]

This was the best explanation I have seen or heard in my 68 years with asthma !

[@michaelgrady4827]

Simplistic explanation - hours of re-reading chapters = Thank you and much appreciation.

[@rockzhard2009]

as a COPD person, and far , far away from being a doctor, to the point to where i will have to write all these meds down, THANK YOU. you just explained the hell out of what to look for in a rescue inhaler.

[@ampiciline]

teaching is an ART .... I see so many smart people but they can NOT teach ....This doctor is an artist ..... he hasan uncanny ability in ART of teaching .

[@aliceajasmin]

I’m not a med student, but I have asthma and this made everything in my world make sense. Thank you!

[@Mommaslew]

So so grateful. Instead of just talking over heads….you TEACH in a manner we can digest info. ❤🎉

[@simmiedavissimmiesings8185]

This was very clear I'm a patient, and now I understand my treatment protocol

[@aliaaabdulhakeem7081]

Your explanation is amazing, obviously u r talented not only at organizing lectutres but also at presenting them

[@m.c.5780]

THANK YOU! 😊 LITTERALY LOVE IT.. IN SO MANY YEARS OF WORK NEVER HEARD IT EXPLAINED BETTER!

[@irvpaton8626]

Wow, nice job. So easy to understand. Thank you. I had severe asthma 40 years ago, beginning in my early thirties. I used Albuterol 20-30 times per week, just to stay alive. Doc kept trying to add Advair (now I can see he should have added ICS alone first), and that would start to help after a week, but after a couple weeks I seemed to get dependent on Advair, and if I didn't take it, I got more chronic. Also, I started to get throat irritation from the Advair. So, I continued to survive on the SABA, but tried to limit it when possible. After 10-20 years of trying things like breathing and diets, I gradually improved, and now have not used drugs for years, and have no sense of asthma, unless I get in mold or cat dander, and then it will start to come on. Doc told me at time that ICS had long term side effects, and now I know that it may have harmed me on the long term, and I was lucky to stay away. But the drug companies probably would say I would have gotten better quicker if I used ICS. I point this out because this looks easy from the doc's point of view, but it can be a nightmare from the patient's point of view, and knowing what I know now, I would put a lot more effort into studying alternative treatments. Keto diet might help - I seemed to get complete relief one time when I accidentally got into ketosis. Also, breathing out and delaying breathing back in seemed to help over a couple months. Seems that pasta (maybe glucose) made it worse.

[@jimenaarreola13]

Your video sir just saved my grade and me from reading 20 plus pages. I've aways struggled understanding these meds and u have made everything so clear and simple... thank you !!!

[@georgehny]

Wow! After years of treatment for COPD and much reading and attempt at understanding YOU have made it so simple. I now much more clearly appreciate what medications I am taking and why. Since this is 2017 and you refer to newer medications coming combining all three I am hopeful that I am going to the website and see such inhalers as breo ellipta combinations addressed. No matter either way your video was extremely enlightening to me as a patient.

[@kenkal1829]

Well done Doc, a great service for the common people!!!!!

[@peterjf7723]

Around nine years ago I had really bad asthma and was prescribed oral corticosteroid tablets (beclomethasone). After a few days I started to experience significant visual distortions. My GP sent me to the eye clinic at the local hospital where I had various tests done, including retinal scans. I was told that I had fluid bubbles under my retina which were distorting it and causing my visual disturbances. The condition was Central Serous Retinopathy. The opthalmology consultant then asked if I had been prescribed corticosteroid tablets. I told him and he said that was the likely cause of the visual distortions and that I should stop taking them at once. It took around five months to return for my vision to return to normal. My GP had not been aware of this side effect of beclomethasone.

[@adewaleolanrewaju2851]

This is so so sweet! I am so glad I discovered your ytube channel 2 weeks before my KAPS exams. Thanks Roger 🙏🙏🙏

[@DottyGale8]

Wow. Great explanation for us non-medical people. This was really helpful! Thanks!

[@CorbinAllred]

And for us medical people in training! More often than not, simplicity is best. Awesome!

[@cookv78]

My mind is blown. Thank you. I have been trying to figure out these inhalers for weeks now.

[@Cakeitupanotch]

and the lightbulb goes on!!! Thank you for explaining that so clearly.

[@vanessavinas8213]

The triple therapy is out now. Is an ICS/LABA/LAMA combination all in one dual bronchodilator, is called Trelegy by GSK

[@traderpete007]

I’ve had severe asthma all my life and that was the best explanation of how the medicines work I have ever heard in my 50 years with the disease

[@jimhughes3830]

Thank you for your lectures Doctor! As a Paramedic and Lead EMT /Paramedic Instructor, we directly deal with everything in your lectures and our Paramedics, as a whole, but specifically even more so where I teach, are held to a higher standard in regards to depth of knowledge/understanding of physiology. Some of your lectures are repeat information, but I greatly appreciate that! I always teach my student's there is a take-away from every lecture or demonstration, even if you know the subject matter! I have also learned quite a bit from your presentations, which in turn makes me a more effective Provider and Instructor, thank you for this opportunity! Its hard for Paramedics to learn at this type of level with "advanced topics", without going to med school. Unfortunately Paramedicine is still the red-headed step child of Medicine...but hopefully that will be different one day! All of us providers are integral to the system! Looking forward to more of your videos! Thanks again for all of your hard work!

[@Medcram]

Thank you for watching and commenting.

[@eileenmontgomery998]

It works by slowing down the activities in the wake up center of the brain in order to allow an individual to fall asleep within the next few minutes and spend much of his or her time in deep sleep. *4InsomniaCure. Com*

[@veronicamartinez3812]

Well now I realized my doctor is not exactly following protocol, hell he hasn't tested me for asthma yet he says I probably have it and I'm already on 2 inhalers and he started with albuterol, super randomly, then when I complained of using it more than 3 times a week suddenly, he gave me a ICS inhaler... which I haven't taken yet because all these things terrify me (that's why I decided to educate myself first to lose the fear) but I will use it soon before this gets any worse and then I'll ask my doctor for actual breathing tests. Apparently my allergies got out of control and suddenly I had hives and sinus issues for months and then out of nowhere I have Adult asthma it seems so... sigh, I'll demand tests from now on. Thank you for your very easy to understand videos. I wish doctors would take the time to explain to their patients how it all works, it's my body and I think I have a right to understand what's really going on.

[@kimberlyzhang3634]

This is awesome! definitely a lifesaver for the COPD/Asthma section!

[@Siutrn]

You are so right on with perfect clarification.

[@faviolagonzalez5118]

Amazing explanation 100 times better then my teacher it helped me a lot

[@789DarkWolf]

Thank you so much doctor! This is the best video I have seen so far on asthma!

[@paolafren3845]

THE BEST inhaler video I have ever watched. Just amazing. Thank you Dr.

[@howtomedicate]

Great video, with excellent explanation! Keep it up!

[@196940oz]

Thx for making it SUPER easy to understand!!!

[@copperlight]

Wow life changing how clear this was. Xoxoxo

[@brucenome989]

You make it so easy and understandable, like it.

[@faymw9405]

So simple and well explained finally made sense. Thanks!

[@totalwomanja9105]

This is clear and I really appreciate it. Thank you sir!

[@shylynnh2971]

So needed you for my doctor. I wish we had you for my mother doctor she will still be here

[@Agtsmirnoff]

Note, the FDA STRONGLY discourages use of LABA alone for asthma treatment because it found that scenario led to an increase risk of death.

[@irinabatir2800]

*the new GINA (Global Initiative for Asthma) guide discourages the use of SABA alone

[@emilydrinkswater]

!! Thank you!! I take LABA alone and i am so grateful someone shared this! I'm definitely going to look into it

[@natarajumididoddi5985]

Absolutely great explanation.very easy you made.big thanks

[@Medcram]

Thank you for watching!

[@spazzan]

Amazing video. Helped me out a lot. Thanks man

[@lorrainegetrudeswanepoel3854]

Thank you very much for the informative session. I have peace of mind now. I just have to look after myself.

[@monziigramme4572]

This is enlightening. I am able to undertsnad just how controlled my asthma is based on the inhaler i am using. Thanksss

[@crystalstarr6196]

Your videos are so informative You are so much better than my doctor,, I'm so glad that I found you ,, thank you so much for all the information that you provide us with I've been watching your videos for hours now ,I just found you God bless you and stay safe

[@calvioro]

This video is incredible! thank you so much for making it!!

[@Medcram]

Thank you

[@shambhunathsaraf5123]

Very well explain Ed. Useful

[@imeldabraisher1975]

so easy to understand thank you

[@ReyOfLight]

Funny how this video came up in my recommendations just as I took another puff of salbutamol followed by my bedtime puff of budesonide. I have asthma. Changing long acting from tomorrow though, and also changing rescue inhaler from Salbutamol in Easyhaler to Salbutamol in Autohaler and Ciclesonide as long acting as I feel the powder type of inhalers I’ve had this far are rather irritating for my airways, especially the budesonide is troublesome and often triggers a coughing fit or even triggers an asthma attack. Hoping my new medicines will work better. Really interesting to get a bit better understanding of my medicines too!

[@mabondavis4838]

hello, this is an informative video on copd. one of my colleague was also suffering from this condition. she visited many hospitals but didnt get releif. then one day she visited planet ayurveda and got copd care pack. now she is fine

[@nitinkhare6710]

Great video. Thanks for uploading

[@alyssazaira0406]

Wow first video from you and I’m lovin’ it!! Thank you so much!

[@Shindler39]

Have a wonderful day Alyssa:-)

[@monakayali]

Wonderful and simple explanation, thank you.

[@mcassidy7126]

...So what do you do re: treatment if you have BOTH asthma and COPD. I've had asthma for 30+years, well-controlled most of the time; was diagnosed with COPD two months ago. Am currently finding I'm using my rescue inhaler A LOT, and the additional inhaler isn't working. Lots of shortness of breath. I have other immune issues that would do better if I got off any steroids. Can't do that? Anybody else have asthma and COPD together?

[@joalexa9201]

Thanks, it added my knowledge on how to explain to my patients :-)

[@pdrzone5697]

Thanks for explaining this 👍

[@marlenmolina4864]

Wow thank you soooooo muchhhhh !!! You just saved my life!!!!!

[@veneno-ej8wt]

Hola,, tu tambien tienes Asma. O estudias esto.🙄😏

[@mabelw7]

great notes concise drugs and disease

[@KetogenicKim]

Well done. Very helpful.

[@Dariovich]

Very clear video. Thank you so much!

[@alialsaedi1344]

I think it may worth talk about roflumilast inhaler for COPD and asthma!

[@dr.rubinsilvest2022]

;''''' I am Dr.Rubinsilvest. BHMS, M.D (A.M), CFN, (Watsup no: +91 81=443=733=85). I am treating asthma. (Without side effect), with homoeopathic medicine for last 5 years (more than 100 cases), with 100% successful cases. How long years, you are using inhaler. No matter you can stop taking inhaler and other medicine; ;'';'''''

[@angelagranberry4816]

Excellent video ! You are a Godsend

[@miriami7]

Thank you, you are great, love your videos

[@simongb7897]

Had Asthma all my life never understood the difference between Ventolin and Seretide and how they work together.Or rather not,and that's why the doctor keeps asking me how many times I'm using my Ventolin or SABA. And I must take my Seretide regularly.

[@emmacohen3926]

Truly helpful and informative 👏👏👏🇬🇧

[@susaneluwa]

Wow. Thank u. Not so hard when you understand

[@Ahdbfbfbeh]

I love your videos Your acid base videos were clutch. I use your approach daily. So too are your ventilator videos I am wondering if you could explain another complicated bedrock topic, though often overlooked, which would be lung auscultation. I often have trouble on the descriptive side and trying to relate this to normal breathing mechanics. Bronchial, vesicular, upper, which ones have a pause between inspiration and expiration and which ones dont... i:e ratio, ect....adventitious sounds, fine vs course crackles..can both be heard in heartfailure?..ect

[@stevet2892]

+Benjamin sch here's a few ideas for relieving asthma quickly Kick Out the Mites. Use HEPA Filters. Follow Doctor's Orders. (I learned these and why they work on Laken chest remedy site )

[@jimboyacer7267]

I've been investigating reducing asthma quickly and found an awesome resource at Laken chest remedy (google it if you are interested)

[@helenshekerjian894]

Benjamin sch DOAC

[@markwilliams515]

@Jake I recommend you try out this great asthma treatment here - MootHelp.xyz My father was able to treat his asthma problem really fast, so I recommend you try it out.

[@saurabhdhabeknight]

Excellent so easy and precise 👍

[@AineSherman]

Great, helpful video.

[@mahsazobeyri2523]

Tthank u so much sooooo useful to remember and memorize

[@Jkoal69]

i came here from KEKE, great vid well explained

[@RA__5466]

YOU ARE GREAT! THANK YOU!!

[@betingpolero7886]

Very informative! Thanks doc

[@shifted1978]

Thank you I enjoy all of these

[@mynaps01]

This was great!

[@saidmo1797]

good job.

[@MyWonderNut]

Brilliant !!! Thanks

[@tomatamara7731]

Doctor U R the best!!!!!! Thank U sOOOOOOO much!!!

[@kascialelonek8757]

Excellent video!

[@restouler]

Great explanation. Thank you

[@myhuynh-we9cg]

I use this medication every day make me feel better

[@christiansoldier5782]

I just started watching your Lesson on Disease.I have COPD and I have yet to get a Emergency Inhaler and its been a Year since I found out I have it.

[@vanessavinas8213]

ChristianSoldier you should go to doctor as soon as you can and at least get your Rescue medication. For as needed purposes... if you are using your rescue medication more than 2 times per week, you need daily maintance therapy. Your initial daily maintance therapy should be a LAMA/LABA (anoro) it’s once per day every 24hrs. You have to take this everyday, either you are feeling symptoms or not. And carry your SABA with you at all times. Your main therapy goal is to reduce the rate of risk of exacerbations. Every exacerbation you have will reduce your lung function

[@christiansoldier5782]

@@vanessavinas8213 God Bless you Sister for this advice but here,s the big But I haven't had a Flu shot since 1972 I will not get any help from the A.M.A. till I get one ,get on board or get off at the next station.

[@misturahadana2047]

thank you

[@nicnak4475]

Excellent video and explained everything I needed to know, I have been prescribed umeclidinium/vilanterol (Anoro Ellipta), I run 6 times a week, between 5 and 13 miles and am 67, The doc said it would help with a cough I get, caused by lot's of phlegm, I had a puff on the inhaler, before my 5K race today and I think the cough and breathing were improved, Time will tell I suppose, I'm not sure about taking it long term though.

[@waulondawilliams2266]

This was awesome 😎

[@olgashybisty7967]

So much more sense, thanks fgom the bottom of my heart,🌷

[@sunnyk2449]

In Asthma; we have to give broncho dilator first to relax and open the airway and then administrate ICS. How come ICS is the first line of treatment for asthma? I think you need to change ICS and LABG in the chart.

[@Medcram]

+sunny k laba should NEVER be given to asthmatics without ics. This is why they are commonly co administered. No problem to give a Saba first then ics just not a laba without a ics. With copd this is not an issue.

[@mohammedk2513]

Thank you very much 🌺

[@sarahdarwiche4965]

Such a great explanation!! Thank you!

[@nicolerizzo1143]

Thank you for this video! Quick question- If a patient has exercised induced asthma/ bronchospasm and only needs to use their albuterol inhaler prior to exercise, but exercises more than 3 times per week, would that patient also need a daily ICS inhaler? (because then they would be using their rescue inhaler more frequently) Thank you for any clarification!

[@gossoupgirlz5017]

Thank you! I learned a lot💯

[@vidapetz1360]

Thank u so much for sharing, Doc!

[@stevenirving5336]

VERY WELL EXPLAINED

[@paolaruiz1008]

Thank you so much!! Everything makes sense now :)

[@mrcharlesjohnson]

God bless you for this, thank you!

[@ThaneCap]

Excellent!! Thx

[@DE51B0Y]

Very good video. Can you do a video on bronchiectasis as well.

[@khudabakash]

Awesome video

[@starlessartemis]

Thank you!

[@pawanyadavaps]

My Grandpa is 82 years old. He breaths very frequently, and breaths very shortly. What could be the problem and to which type of Doctor I should take him to?

[@vanessavinas8213]

Pulmonologist

[@MYFAMILYCOMESFIRST]

What about leukotriene medications? Can you expand?

[@alexisaaronson2241]

Miss Sturges you can consider it as add on therapy for asthma or asthma/COPD overlap. Only works in a subset of people. I usually tell patients if they haven’t noticed an improvement after 2 weeks, likely not going to be beneficial and D/C the med

[@RoIIingStoned]

Where do antihistamines fit into this? Are they just not as efficient?

[@fdemif2301]

Absolutely brilliant. Thank you ssooooo much