asthma Flashcards
how to diagnose asthma
Spiromety and pulmoanry function
FEV1
amount of air forcefully exhaled in one sec
FVC
after taking a breath the max volume of air exhaled
FEV1/FVC
the % of total air forcefully exhaled
severe asthma
through out the day
night awakening everyday
SABA use everyday
limited physical activity
FEV1/FVC <60
what are the guidelines for asthma
EPR Expert panel report
GINA global initiative for asthma
well controlled asthma is
<2 days of SABA used per week with <2 nighttim akenings
not well controlled
symptoms with >2 days of SABA use with 1-3 night time awakenings
poorly controlled
SABA use daily with >4 days of night time awakenings
what vacccines are recommended for people with asthma
influenza
pneumovax
treatment overall for asthma
rescue drugs
maintenance drugs
treatment algorithm
refer to pg 583
moderate asthma
daily
>1 per week awakenings
saba used daily
FEV/FVC 60-80
mild asthma
> 2days weekly
night time awakening 3-4 times monthly
what are some rescue inhalers
ICS + formoterol
SABA
systemic steroids
inhaled epi
what are some maintenence medds
inhaled corticosteroids
LABA
LTRA
thophylline
LAMA
monoclonal antibodies
STEP 1
low dose ICS formeterol or
SABA +low dose ICS
STEP2
low dose ICS formoterol or
SABA + low dose ICS maintanence
Step 3
low dose ICS rescue + low dose ICS formoterol 0r
SABA rescue + low dose ICS LABA maintanence
step 4
low dose ICS formoterol rescue +medium dose ICS formoterol or
SABA + medium dose ICS LABA
Beta 2 agonist
relaxation of bronchiol smooth muscle
SABAs
albuterol
levalbuterol
epinephrine
LABAs
asthma
salmeterol
COPD
salmeterol serevent
formoterol
ICS
asthma
beclomethasone qvar
budesonide pulmicort
fluticasone flovent
mometasone
no single ICS is approved for COPD
what is preffered combination in asthma
ICS and ICS/LABA
what is preffered in COPD
LABA
LAMA
LABA/LAMA
LAMA
asthma
tiotropium
COPD
tiotropium
aclidinium
umeclidinium
glycopyrrolate
laba/lama
no combination for asthma
copd
alot
laba lama ics
asthma
trelegy
copd
trelegy
breztri
what are some notes on metered dose inhalers
HFA
aerolozed liquid
propellent
slow deep inhalation
spacer can be used
shaking
priming
what are some notes on DPIs
diskus, ellipta, pressair, handihaler neohaler, respiclick flexhaler
fine powder
no propellent
quick forcefull inhalation like uno
do not shake
spacer cannot be used
not primed except flexhaler
montelukast
10mg evening
<14 5 mg evening
neuropsychiatric events
theophylline
moa- blocks phosphodiesterase causing increase in camp and results in broncho dialtion
IBW
