asthma

Question 1

how to diagnose asthma

Answer 1

Spiromety and pulmoanry function

Question 2

FEV1

Answer 2

amount of air forcefully exhaled in one sec

Question 3

FVC

Answer 3

after taking a breath the max volume of air exhaled

Question 4

FEV1/FVC

Answer 4

the % of total air forcefully exhaled

Question 5

severe asthma

Answer 5

through out the day
night awakening everyday
SABA use everyday
limited physical activity
FEV1/FVC <60

Question 6

what are the guidelines for asthma

Answer 6

EPR Expert panel report
GINA global initiative for asthma

Question 7

well controlled asthma is

Answer 7

<2 days of SABA used per week with <2 nighttim akenings

Question 8

not well controlled

Answer 8

symptoms with >2 days of SABA use with 1-3 night time awakenings

Question 9

poorly controlled

Answer 9

SABA use daily with >4 days of night time awakenings

Question 10

what vacccines are recommended for people with asthma

Answer 10

influenza
pneumovax

Question 11

treatment overall for asthma

Answer 11

rescue drugs
maintenance drugs

Question 12

treatment algorithm

Answer 12

refer to pg 583

Question 13

moderate asthma

Answer 13

daily
>1 per week awakenings
saba used daily
FEV/FVC 60-80

Question 14

mild asthma

Answer 14

> 2days weekly
night time awakening 3-4 times monthly

Question 15

what are some rescue inhalers

Answer 15

ICS + formoterol
SABA
systemic steroids
inhaled epi

Question 16

what are some maintenence medds

Answer 16

inhaled corticosteroids
LABA
LTRA
thophylline
LAMA
monoclonal antibodies

Question 17

STEP 1

Answer 17

low dose ICS formeterol or
SABA +low dose ICS

Question 18

STEP2

Answer 18

low dose ICS formoterol or
SABA + low dose ICS maintanence

Question 19

Step 3

Answer 19

low dose ICS rescue + low dose ICS formoterol 0r
SABA rescue + low dose ICS LABA maintanence

Question 20

step 4

Answer 20

low dose ICS formoterol rescue +medium dose ICS formoterol or
SABA + medium dose ICS LABA

Question 21

Beta 2 agonist

Answer 21

relaxation of bronchiol smooth muscle

Question 22

SABAs

Answer 22

albuterol
levalbuterol
epinephrine

Question 23

LABAs

Answer 23

asthma
salmeterol

COPD
salmeterol serevent
formoterol

Question 24

ICS

Answer 24

asthma
beclomethasone qvar
budesonide pulmicort
fluticasone flovent
mometasone

no single ICS is approved for COPD

Question 25

what is preffered combination in asthma

Answer 25

ICS and ICS/LABA

Question 26

what is preffered in COPD

Answer 26

LABA
LAMA
LABA/LAMA

Question 27

LAMA

Answer 27

asthma
tiotropium

COPD
tiotropium
aclidinium
umeclidinium
glycopyrrolate

Question 28

laba/lama

Answer 28

no combination for asthma

copd
alot

Question 29

laba lama ics

Answer 29

asthma
trelegy

copd
trelegy
breztri

Question 30

what are some notes on metered dose inhalers

Answer 30

HFA
aerolozed liquid
propellent
slow deep inhalation
spacer can be used
shaking
priming

Question 31

what are some notes on DPIs

Answer 31

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

Question 32

montelukast

Answer 32

10mg evening
<14 5 mg evening
neuropsychiatric events

Question 33

theophylline

Answer 33

moa- blocks phosphodiesterase causing increase in camp and results in broncho dialtion
IBW