By Robert K Bush
Reflecting the expanding occurrence of bronchial asthma and the continual problems of rhinitis, this publication is a significant other quantity to accompany Drs. Busse and Holgate's significant reference, bronchial asthma and Rhinitis. A pocket-sized, concise consultant for trainees in inner medication, breathing medication, fundamental care, pediatrics, and medical hypersensitive reaction, it comprises short sections on prognosis, evaluation, sufferer work-up, and remedy. Algorithms and charts are used all through to make it effortless to take advantage of for the working towards clinician.
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Extra resources for Handbook of Asthma and Rhinitis
Side effects: These drugs are safe, with a very low rate of side effects. In the spincap form some patients complain of throat irritation, but this is not a problem with the aerosol form. Some patients complain of the taste of these drugs. Cost-effectiveness: In countries that do not have a health service that provides drugs free of charge, these drugs are too expensive for the majority of patients. In patients with mild disease, there is evidence that SCG is cost-effective by reducing the number of hospital visits.
However, the effectiveness of plans such as that described above are not known. Increasingly, emphasis is being placed on quality of life. This can now be measured, and questionnaires that are specific for asthma are being developed. It is unlikely that progress will be made in management until controlled trials of management plans are undertaken in the long term. In the meantime, it is important to watch the mortality figures carefully. CONCLUSIONS The management of patients with asthma has precise aims, and there is sufficient knowledge of the causes and natural history of the disease for a logical approach to be used in achieving these aims.
Most asthmatics who present to respiratory physicians have severe or complicated disease, and it takes a long time to gain control of the disease and for the patient to be able to undertake the greater part of his or her own management. In addition, the concept of caring for the patient for a long time, perhaps for life, is a recent feature of treatment and an important one for children as well as for adults. 32 TREATMENT OF ASTHMA Table 3-1. Management Plan Phase 1-assessment 1. Form & severity Phase 2-treatment 1.