Asthma & COPD Treatment / Pharmacology (Inhaler Progression)

Get clarity on the progression of inhalers used for asthma and COPD treatment with Dr. Seheult of www.medcram.com/?Y...
Understand the difference in naming and usage of SABA inhalers (short acting beta agonists, LABA inhalers (long acting beta agonists), ICS (inhaled corticosteroids), and LAMAs (long acting muscarinic receptor antagonists).
This video provides a concise overview of the step up inhaler treatment for both asthma and COPD. Includes discussion of albuterol, salmeterol, fluticasone, tiotropium, and many others.
This video is part of the "MedCram Remastered" series: A video we've re-edited & sped up to make learning even more efficient.
Get CLARITY from over 100 concise and high yield videos at www.medcram.com/?Y...
Most of our medical lectures and quizzes are not on KZread.
Speaker: Roger Seheult, MD
Co-Founder of MedCram.com
Clinical and Exam Preparation Instructor
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
MedCram = More understanding in less time
Medical education topics explained clearly including: Respiratory lectures such as Asthma and COPD. Renal lectures on Acute Renal Failure, Urinalysis, and The Adrenal Gland. Internal medicine videos on Oxygen Hemoglobin Dissociation Curve / Oxyhemoglobin Curve and Medical Acid Base. A growing library on critical care topics such as Shock, Diabetic Ketoacidosis (DKA), aortic stenosis, and Mechanical Ventilation. Cardiology videos on Hypertension, ECG / EKG Interpretation, and heart failure. VQ Mismatch and Hyponatremia lectures have been popular among medical students and physicians. The Pulmonary Function Tests (PFTs) videos and Ventilator-associated pneumonia lectures have been particularly popular with RTs. NPs and PAs have provided great feedback on Pneumonia Treatment and Liver Function Tests among many others. Mechanical ventilation for nursing and the emergency & critical care RN course is available at MedCram.com. Dr. Jacquet teaches our EFAST exam tutorial, lung sonography & bedside ultrasound courses. Many nursing students have found the Asthma and shock lectures very helpful. We're starting a new course series on clinical ultrasound & ultrasound medical imaging in addition to other radiology lectures.
Recommended Audience - Medical professionals and medical students including physicians, nurse practitioners, physician assistants, nurses, respiratory therapists, EMT and paramedics, and many others. Review and test prep for USMLE, MCAT, PANCE, NCLEX, NAPLEX, NBDE, RN, RT, MD, DO, PA, NP school and board examinations.
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Please note: MedCram medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider.

Пікірлер: 80

  • @Medcram
    @Medcram5 жыл бұрын

    Thank you for watching. See over 60 other medical topics explained clearly at our website: www.medcram.com/

  • @Respiratory2007
    @Respiratory20073 жыл бұрын

    It is the most beautiful explanation about COPD and Asthma treatment I’ve ever seen😍 thanks a lot doctor!!!

  • @erthquake9038
    @erthquake90383 жыл бұрын

    Might be important to note that the 2019 GINA guidelines don't recommend Albuterol as a rescue inhaler anymore due to mortality endpoint data. They recommend Formoterol + an ICS.

  • @amandamartins5786
    @amandamartins57863 жыл бұрын

    These videos are a dream come true. Dr. Seheult is my favorite professor of all time! I am definitely a HUGE fan.

  • @medicineandtravel
    @medicineandtravel2 жыл бұрын

    Wow! Best explanation of asthma meds I have seen so far. This will be much much easier to retain. Thanks so much!

  • @evangelinebutler5165
    @evangelinebutler51654 жыл бұрын

    I am always overwhelmed by pharmacology, but you made it so easy I feel so good about it. Thank you so much.

  • @danielleboyd3070
    @danielleboyd30702 жыл бұрын

    Thank you Dr Seheult and the Medcram Team. I am listening to this on a loop. Fascinating, informative, lifesaving videos!

  • @Slaviano
    @Slaviano5 жыл бұрын

    As an asthma patient I find is usable for self-aid, thank You!

  • @alexisbianca3202
    @alexisbianca3202 Жыл бұрын

    Thank you. I have exam tomorrow, and my prof gave me 100 slides for this, took me forever to understand. Just found out your vid today, now that you explain it with charts it makes even more sense for people who are visual learners

  • @cordesj1
    @cordesj14 жыл бұрын

    Thank you so much for your easy to understand explanations! Really needed this to improve my understanding.

  • @mabondavis4838
    @mabondavis48383 жыл бұрын

    hello, this is an informative video on copd. one of my colleague was also suffering from this condition. he visited many hospitals but didnt get releif. then one day he visited planet ayurveda and got copd care pack. now he is fine

  • @tonechild5929
    @tonechild59294 жыл бұрын

    I never had asthma until I hit my 20s, then it came in full swing and have had to use a "rescue inhaler" ever since. It was scary because when I had my first asthma attack I had no idea what was going on and I could barely breathe, I thought I was going to die! My mom rushed me to the ER, I then was breathing what I think is albuterol but it was in a machine of some sort and it created like a humid vapor that tastes like albuterol I guess. I breathed on that thing for 30 minutes and then was sent home with a prescription for Albuterol and given a diagnosis of Asthma. I've always had allergies since I was a little kid (pets, pollen) - but it wasn't until my 20s that pets and pollen started triggering Asthma. I pretty much can't have any pets at all, and have to be well medicated during spring to avoid needing a long term super-expensive inhaler. I can manage my asthma by avoiding triggers and that allows me to only need a rescue inhaler maybe once a month or so. It was really sad not having pets. I love both cats and dogs but they make me very sick. Even if I am taking claritin or something similar, prolonged exposure to animal dander triggers my asthma to the point of needing a rescue inhaler 3x a day. From there I end up needing something like Symbicort + claritin + SABA 1-3x a week. No way in hell I can be around animals :(

  • @janake7
    @janake75 жыл бұрын

    I love you! You broke this down so easy!!! You are the bomb!!!!

  • @serpentcharmer2006
    @serpentcharmer20065 жыл бұрын

    This is AMAZING! WIsh I had such a good tutorial at University!

  • @zeeflower9841
    @zeeflower98413 жыл бұрын

    That was awesome!! Thank you for breaking it down in a way that was easy!

  • @robnation2475
    @robnation24754 жыл бұрын

    Ventolin/albuterol used in excess can lower Vitamin D levels. Low D can exacerbate asthma. Yes I am a lab-rat. (52 year old rat)

  • @marcusmize9636

    @marcusmize9636

    3 жыл бұрын

    That’s why a rescue inhaler such as albuterol should not be used as mono therapy

  • @siphannasam7554
    @siphannasam75543 жыл бұрын

    Love your easy explanation! Thank you so much.

  • @cat-xb3oc
    @cat-xb3oc4 жыл бұрын

    Excellent explanation, This is definitely sink in my brain. Thank you

  • @3lo17
    @3lo175 жыл бұрын

    U are my hero .. u are the best I was confused with asmth medication.

  • @vanessavinas8213
    @vanessavinas82134 жыл бұрын

    The triple therapy medication is out now. One inhaler, one inhalation, once per day. Is called Trelegy by GSK

  • @mitraasghari8838
    @mitraasghari88383 жыл бұрын

    This video is amazing, thank you soooooo much

  • @IntegraDIY
    @IntegraDIY5 жыл бұрын

    I was born with asthma, when I was born I also had meningitis. I’m lucky to be alive. I take Dulera and Ventolin which is Albuteral. I haven’t watched the video, but I know it’ll be interesting and helpful

  • @aemeroamox6878
    @aemeroamox68784 жыл бұрын

    That is intresting easy to understand topics that seem complicated while reading alone,thank you sir ,from ethiopia

  • @captainvdog6871
    @captainvdog68714 жыл бұрын

    I liked that! Very helpful! Thank you!

  • @meganflowers9505
    @meganflowers9505 Жыл бұрын

    Love your videos! Thanks!

  • @scottthomas6765
    @scottthomas67655 жыл бұрын

    Love it, somewhat complex material simplified

  • @Medcram

    @Medcram

    5 жыл бұрын

    Thank you for the feedback!

  • @H1Hummer
    @H1Hummer Жыл бұрын

    Wow this is an amazing video being it is easy to understand for the average person.

  • @lolblurple
    @lolblurple Жыл бұрын

    This is the best explanation i've seen. thank you!

  • @Medcram

    @Medcram

    Жыл бұрын

    Glad it was helpful!

  • @e-forcee-force4903
    @e-forcee-force49034 жыл бұрын

    Wow I should have learned this before my boards way back in time ,thanks a lot

  • @silviahughes7508
    @silviahughes75089 ай бұрын

    THANKS SO MUCH FOR YOUR EXPLANATION. I AM A NP STUDENT AND THIS HELPED ME SO MUCH.. THANKS AGAIN!

  • @ronaldlord5166
    @ronaldlord51662 жыл бұрын

    This is super helpful thanks again.

  • @betseyjtrending
    @betseyjtrending2 жыл бұрын

    Nursing student here! You are amazing!!! Thanksssss

  • @marcialyn-roberts2312
    @marcialyn-roberts23122 жыл бұрын

    Best explanation ever!

  • @vascodegama5829
    @vascodegama58295 жыл бұрын

    Good info doc!

  • @luckypenny4263
    @luckypenny4263 Жыл бұрын

    Awesome review thank you

  • @mohammadramishammah4977
    @mohammadramishammah49773 жыл бұрын

    Ausgezeichnet. Danke sehr Sir

  • @jalalalakhras4113
    @jalalalakhras41134 жыл бұрын

    Amazing!!

  • @stephaniecaley5360
    @stephaniecaley53602 ай бұрын

    This helped me so much, prepping for my FNP exam! Just need to verify if anything has changed with the guidelines now

  • @monicahlangwani7011
    @monicahlangwani70113 жыл бұрын

    Brilliant 🤩🤩 thank you

  • @babubhaipanchal1096
    @babubhaipanchal10962 жыл бұрын

    superb explanation

  • @emptyfret1
    @emptyfret12 жыл бұрын

    Great video

  • @StudioGalvan
    @StudioGalvan Жыл бұрын

    Thanks for this clear chart & explanation of asthma treatment with drugs. I'm also getting very good results by identifying & avoiding food & other triggers that will keep me & my daughter less pharmacologically dependant.

  • @hussamtoday3911
    @hussamtoday3911Ай бұрын

    Very thanks ❤

  • @graduategator7
    @graduategator710 ай бұрын

    Superb! Wow

  • @silviahughes7508
    @silviahughes75089 ай бұрын

    Thanks!

  • @richardfriedel2248
    @richardfriedel22484 жыл бұрын

    Asthma eradication: Nose breathing and no inhalers. According David P. Strachan it is unlikely that trends in either outdoor or indoor air pollution have contributed substantially to the rise in prevalence of asthma and allergic disease in recent decades, Then we have the asthma-paradox that for many decades more asthma drugs have led to more asthma. Although acupressure treatment for asthma is widely recommended the points are mostly not on the face. However a distinct positive effect on breathing opening up lung airways to counter asthma with wheezing may be felt on pressing the lips together. This means we have a simple back to nature approach. Accordingly an important cause of asthma is asthma drug addiction. So we are left with asthma paradox that more drug treatment has long been associated with more asthma for decades on end.

  • @abdulelahkhunji6871
    @abdulelahkhunji68712 жыл бұрын

    What about diet , vitamins , and minerals. Thanks 👍🏻

  • @tonechild5929
    @tonechild59294 жыл бұрын

    confused about the ICS, - when I used SABA multiple times per week, I had went from using just the SABA along with SABA + symbicort (which ends with ide??) - I dont know what ICS is atm. Just ventolin and symbicort. Once my allergies were under control, I was able to just have SABA and I use it rarely. EDIT: I guess ventolin is a SBA+ICS , Also the symbicort, that is: Inhaled glucocorticoid and Long acting beta-2-agonist

  • @skinscapetattoo
    @skinscapetattoo Жыл бұрын

    I’m curious as to the effects of long term daily use of inhaled corticosteroids for 45 years? Is Avascular necrosis a concern at all? Have studies been done on such long term use?

  • @richardrodriguez1742
    @richardrodriguez17428 ай бұрын

    I have 2 inhalers prescribed & don't know what they are doing for me, & this almost told me, i'll get the answer from my doctor next week

  • @Jwdaze
    @Jwdaze2 жыл бұрын

    I have COPD and asthma. Why do some of the combination drugs say not to use if you have asthma? I'm confused on which one to safely take for the combination of COPD and asthma.

  • @drplaguebeak9188
    @drplaguebeak91885 жыл бұрын

    You are a legend

  • @onlyme6662
    @onlyme66622 жыл бұрын

    Those of us who have this issue we already know about all this crap! People who don't know this video is for you!

  • @rekhakadam6393
    @rekhakadam63935 жыл бұрын

    Make a video for choosing one inhaler over the other, meaning preferences, in all classes of inhalers

  • @Medcram

    @Medcram

    5 жыл бұрын

    Unfortunately we don’t have good head to head data on all the choices. Most fda approval trials are “non-inferiority” trials meaning that we know that they are equally efficacious. Usually we pick the one the patient will take for the lowest cost.

  • @rekhakadam6393

    @rekhakadam6393

    5 жыл бұрын

    Thank you for that reply... ur videos are really good... efforts appreciated... love from INDIA..🙏🏻

  • @maybearo
    @maybearo5 жыл бұрын

    Hello and thanx for your informative and simple online lectures. I would like to ask are these steps still applicable for asthmatic patient if beta agonists are contraindicated?

  • @Medcram

    @Medcram

    5 жыл бұрын

    Sometimes it’s helpful to consider leukotriene receptor antagonists like monteleukast. Of course make sure you have eliminated potential triggers such as down feather pillows, comforters and indoor pets dander etc.

  • @DefMusic79
    @DefMusic792 жыл бұрын

    On a good day... I average about 8 Asthma attacks from the time I go to sleep until I wake up. So, it's basically M-F. The only thing I use is the Alburtral or however it's spelled lol. I've used tons of meds to calm down my attacks, they work then stop working. Or I'll lose my taste or even voice. So I stop using it. My nerves are absolutely shot!

  • @veronicawalker9273
    @veronicawalker92732 жыл бұрын

    Yeah that was pretty cool. What if you have ACOS. Can you take LABA without ICS? What if you can’t tolerate ICS? How effective is Singulair for COPD? Thank you!

  • @shayestazeba2055
    @shayestazeba20555 жыл бұрын

    really helpful vedio. Thanks for posting. I have a doubt though..how do we decide the use of short acting beta agonist ( how many times a week) in the first place?

  • @AnalogGuy1

    @AnalogGuy1

    4 жыл бұрын

    The pt uses it ad lib as a rescue inhaler for dyspnea. They'll know when they need it.

  • @vanessavinas8213

    @vanessavinas8213

    4 жыл бұрын

    Shayesta Zeba symptoms

  • @vanessavinas8213
    @vanessavinas82134 жыл бұрын

    What kinda test or differences are between Asthma and COPD? The symptoms are both very similar... if a patient comes in my practice and is symptomatic of COPD and or asthma, how do I know patience has COPD and not asthma?

  • @Redpill17

    @Redpill17

    3 жыл бұрын

    The lung function test is used on both and normally COPD yields a result of less than 70% after a use of a bronchodilator, asthma is usually above 70% when assessing these results. Also, asthma is reversible and usually characterized by triggers such as allergens. Another symptom in asthma that you won’t see in COPD is wheezing.

  • @weekendwarrior8179
    @weekendwarrior81795 жыл бұрын

    For an asthma attack you wouldn't just use a duoneb neb tx?

  • @Medcram

    @Medcram

    5 жыл бұрын

    Yes. Or a metered dose inhaler of albuterol. The other inhalers are for maintenance.

  • @RavenWolfDrum69
    @RavenWolfDrum69Ай бұрын

    Im dying .. how does one gets asthma. I got alot of lung diseases pneumonia. Bronchitis., whooping cough, covid twice, im a cosmetologist so ppl always coming in sick. Last 4 yrs horrible Bronchitis , allergens , dr gave me prednisone. And different inhaler . Wish me luch i cant breathe at all😢

  • @aliwehr
    @aliwehr4 жыл бұрын

    I have asthma and I cannot tolerate steroid therapy.

  • @minagica
    @minagica Жыл бұрын

    I thought I was subscribed 🤔

  • @VelocityEditsuwu
    @VelocityEditsuwu2 жыл бұрын

    “Drug companies are not stupid”

  • @medicineandtravel
    @medicineandtravel2 жыл бұрын

    Wow! Best explanation of asthma meds I have seen so far. This will be much much easier to retain. Thanks so much!