Treatments for Allergic bronchopulmonary aspergillosis
Treatments for Allergic bronchopulmonary aspergillosis
The list of treatments mentioned in various sources
for Allergic bronchopulmonary aspergillosis
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Book Excerpts: Treatment of Allergic bronchopulmonary aspergillosis
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Anaphylaxis:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Epinephrine, establishment of airway, I.V. volume expanders, steroids, diphenhydramine, CPR if cardiac arrest occurs
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Aspergillosis:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Aspergillosis doesn’t require isolation. Treatment requires local excision of the lesion and supportive therapy, such as chest physiotherapy and coughing, to improve pulmonary function. Endocarditis caused by Aspergillus is treated by surgical removal of infected heart valves and long-term amphotericin B therapy. Allergic aspergillosis requires desensitization and, possibly, steroids. Disseminated aspergillosis and aspergillosis endophthalmitis require a 2- to 3-week course of I.V. amphotericin B (as well as prompt cessation of immunosuppressive therapy). Voriconazole or itraconazole can also be used for treatment. However, the disseminated form results in an infection that's so virulent that amphotericin B therapy can’t stop the systemic involvement; eventually, death ensues.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Allergic purpuras:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment is generally symptomatic; for example, severe allergic purpura may require steroids to relieve edema and analgesics to relieve joint and abdominal pain. Some patients with chronic renal disease may benefit from immunosuppressive therapy with azathioprine along with identification of the provocative allergen. An accurate allergy history is essential.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
anaphylaxis:
Treatment and special considerations
(Handbook of Diseases)
Anaphylaxis is always an emergency. It requires an immediate injection of 0.1 to 0.5 ml of epinephrine 1:1,000 aqueous solution, repeated every 5 to 20 minutes as necessary.
If the patient is in the early stages of anaphylaxis and hasn’t yet lost consciousness and is still normotensive, give epinephrine I.M. or subcutaneously (S.C.), helping it move into the circulation faster by massaging the injection site. For severe reactions, when the patient has lost consciousness and is hypotensive, give epinephrine I.V.
Maintain airway patency. Observe the patient for early signs and symptoms of laryngeal edema (stridor, hoarseness, and dyspnea), which will probably necessitate endotracheal tube insertion or a tracheotomy and oxygen therapy.
If the patient is experiencing cardiac arrest, begin cardiopulmonary resuscitation, including closed-chest heart massage, assisted ventilation, and sodium bicarbonate; further therapy depends on the patient’s response.
Watch for hypotension and shock, and maintain circulatory volume with a volume expander (plasma, a plasma expander, saline solution, or albumin) as needed. Stabilize blood pressure with the I.V. vasopressors norepinephrine and dopamine. Monitor blood pressure, central venous pressure, and urine output as a response index.
After the initial emergency, administer such medications as S.C. epinephrine, a longer-acting epinephrine, a corticosteroid, and I.V. diphenhydramine for long-term management and aminophylline I.V. over 10 to 20 minutes for bronchospasm.
Caution: Rapid infusion of aminophylline may cause or aggravate severe hypotension.
CLINICAL TIP: Even after the acute anaphylactic event has been controlled, patients must be counseled about the risks of delayed signs and symptoms. Any recurrence of shortness of breath, chest tightness, sweating, angioedema, or other signs and symptoms must be reported immediately.
To prevent anaphylaxis, teach the patient to avoid exposure to known allergens. If the patient has a food or drug allergy, he must learn to avoid the offender in all forms. If the patient has an allergy to insect stings, he should avoid open fields and wooded areas during the insect season and should carry an anaphylaxis kit whenever he goes outdoors. Show him how to use the kit. (See Showing patients how to use an anaphylaxis kit.) What’s more, if the patient is prone to anaphylaxis, he should wear a medical identification bracelet identifying his allergies.
If a patient must receive a drug to which he’s allergic, prevent a severe reaction by making sure he receives careful desensitization with gradually increasing doses of the antigen or advance administration of steroids.
A patient with history of allergies should receive a drug with a high anaphylactic potential only after cautious pretesting for sensitivity. Closely monitor the patient during testing, and make sure you have resuscitative equipment and epinephrine ready.
If any patient needs a drug with high anaphylactic potential (particularly a parenteral drug), make sure he receives each dose under close medical observation.
Closely monitor a patient undergoing diagnostic tests that use radiographic contrast dyes, such as cardiac catheterization, excretory urography, and angiography.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Aspergillosis:
Treatment
(Handbook of Diseases)
Patients with aspergillosis don’t have to be isolated.
Treatment of aspergilloma necessitates local excision of the lesion and supportive therapy, such as chest physiotherapy and coughing, to improve pulmonary function. Those with severe hemoptysis due to fungus ball of the lung may benefit from lobectomy.
Allergic aspergillosis requires desensitization and, possibly, a steroid.
Disseminated aspergillosis and aspergillosis endophthalmitis require a 2- to 3-week course of I.V. amphotericin B (as well as prompt cessation of immunosuppressant therapy). However, the disseminated form of aspergillosis commonly resists amphotericin B therapy and rapidly progresses to death.
CLINICAL TIP: Itraconazole may be useful in slowing the progression of the disease in patients with immunocompetency.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Allergic purpura:
Treatment
(Handbook of Diseases)
Most patients with Henoch-Schönlein syndrome recover completely. When therapy is required, the glucocorticoid prednisone is given in doses of 1 mg/kg, and tapered to response, to relieve edema. An analgesic may be given to relieve joint and abdominal pain. Some patients with chronic renal disease may benefit from intensive plasma exchange combined with an immunosuppressant, along with identification of the provocative allergen. An accurate allergy history is essential.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Coccidioido-mycosis:
Treatment
(Handbook of Diseases)
Usually, mild primary coccidioidomycosis requires only bed rest and relief of symptoms. Severe primary disease and dissemination, however, also require long-term I.V. infusion or, with CNS dissemination, intrathecal administration of amphotericin B and, possibly, excision or drainage of lesions. Severe pulmonary lesions may require lobectomy. Miconazole and ketoconazole suppress C. immitis but don’t eradicate it. Itraconazole has been used successfully in the treatment of mildly severe cases.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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