How Do I manage a patient with asthma?

No information available to require special precautions.

Prescribe the following with caution, due to likely adverse reactions:

1. NSAIDs, ASA-containing medications: Samter triad syndrome, an association of ASA sensitivity, ASA-induced asthma, nasal polyposis or sinusitis.

2. Barbiturates, narcotics: may precipitate an asthma attack.

• Sulfite preservatives
• A coughing reflex and prolonged supine positioning. Consider semisupine chair position.
• Materials with powder components (e.g., alginate and allergens used in latex gloves)
• Severe stress
• Patient taking beta blockers

• Inability to finish sentences with one breath
• Coughing, chest tightness, wheezing
• Patient becomes anxious and agitated

• To minimize the risk of an asthma attack, schedule late morning or late afternoon appointments.
• Patient should take prescribed inhalational agents as instructed by family physician and/or respirologist.

• Caries and gingivitis
• Oral candidiasis
• Acid reflux