Management of Severe Asthma Exacerbation by R. Wang, et al. | OPENPediatrics

[@MichaelCamaling-ym7zs]

Thank you so much for this video. It really helped me a lot with my asthmatic wife with acute exacerbation. Praying that God will heal her 🙏❤️🙏

[@zadek6095]

A few years ago in high school i got a chest cold and got really sick and it started messing with my asthma but i wasn't worried because it had never gotten bad before. But my rescue inhaler wasn't working. So i moved to my nebulizer and that didn't work either after multiple doses. Eventually I just couldn't eat or sleep and was stuck just only able to struggle breathing for days and it got bad enough i collapsed after about 4 days n went to the hospital n kept passing out on the way there. They had me in the ER for about a day because the Albuterol they tried me on wasn't working. They moved me to the ICU for about 5 days where they had me on magnesium sulfate i believe mixed with some Albuterol because no matter what they did they couldn't get my lungs to open up. It worked after a while and they moved me down to oxygen and then i was free. I never wana feel that again. its scary not being able to breathe and needing a machine to do it for you

[@aminkeykha5546]

my personal experience with magnesium sulfate is promising . In Iran we use ventolin nebulizer or ventolin plus atrovent but in severe cases magnesium helps one should always keep in mind possibility of pneumothorax . I have used less than 30 mg / kg magnesium iv which you recommended higher doses 40 at least . thanks for your succinct and fluent lecture 💐💐

[@babariqbal413]

Indeed I also seen in Pakistan magnesium sulfate has more effect

[@PPA-vl3cu]

Your "personal experience" as what? A licensed physician or someone pretending to be?😅

[@aminkeykha5546]

@@PPA-vl3cu what makes a human to hate ? What do I gain if I pretend to be a doctor here ? Does any body know me here ? Do I win a prize ? Start to love and forgive 🙏we all are helping babies and families .

[@aminkeykha5546]

بسیار نغز و پرمغز بود پالس پارادوکس عملی و بسیار خوب ارایه شد 💐 pulse paradox desciption was practically perfect 💐

[@sim_aware]

Agree! #SimTribe

[@sim_aware]

I really do like the simulation for this. Incredible graphics. #SimTribe

[@ivonne22365]

Very informative video. Thank you very much for sharing. God bless 🙏🙂

[@ahmedshehata3390]

Excellent

[@michaelokoye9406]

Wow! This is extraordinary! Many thanks❤

[@nimrajamil1383]

Great lecture

[@epilepsyawarenessaidresear930]

Very enriching, thank you very much

[@blackvampiremovie]

This was great! thank you!

[@_Vivian13]

Very informative video!

[@sinclair657]

Thank you

[@infographic1947]

Nice and informative

[@akliluyiblet1733]

Thanks for the best information

[@kushalbhardwaj3026]

Thank you... For such a nice video..

[@kgrfirdjy]

I was a bit surprised that one question not asked was whether anyone in the household, including the patient, smoked or vaped. While it is illegal for anyone less than 21 years of age to do so in the United States, I have surprisingly come across many kids experiencing asthma attacks who vaped or smoked.

[@eijonasson]

Need to know why my asthma, COPD and siezures stopped when i started eating the health standard requirement of salt ???

[@christopherjimuru7830]

this is very helpful

[@aquila3267]

Thankyou

[@MysticWolfPup]

All my asthma attacks during my childhood and infant days made my immune so strong so that I'm still a novid 😂😂 but gonna bite me hard when I get it And the steriods did not make me short at all cos I'm a safe 5'5

[@dailydoseofmedicinee]

The muscles around the airways contract and the airways produce extra mucus, causing the breathing (bronchial) tubes to narrow. During an attack, you may cough, wheeze and have trouble breathing.👍

[@kokstv4583]

Great lecture 💯✔️

[@minakshideka2318]

Thnqq soo much 💕

[@rajmishra2621]

Can you add some information on NIV(Noninvasive ventilation)use in asthama exacerbation?

[@m.m.m.c.a.k.e]

Thank you 🙏

[@AuburnPrepper]

Asthma very scary

[@Vinaykumar-ug4gm]

hello sir.. your video is really nice..my mother is a asthma patient and was really worried about her condition.. she use to have increased symptoms even due to little exposure.. then she tried using planet ayurveda products and her condition was really stable now.. no more worsening of symptoms.

[@ayushigupta7632]

Is she on corticosteroid +LABA maintenance therapy?

[@hyperboytkl1077]

Sometimes my lungs are too sensitive that just a simple sneeze already can trigger an attack in me. So as much as I can possibly endure, I often really try to prevent myself from sneezing episodes.

[@anilnitd]

Same here, but what is the solution

[@hyperboytkl1077]

@@anilnitd I’m not a licensed doctor qualified enough to give any medical advice. But what I can tell you is only based on my self experience in my case. In certain situations where sneezing bouts just comes inevitably where I can’t prevent it and I feel my chest wheezing or somewhat tightening, I take anti allergy medication like CETIRIZINE tablets once daily. Then I drink one cup of hot black coffee to relieve my breathing. But do not as much as possible chase the pill with the coffee. Swallow it with a full glass of water instead. Then you can drink coffee after around 5 to 10 minutes. In my case, I can find some relief in this remedy.

[@GiftofGod2]

Execellent 😍

[@idkwhattocallir75]

Goals: Rapid reversal of obstruction Using bronchodilators and early oral GC. Correction of hypoexmia hypercapnia and dehydraton if present.

[@idkwhattocallir75]

For mild albuterol MDI or Nebulised. For moderate albuterol with Ipra Back to back 3 times every 20 30 minutes Or UniNeb

[@idkwhattocallir75]

With pred or methylpred (not tolerating orally)

[@idkwhattocallir75]

Alternative is IV epi or terbutaline.

[@idkwhattocallir75]

Monitor q20min for 1st hour.

[@idkwhattocallir75]

Electrolyte imbalance tachycardia hypotension are side effects of this management.

[@idkwhattocallir75]

Tachycardia can be dt dehydration or beta agonist use

[@user-jh5gg1dz8n]

Cheryl b24 ❤❤