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Exercise-induced bronchospasm: a case study in a nonasthmatic patient.

MedStar author(s):

Citation: Journal of the American Academy of Nurse Practitioners. 24(1):19-23, 2012 Jan.PMID: 22243677Institution: MedStar Washington Hospital CenterDepartment: Medicine/Pulmonary-Critical CareForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Bronchial Spasm | *Exercise | HumansYear: 2012 Local holdings: Available online through MWHC library: 2008 - present, Available in print through MWHC library: 1999 - 2006ISSN:

1041-2972

Name of journal: Journal of the American Academy of Nurse PractitionersAbstract: 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.DATA SOURCES: Case presentation and review of the EIB Landmark Survey.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. 2011 The Author(s) Journal compilation 2011 American Academy of Nurse Practitioners.PURPOSE: To provide an overview of the clinical presentation, diagnosis, and management of exercise-induced bronchospasm (EIB) without underlying asthma.All authors: Colice GL, Eid NS, Hayden ML, Ostrom NK, Parsons JP, Stoloff SWFiscal year: FY2012Digital Object Identifier:

http://dx.doi.org/10.1111/j.1745-7599.2011.00691.x

Date added to catalog: 2013-09-17

Holdings ( 1 )
Title notes ( 6 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	22243677	Available		22243677

Available online through MWHC library: 2008 - present, Available in print through MWHC library: 1999 - 2006

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.

DATA SOURCES: Case presentation and review of the EIB Landmark Survey.

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. 2011 The Author(s) Journal compilation 2011 American Academy of Nurse Practitioners.

PURPOSE: To provide an overview of the clinical presentation, diagnosis, and management of exercise-induced bronchospasm (EIB) without underlying asthma.

English