Acute Asthma

Question 1

Definition of Acute Asthma

Answer 1

Reversible Chronic inflammatory disease of the airway

Question 2

What are 3 typical causes of acute asthma

Answer 2

Dust / Pets

Emotions

Drugs ==> B blockers

Question 3

What are 3 typical symptoms of Acute Asthma

Answer 3

Wheezing

SOB

Coughing

Question 4

What does the atopy triad consist of

Answer 4

Eczema

Asthma

Hay Fever

Question 5

What are 3 investigations in acute asthma

Answer 5

Sputum Sample

Spirometry

Bloods ==> Inc. IgE

Question 6

Pathology of acute asthma (train of cells involved)

Answer 6

Allergen ==> TH2==> IL4 ==> Eosino. + B.cell ==> IgE + Histamine

Question 7

Il-5 activates what in acute asthma

Il-13 activates what in acute asthma

Answer 7

Eosinophils

Mucous secretion

Question 8

What is the treatment of acute asthma (. ….)

Answer 8

O SHIT

O xygen

S albutamol (B2 blocker)
H ydrocortisone (Corticosteroid)
I pratropium (Anti AcH)
T heophylline (Xanthine)

Question 9

What guideline is used in acute asthma

Answer 9

British Thoracic Society Guidelines (BTSG)

Question 10

What are the 5 stages of BTSG

Answer 10

1. Salbutamol
2. Salbutamol + Beclometasone
3. (2) + Salmeterol
4. inc. doses + theophylline // Montelukast
5. Prednisolone

Question 11

What are 4 complications of taking steroids for acute asthma

Answer 11

Weight gain

Striae formation

Cushing’s syndrome

Osteoporosis