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What causes asthma attacks? p     .

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for reasons medical science doesn't fully understand." said asthma specialist Dr. A nationwide study conducted by the University of Santo Tomas showed that about 12. Then. Dina Diaz of the Lung Center of the Philippines.WHEN asthma was first identified about a century ago.and far more deadly.4 percent of children aged 14-15 years old are afflicted with asthma. asthma started to become far more common ." The country has a prevalence rate of about 12 percent. children who are affected with the disease will become disabled. one out of 10 Filipinos has asthma. Over all. If not treated early. In the Philippines. asthma affects some 8 million children. "This is alarming. based on a Philippine General Hospital survey. the Philippines ranked 32nd in "self-reported asthma. in the 1970s. it was a relatively rare disease. Of the 56 countries which participated in the phase 1 of International Study on Asthma and Allergies in Children. for it means school-children may have their performance in school affected and young adults may lose out on job opportunities and decrease their earning potential due to their ailment. .

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People with asthma experience symptoms when the airways tighten. inflame. or fill with mucus. . pain. Your symptoms may also vary from one asthma attack to the next. especially at night Wheezing Shortness of breath Chest tightness. or you may have different symptoms of asthma at different times. You may not have all of these symptoms. Common asthma symptoms include: Coughing. not every person with asthma has the same symptoms in the same way. or pressure Still. being mild during one and severe during another.

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In general. These signs may start before the well- known symptoms of asthma and are the earliest signs that your asthma is worsening.Early warning signs are changes that happen just before or at the very beginning of an asthma attack. you can stop an asthma attack or prevent one from getting worse. these signs are not severe enough to stop you from going about your daily activities. . But by recognizing these signs.

Early warning signs include: * Frequent cough. and headache) * Trouble sleeping . especially at night * Losing your breath easily or shortness of breath * Feeling very tired or weak when exercising * Wheezing or coughing after exercise * Feeling tired. runny nose. easily upset. cough. grouchy. nasal congestion. sore throat. or moody * Decreases or changes in lung function as measured on a peak flow meter * Signs of a cold or allergies (sneezing.

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toddlers and preschoolers often continue to be fairly active in spite of increasing chest tightness or difficulty with breathing. A baby's fussy behavior could mean many things. they cannot describe how they are feeling. . breathing patterns and responses to foods or possible allergy triggers. p To help the pediatrician make a correct diagnosis. the child's overall behavior. p Diagnosing asthma in very young children is difficult. parents must provide information about family history of asthma or allergies. however. Since they are not able to communicate.

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there should be no more than the occasional flare-up and severe exacerbations should be rare.VIncreased respiratory rate VWheezing (intensifies as attack progresses) VCough (productive) VUse of accessory muscles VDistant breath sounds VFatigue VMoist skin VAnxiety and apprehension VDyspnea asthma can be controlled with appropriate treatment and when asthma is controlled. .

and antibiotics. Listen actively as the child speaks. anti-inflammatory. Discuss the need for periodic PFTs to evaluate and guide therapy and to monitor the course of the illness. Provide child and family teaching.J Assess respiratory status by closely evaluating breathing patterns and monitoring vital signs 2. Assist the child and family to name signs and symptoms of an acute attack and appropriate treatment measures 8. and help him to identify the positive and negative aspects of his situation. Promote adequate oxygenation and a normal breathing pattern 4. 3. Refer the family to appropriate community agencies for assistance. Administer prescribed medications. Explain the possible use of hyposensitization therapy 5. . 7. such as bronchodilators. Help the child cope with poor self-esteem by encouraging him to ventilate feelings and concerns. 6. focus on the child͛s strengths.

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