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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...

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Autores principales: Hayden, Mary Lou, Stoloff, Stuart W, Colice, Gene L, Ostrom, Nancy K, Eid, Nemr S, Parsons, Jonathan P
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Inc 2012
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.
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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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