Pediatric Asthma

Beschreibung

Mindmap am Pediatric Asthma, erstellt von summertump am 09/02/2014.
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Mindmap von summertump, aktualisiert more than 1 year ago
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Erstellt von summertump vor fast 12 Jahre
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Zusammenfassung der Ressource

Pediatric Asthma
  1. Pathophysiology
    1. Antigen exposure to bronchial mucosa
      1. IgE produced
        1. Degranulation of mast cells
          1. Inflammatory mediators released
            1. Vasodilation
              1. Capillary permeability
                1. Mucosal edema
                  1. Increased CO2 retention
                    1. Increased pH
                      1. Decreased PaCO2
                        1. Hypoxemia
                          1. Hyperventilation
                            1. Air trapping
                              1. Hyperinflation
                                1. Increased intrapleural/alveolar gas pressure
                                2. Treatment
                                  1. Oxygen
                                    1. Immunotherapy
                                    2. Removal of allergen/irritant
                                      1. Inhaled beta-agonist bronchodilators
                                        1. Oral corticosteroids
                                          1. Antibiotics (bacterial)
                                          2. Risk Factors
                                            1. Genetics
                                              1. Boys
                                                1. Allergies
                                                  1. Black/Hispanic
                                                    1. Live in urban setting
                                                      1. Low socioeconomic status
                                                        1. Air pollution
                                                          1. Insects (cockroaches)
                                                            1. Recent viral/upper respiratory infection
                                                            2. Diagnosis
                                                              1. PFT with spirometry
                                                                1. Empirical trial of asthma meds
                                                                  1. Asthma Predictive Index (API)
                                                                    1. Pulse oximetry
                                                                      1. Parental history of asthma/atopic dermatitis
                                                                      2. Clinical Manifestations
                                                                        1. Coughing
                                                                          1. Expiratory wheezing
                                                                            1. Short of breath
                                                                              1. Increased heart and respiratory rate
                                                                                1. Nasal flaring
                                                                                  1. Head bobbing
                                                                                    1. Anxious
                                                                                      1. Diaphoretic
                                                                                        1. Exercise intolerance
                                                                                          1. Using accessory muscles
                                                                                            1. Hyperinflation
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