Emergency care for bronchial asthma is an important and necessary step to save the patient’s life. The development of the disease often leads to an attack, which is accompanied by a feeling of suffocation. The patient begins to choke, and in the absence of help comes the flying outcome.
Normal seizure or asthmatic status?
First aid for asthma should be provided in a timely manner. You must know the signs of this condition, which will allow you to accurately and quickly determine the onset of an attack. Providing emergency care in an attack of bronchial asthma is required in the following cases:
- During breathing the patient has wheezing.
- The patient has a barking coughing character. The condition may be accompanied by slight expectoration.
At the beginning of the expectorant stage, the intensity of the cough decreases, and the condition begins to return to normal. As a result, shortness of breath disappears and the attack ends. However, the patient’s condition must be controlled. It is recommended to visit the doctor during remission.
It is necessary to remain calm during the attack. Panic and nervousness can play a cruel joke, not only with the people who provide care, but also with the patient himself. In the first case, you can easily make a mistake, and the state of panic is easily transferred to the patient.
Often, emergency assistance is provided for asthmatic status. This condition is a severe form of pathology arising from the development of the obstructive process. Bronchitis or another inflammatory type of disease leads to a similar condition. The beginning of the status is characterized by the following manifestations:
- The presence of wheezing.
- The appearance of cyanosis.
- The development of shortness of breath.
- The emergence of cough canine character.
- The onset of respiratory failure.
As for an attack, this condition may be long-lasting or short-lived, severe or mild. Long-term attacks can turn into an asthmatic condition that lasts for about a day or more. As a result, the patient’s respiratory and cardiovascular systems are impaired.
Before the onset of an attack, the patient has a condition that is characterized by the following features:
- The occurrence of itching in the nasal cavity.
- The appearance of sneezing.
- State of weakness.
- The presence of stiffness in the chest.
In addition, there is an increase in blood pressure, which increases the load on the heart. The manifestations of acidosis increase: the level of acidity in the patient’s body increases. At the severe stage of the attack, the veins strongly swell in the neck, ventricular insufficiency develops, and congestion in the liver is formed.
First Aid Stages
The algorithm for the relief of bronchial asthma attack is divided into the following stages:
- It is necessary to isolate the patient from objects that can cause an attack: smoke, pet hair, flowers, fabrics.
- Close the windows, and if the patient is on the street, then help him move into the room.
- The victim should be seated on a chair and try to calm him down.
- Apply drugs that are available to the patient for such cases.
- It is necessary to call the ambulance brigade. While an ambulance is on the way, it is recommended to stay close to the patient and support him.
The assistance algorithm must be carried out in strict order. After the patient has been properly planted, and the allergens and attack sources have been eliminated, give the patient some warm water. It is necessary to provide fresh air, for which you will need to open the windows. Exceptions are situations in which an attack began as a result of flowering of plants or other factors that make being outside dangerous for the patient’s health and life.
It is necessary to perform inhalation with the help of agents from the group of adrenergic mimetics or medication available to the patient. In the absence of these funds, you will need to use inhalers with bronchodilators that have the function of dosing.
This list includes the following drugs:
An ambulance team is required to be called during the provision of first aid. If the desired effect of the use of inhalers is absent after 10-15 minutes, then the bronchodilator medication should be repeated. In the absence of a positive result, after 15 minutes inhalation with the help of a bronchodilator is repeated. In addition, you will need to enter intravenous eufillin 2.4%. You can apply a diluted 0.9% solution of sodium chloride or Prednisolone. The introduction of drugs is slow. Since an attack can develop suddenly, the patient’s relatives and friends should consult a doctor in advance and coordinate the dosage of these drugs.
If there is no positive result even after these measures have been taken, adrenaline hydrochloride is injected subcutaneously. Within 1 hour several injections should be performed. The dosage of drugs is also important to coordinate with your doctor in advance. The absence of positive changes requires urgent hospitalization.
In case of bronchial asthma, first aid must be given correctly, for which some instructions must be followed. The patient must be placed in a sitting or lying position. In the latter case, the patient should not lie on his back, posture on his side is allowed. In addition, it is important to hold the victim’s head to prevent him from drowning.
It is allowed to give warm water, but it is necessary to perform this action with extreme caution. It is forbidden to exercise physical effects on the back or chest. Such a measure is well suited if a person choked on food and food particles got into the respiratory tract, but during an attack of asthma, emergency care is not provided in this way.
An important component of the elimination of the attack is the use of special means, which are often represented by aerosols. Often, sick people who know about their illness have this kind of apparatus with them, which will make it possible to provide emergency care in a timely manner. Required to comply with the dosage means.
However, an attack can occur suddenly and take both the patient and his entourage by surprise. In the absence of medication, the patient should be placed in a sitting or lying position and calm him down. It is important to call an ambulance brigade on your own or through a third party.
The only person who can best take care of the patient’s condition is the patient himself. In order for the next attack not to cause a lot of difficulties and not cause a fatal outcome, the patient should always have with him a certain set of medicines and means for rendering first aid. It is much easier to help the patient at home, since the patient is in the usual conditions for themselves, and the drugs are close by. But an attack can catch while walking in the park or when going to the store.
Emergency conditions for bronchial asthma are not dangerous if the patient is ready for them in advance. It is recommended to visit a doctor who will write out recommendations and prescribe a dosage of drugs. Such drugs should always be close, which will repeatedly save the life of the patient.
In order for first aid in case of an attack to lead to a positive result, the first-aid kit of the patient must necessarily consist of the following components:
- Injection solutions.
- Hormonal and antihistamine drugs.
- Inhalation will require aerosol.
Particular attention is paid to inhalers, as they allow you to ensure rapid penetration of the drug into the patient’s body. Common devices are represented by spacers. This model enhances the likelihood of penetration of the drug component into the lungs. Often used special devices – nebulizers. They are a modern model of the spraying device. The device converts the liquid component in the drug in the form of a suspension, which will provide the best spray. Devices can be used only at home, therefore, emergency care for bronchial asthma with the help of these devices is performed at home. This is due to their size, as the dimensions do not allow comfortable transport of the device.
How to help the child?
The action algorithm for eliminating seizure in children differs little from similar actions performed with adults. The difference is represented by dosages of drugs, so parents should decide on a similar issue in advance. You need to consult a specialist and pick up the medicine. It is necessary to teach the child how to use inhalers and other devices, as in emergency situations, parents or adults may not be around. The rest of the time, adults should always be close by if children develop seizures.
When manifesting asthma, first aid has the following algorithm of actions:
- Provide fresh air.
- For children, a similar rule applies: the small patient should be seated.
- It is important to reassure the child, as the baby can easily panic.
- It is important to detect the cause of the attack and eliminate it.
- You can give warm water.
- Give the necessary medication in the prescribed dosage.
Algorithm actions need to build in advance.. This will prepare for an emergency situation, as in a state of excitement a person may linger or confuse the stages of assistance. The dosage of drugs is also required to determine in advance with your doctor. In this case, the patient and his entourage will be ready for a sudden attack, and competent and precise actions will effectively cope with this condition.