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Doctor insights on: Causes Of Status Asthmaticus

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In status asthmaticus, what is the cause of inspiratory wheezing?

In status asthmaticus, what is the cause of inspiratory wheezing?

Airway constriction: With any asthma attack, the airway is constricted, which increases the flow velocity and causes the noise, which we call wheezing. Of course the real problem is the increased work of breathing and decreased oxygenation. Medications open the airway, decreasing the flow velocity, reducing the noise and allowing you to breath easier. ...Read more

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Can you tell me in patient with status asthmaticus, what is the cause of inspiratory wheezing?

Narrow airway: In asthma, wheezing is usually expiratory, but in any case, the sound of wheeze is basically caused by the movement of air through a narrow airway. ...Read more

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What should you do if someone has status asthmaticus?

What should you do if someone has status asthmaticus?

Go to the ER!: If someone is having an asthma attack that doesn't respond to their rescue medication, they need to go to the er immediately for treatment. ...Read more

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Treatment for an status asthmaticus attack?

Treatment for an status asthmaticus attack?

Hospitalization: If someone is having an asthma attack that is not responding to their rescue medication, they need to go the er immediately to be treated in the hospital. ...Read more

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Can status asthmaticus be the first presentation of asthma in kids?

Can status asthmaticus be the first presentation of asthma in kids?

It can/ usually not: Most cases of asthma start out rather mild, but some can start with a bang. So yes a few start with status. ...Read more

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Could status asthmaticus be the first presentation of asthma in child?

Could status asthmaticus be the first presentation of asthma in child?

Yes: A severe asthma attack (status asthmaticus) could certainly be the first presentation of asthma in a child. ...Read more

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Had critical illness polymyopathy from status asthmaticus...Now emg normal could I have type 2 muscle fiber damage and thats why normal emg?

Had critical illness polymyopathy from status asthmaticus...Now emg normal could I have type 2 muscle fiber damage and thats why normal emg?

How do you FEEL?: The best way to tell how well you have recovered from this complicated illness is by how you feel. Since long-term there's no specific treatment and conditioning is important, you are the one to answer the question. And you're right -- a normal EMG does not rule anything in or out. Hope it's a good recovery, best of luck. ...Read more

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For a kid who normally sats at 97-100 overnite, what saturation level should I call the doc? We just left hospital post status asthmaticus today. :(

For a kid who normally sats at 97-100 overnite, what saturation level should I call the doc? We just left hospital post status asthmaticus today. :(

Given the recent...: Care provided for asthma exacerbation, and particularly if still on steroids and/or albuterol, its reasonable to maintain a higher degree of vigilance. I generally use a cutoff of 92% o2 sat. That being said, i try to treat patients, not numbers. Parental concern, or physical exam findings like wheezing, flaring, retractions and tachypnea reflect respiratory distress and should prompt an eval. ...Read more

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