Asthma and COPD: Acute Exacerbations

How to identify and treat acute exacerbations of asthma and COPD. Included is a discussion of antibiotics, the use of peak flow meters, possible worsening of hypercapnia with oxygen therapy, and the association between COPD and pulmonary embolisms.

[@Omuul]

Loved the 3 mechanisms for worsening hypercapnia with O2. Thank you Dr. Strong!

[@rumit9946]

This was wonderful. Cleared up a lot of misconceptions I had. Thanks Dr. Strong!

[@amrikwheeler5018]

I want to be an EMT one day, and i enjoy your videos, they are a great way to absorb a good bit of helpful information. Thank you for making them.

[@sunving]

Thank you Dr Strong . It is helpful, i may need to repeat watching it a couple time, i am a slow learner.

[@kristenalpert4831]

great presentation.. thank you

[@lisawu7198]

Thank you! really appreciate your Videos.

[@lekhrajhotwani9806]

Thanks for valuable information

[@DenDB1804]

Great video !!

[@vandalam1519]

thank you for sharing. very useful dr.

[@HafizahHoshni]

Awesomely informative and perfectly explained! Thank you so much! 😊😊 15/9/2019

[@Sherirose1]

Your videos are educational and professionally done. Thank you so much.

[@nikhilprakash1732]

Thanks sir .. you are just amazing 👏

[@riritan798]

Many thanks dr strong it is very helpful

[@khalidsikka6304]

Thank you doctor for sharing

[@wahibaramtani6130]

thank you !

[@dr.ashraf2015]

Beautiful

[@MrTana48]

Nice video thx

[@user-wv7se3ko9x]

Amazing explanation🤩

[@bomhayhay]

thanks

[@freebirdincage]

Thanks for the videos , would love to see a video on fever

[@shorty14u2luv]

Hi! Can you please do a video with the new GOLD standards?

[@cyndim8785]

I didn’t have breathing problems until the second bout of COVID-19 with vaccinations. Now I am on a once a day BREO steroid inhaler for COPD. No pulmonary physical therapy offered to me I had begged for it. I used workout 60 minutes a day six days a week, now I can’t make it through the warmups. Out of Pocket the BREO is $200 every three months. Pulmonologist ordered a PET scan it showed normal with little scar tissue from an infection from years ago. He told me that he thought that I had lung cancer.

[@JoachimMilan1]

'The Tripod Position' helps the patient make the most use of accessory respiratory musculature, right?

[@kevinkelley3657]

I agree

[@georgebullock7923]

l have copd and k found that is helpful to do a series of light ecersises each day and first thing in morning about 3 mins deep breathing gently

[@husseinaskar9062]

what about using steroids in pt with co-morbidity like DM,HF-and COPD exacerbation
what are the precautions for pt with COPD in case of air travel

[@surindersagoo1016]

Thank you very video

[@gaylea.griffin9733]

My Mother and Grandmother died from this and I’ve got it. I smoke and it’s crazy that I am finding it almost impossible to stop. My COPD is much worse. It’s a very scary thing.

[@suewright1299]

Never quit quitting Gayle! I thought I could never do it, but I did 21 years ago. I cut right down to 2 cigarettes and I'd always have them during the evening. It's amazing how, once you find the determination, it's quite easy to stop. I quit on Christmas Day 1998 and have never regretted it. Do your very best and I sincerely hope you can do it, if I can then I'm sure you can! God Bless you, Sue.

[@alb3285]

Was rushed to hospital 2 months ago..so it’s been 2 months. And don’t feel better,and smoked almost 2 packs a day for 25 yrs.. you can do it..

[@gerardhaubert8210]

Smoked Lucky Strikes for 55 years . Used patches and vaping until I stoped both. Haven’t smoked in over 8 years. Trust me, it’s worth it to stop

[@kitkat7491]

I feel your pain! I'm the same

[@arrepuess]

I stopped inhaling cigarettes by smoking cigars. Yes i get secondary smoke inhalation at times, but managed to quit cigarettes. I No longer crave them. Hope you are all doing better.?

[@hengkimhong8145]

how to treatment

[@altafalinaushad6368]

what about S/C terbutaline 0.25mg for Asthma? i read its a substitute for magnesium.

[@StrongMed]

+Happy Minion I've never heard of it being used here in US (though I worked solely in an adult population). It looks like various forms of terbutaline have been looked at in both severe acute exacerbations, and as long-term chronic therapy, but the currently available evidence looks unconvincing. The positive trials have been tiny observational/non-randomized studies (26, 42, 120 pts: www.ncbi.nlm.nih.gov/pubmed/21942352, www.ncbi.nlm.nih.gov/pubmed/25019350, www.ncbi.nlm.nih.gov/pubmed/24468309). The best study I see on a quick review of the literature is an RCT of 100 children with severe exacerbation, who were randomized to magnesium vs. terbutaline vs. amionphylline, and which found that the magnesium group had better outcomes and less side effects than either of the other two (www.ncbi.nlm.nih.gov/pubmed/25164315). It's possible that future, larger RCTs may find a role for this med in specific populations, but the evidence that is currently out there doesn't suggest a reason for changing routine practice.
If you know of another study, please let me know - I may have missed it!

[@kevinkelley3657]

albuterol inhaler works just fine

[@user-pq6ik5bp6f]

Isn’t the guidelines changed?

[@StrongMed]

Yes, this video is 8 years old.

[@gaylea.griffin9733]

Steroids make me so nervous I can’t take them. 😞

[@cjennings6179]

Degenerates ligaments etc. Not good.

[@cjennings6179]

Acupuncture works better.

[@MrTana48]

DO NOT USE COMBIVENT IN THE CASE WITH TACHI CARDIA