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Exercise-induced bronchospasm: A case study in a nonasthmatic patient
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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Inc
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3378720/ https://www.ncbi.nlm.nih.gov/pubmed/22243677 http://dx.doi.org/10.1111/j.1745-7599.2011.00691.x |
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author | Hayden, Mary Lou Stoloff, Stuart W Colice, Gene L Ostrom, Nancy K Eid, Nemr S Parsons, Jonathan P |
author_facet | Hayden, Mary Lou Stoloff, Stuart W Colice, Gene L Ostrom, Nancy K Eid, Nemr S Parsons, Jonathan P |
author_sort | Hayden, Mary Lou |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3378720 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Blackwell Publishing Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-33787202012-06-20 Exercise-induced bronchospasm: A case study in a nonasthmatic patient Hayden, Mary Lou Stoloff, Stuart W Colice, Gene L Ostrom, Nancy K Eid, Nemr S Parsons, Jonathan P J Am Acad Nurse Pract Case Study 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. Blackwell Publishing Inc 2012-01 /pmc/articles/PMC3378720/ /pubmed/22243677 http://dx.doi.org/10.1111/j.1745-7599.2011.00691.x Text en ©2011 The Author(s) Journal compilation ©2011 American Academy of Nurse Practitioners http://creativecommons.org/licenses/by/2.5/ Re-use of this article is permitted in accordance with the Creative Commons Deed, Attribution 2.5, which does not permit commercial exploitation. |
spellingShingle | Case Study Hayden, Mary Lou Stoloff, Stuart W Colice, Gene L Ostrom, Nancy K Eid, Nemr S Parsons, Jonathan P Exercise-induced bronchospasm: A case study in a nonasthmatic patient |
title | Exercise-induced bronchospasm: A case study in a nonasthmatic patient |
title_full | Exercise-induced bronchospasm: A case study in a nonasthmatic patient |
title_fullStr | Exercise-induced bronchospasm: A case study in a nonasthmatic patient |
title_full_unstemmed | Exercise-induced bronchospasm: A case study in a nonasthmatic patient |
title_short | Exercise-induced bronchospasm: A case study in a nonasthmatic patient |
title_sort | exercise-induced bronchospasm: a case study in a nonasthmatic patient |
topic | Case Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3378720/ https://www.ncbi.nlm.nih.gov/pubmed/22243677 http://dx.doi.org/10.1111/j.1745-7599.2011.00691.x |
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