When I talk to people in the community, I always say it is like a triple threat. There is airway inflammation where the airway lining becomes red, swollen, and narrow. Then you have bronchoconstriction, where the muscles that encircle the airway tighten up and spasm, further constricting the airway. There is also airway obstruction. As the airway tightens and narrows, it can be very difficult to get air in and out of the lungs, especially out. Airway hyperresponsiveness occurs when the muscles that encircle the airway respond more vigorously and quickly to smaller amounts of allergens and irritants. In addition, secretions (mucus production) within the airway lining increase during an asthma attack.
Nancy is a respiratory therapist with 35 plus years of experience from ICU to Rehabilitation to Community, providing education and training in disease prevention, respiratory programs, and personal wellness. She has worked as a liaison and consultant with EMS and Medical Transport for nearly 20 years providing education and training and competencies on ventilator and tracheostomy management and safe patient transport. A pioneer and leader in population health management, her teaching strategies are evidence-based, interdisciplinary, and address clinical health outcomes holistically and with a health equity lens. Nancy currently serves as a Community Asthma and COPD Expert for the Allergy and Asthma Network.
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