Document Detail


Exercise-induced bronchospasm: a case study in a nonasthmatic patient.
MedLine Citation:
PMID:  22243677     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To provide an overview of the clinical presentation, diagnosis, and management of exercise-induced bronchospasm (EIB) without underlying asthma.
DATA SOURCES: Case presentation and review of the EIB Landmark Survey.
CONCLUSIONS: EIB is a common and well-described occurrence in patients with asthma, as well as in patients with no overt respiratory condition. Treatment with a short-acting beta-agonist before starting exercise is effective, yet this treatment approach is underutilized in the majority of patients with asthma.
IMPLICATIONS FOR PRACTICE: This case highlights the implications of undermanaged EIB and the disconnect between healthcare provider recommendations and the beliefs and behaviors in patients with EIB. Inhaled short-acting beta-agonists can attenuate EIB in 80%-95% of patients and are effective during 2-3 h of exercise. Patients with a compromised level of physical activity because of EIB who do not respond to conventional treatment strategies should be referred to a respiratory specialist for diagnostic evaluation and confirmation of underlying asthma. Nurse practitioners should remain vigilant to identify untreated EIB and ensure that affected patients understand the condition and appropriate treatment options.
Authors:
Mary Lou Hayden; Stuart W Stoloff; Gene L Colice; Nancy K Ostrom; Nemr S Eid; Jonathan P Parsons
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Academy of Nurse Practitioners     Volume:  24     ISSN:  1745-7599     ISO Abbreviation:  J Am Acad Nurse Pract     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-01-16     Completed Date:  2012-04-27     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  8916634     Medline TA:  J Am Acad Nurse Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  19-23     Citation Subset:  N    
Copyright Information:
©2011 The Author(s) Journal compilation ©2011 American Academy of Nurse Practitioners.
Affiliation:
University of Virginia, Charlottesville, Virginia 22908, USA. mlou317@verizon.net
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MeSH Terms
Descriptor/Qualifier:
Bronchial Spasm*
Exercise*
Humans
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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