Asthma Response Essay

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Rottier, B. L., & Rubin, B. K. (2013). CME article: Asthma medication delivery: mists and myths. Paediatric Respiratory Reviews, 14,112-118.Retrieved from http://www.sciencedirect.com/science/article/pii/S1526054213000250.
In this article, the authors discussed two classes of drugs frequently used in asthma treatment for children: inhaled corticosteroids (ICS) and Beta 2 agonists. The three different delivery systems evaluated in combination with the medications were: the pressurized metered dose inhalers (pMDI), dry powder inhalers (DPI) and the nebulizer system. Both drugs were taken in as aerosols to ensure a higher drug dose delivery to the target site with minimal side effects. The authors discussed the areas of focus for an asthmatic with each drug. The inflammatory disease process of asthma was shown to affect all 23 airway generations. …show more content…
Aerosol medications are deposited in the lungs by three transmissions: impaction, sedimentation, and diffusion. The explanation of proper inhalation to diminish the waste of medication was examined as a way to reach the targeted area. They then discussed the numerous myths associated with administration of asthma medications, where many of the myths originated, and then provided contextual data to refute the myths. The myths included: spacer and the equivalence to a valved holding chamber, particle size, deposition of particles, inhalation rate, several myths referring to a child, jet nebulization and its effectiveness in different settings, inhalation instruction, all delivery devices are the same, order of delivery with multiple aerosols to the same patient, liquid drugs and their effectiveness when nebulized, and the ability of the health care provider to recognize a non-adherent patient. Many myths decrease patient adherence and optimal inhalation techniques for the

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