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Status asthmaticus
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Status asthmaticus
Classification and external resources ICD-10 J46. ICD-9 493.01, 493.91 MeSH D013224

Status asthmaticus is an acute exacerbation of asthma that does not respond to standard treatments of bronchodilators and corticosteroids. Symptoms include chest tightness, rapidly progressive dyspnea (shortness of breath), dry cough, use of accessory muscles, labored breathing and extreme wheezing. It is a life-threatening episode of airway obstruction considered a medical emergency. Complications include cardiac and/or respiratory arrest. The lung failure means that oxygen can no longer be provided, carbon dioxide can no longer be eliminated, which leads to acidosis. It is characterized histologically by smooth muscle hypertrophy and basement membrane thickening. Interventions include initiating and maintaining IV access, bronchodilators as prescribed, telemetry monitoring and preparing for emergency intubation.

[edit] External links

Overview Penn State eMedicine Healingwell [hide]

vde

Pathology of respiratory system (J, 460-519), respiratory diseases

Upper RT (including Headsinuses: Sinusitis

nose: Rhinitis (Vasomotor rhinitis, Atrophic rhinitis, Hay fever) Nasal polyp Deviated septum Rhinorrhea URTIs, Common cold) Neck tonsil: Tonsillitis Adenoid hypertrophy Peritonsillar abscess pharynx: Pharyngitis (Strep throat) larynx: Laryngitis Croup Laryngospasm vocal folds: Vocal fold nodule epiglottis: Epiglottitis trachea: Tracheitis Tracheal stenosis Lower RT/lung disease (including LRTIs) acute: Acute bronchitis chronic: COPD (Chronic bronchitis, Emphysema, Diffuse Bronchial/ panbronchiolitis) Asthma (Status asthmaticus) obstructive Bronchiectasis unspecified: Bronchitis Bronchiolitis (Bronchiolitis obliterans) Pneumoconiosis (Asbestosis, Baritosis, Bauxite External fibrosis, Berylliosis, Caplan's syndrome, agents/ Chalicosis, Coalworker's pneumoconiosis, occupational Siderosis, Silicosis, Byssinosis) lung disease Hypersensitivity pneumonitis (Bagassosis, Bird fancier's lung, Farmer's lung) ARDS Pulmonary edema Lffler's syndrome/Eosinophilic pneumonia Respiratory hypersensitivity (Allergic bronchopulmonary aspergillosis) Hamman-Rich syndrome Idiopathic pulmonary fibrosis Sarcoidosis Viral Bacterial (Pneumococcal, Klebsiella) / Atypical bacterial (Mycoplasma, Legionnaires' disease, Chlamydiae) Fungal (Pneumocystis) Parasitic noninfectious (Chemical/Mendelson's syndrome, Aspiration/Lipid)

Interstitial/ restrictive

Other

Obstructive Pneumonia/ or pneumonitis restrictive

By pathogen

By Community-acquired Healthcarevector/route associated Hospital-acquired

By Broncho- Lobar distribution IIP Other UIP DIP BOOP-COP NSIP RB

Atelectasis circulatory (Pulmonary hypertension, Pulmonary embolism)

SuppurationEmpyema/pyothorax Lung abscess Pleuritis/pleurisy Pleural Pleural cavity/ disease mediastinum Pneumothorax/Hemopneumothorax (Tension pneumothorax) Pleural effusion: Hemothorax Hydrothorax Chylothorax Fibrothorax Mediastinal Mediastinitis Mediastinal emphysema disease Other/general Respiratory failure Influenza SARS Idiopathic pulmonary haemosiderosis Pulmonary alveolar proteinosis

see also congenital, neoplasia This medical article is a stub. You can help Wikipedia by expanding it. Retrieved from "http://en.wikipedia.org/wiki/Status_asthmaticus" Categories: Asthma | Pulmonology | Medicine stubs
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