asthma Flashcards

1
Q

how to diagnose asthma

A

Spiromety and pulmoanry function

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2
Q

FEV1

A

amount of air forcefully exhaled in one sec

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3
Q

FVC

A

after taking a breath the max volume of air exhaled

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4
Q

FEV1/FVC

A

the % of total air forcefully exhaled

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5
Q

severe asthma

A

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

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6
Q

what are the guidelines for asthma

A

EPR Expert panel report
GINA global initiative for asthma

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7
Q

well controlled asthma is

A

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

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8
Q

not well controlled

A

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

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9
Q

poorly controlled

A

SABA use daily with >4 days of night time awakenings

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10
Q

what vacccines are recommended for people with asthma

A

influenza
pneumovax

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11
Q

treatment overall for asthma

A

rescue drugs
maintenance drugs

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12
Q

treatment algorithm

A

refer to pg 583

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13
Q

moderate asthma

A

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

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14
Q

mild asthma

A

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

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15
Q

what are some rescue inhalers

A

ICS + formoterol
SABA
systemic steroids
inhaled epi

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16
Q

what are some maintenence medds

A

inhaled corticosteroids
LABA
LTRA
thophylline
LAMA
monoclonal antibodies

17
Q

STEP 1

A

low dose ICS formeterol or
SABA +low dose ICS

18
Q

STEP2

A

low dose ICS formoterol or
SABA + low dose ICS maintanence

19
Q

Step 3

A

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

20
Q

step 4

A

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

21
Q

Beta 2 agonist

A

relaxation of bronchiol smooth muscle

22
Q

SABAs

A

albuterol
levalbuterol
epinephrine

23
Q

LABAs

A

asthma
salmeterol

COPD
salmeterol serevent
formoterol

24
Q

ICS

A

asthma
beclomethasone qvar
budesonide pulmicort
fluticasone flovent
mometasone

no single ICS is approved for COPD

25
what is preffered combination in asthma
ICS and ICS/LABA
26
what is preffered in COPD
LABA LAMA LABA/LAMA
27
LAMA
asthma tiotropium COPD tiotropium aclidinium umeclidinium glycopyrrolate
28
laba/lama
no combination for asthma copd alot
29
laba lama ics
asthma trelegy copd trelegy breztri
30
what are some notes on metered dose inhalers
HFA aerolozed liquid propellent slow deep inhalation spacer can be used shaking priming
31
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
32
montelukast
10mg evening <14 5 mg evening neuropsychiatric events
33
theophylline
moa- blocks phosphodiesterase causing increase in camp and results in broncho dialtion IBW