asthma Flashcards
3 characteristics of asthma
air flow obstruction
bronchohyperresponsive
inflammation
non-modifiable risk factors
FH or personal history of atopy
sex - M (development) and F (persistence to adulthood)
prematurity and low birth weight
modifiable risk factors
obesity
social deprivation
infancy infection
exposure to tobacco smoke
differential resp diagnoses
bronchiectasis COPD fibrosis PE LC infection
differential CVS diagnosis
heart failure
differential GI diagnosis
gastro-oesophageal reflux
symptoms
WHEEZE
cough
SOB
triggers
exercise tobacco smoke cold temp pets carpets
define atopy
genetic tendency to develop allergic diseases
typically associated with heightened immune response
resp complications
pneumonia
collapse and pneumothorax
resp failure
status asthmaticus
complications
impaired quality of life
side effects of steroid
death
signs
cyanosis increased work of breathing cough audible wheeze fine tremor (salbutamol) tachycardia oral candidiasis (steroid inhaler)
aetiology
inflammatory cell infiltration of airways
smooth muscle hypertrophy
thickening and disruption of airway membrane
causes of acute exacerbations
resp viruses bacterial infections allergens pollutants occupational exposure
management
multidisciplinary approach and stepwise approach
personalised asthma action plan and review
