Asthma Flashcards
1
Q
If a patient has initial partial responsiveness to a bronchodilator (saβa), but lose reactivity to following Tx, what should you suspect?
A
Foreign body
2
Q
What is the hallmark sign of bronchial asthma?
A
Tx responsive bronchoconstriction
3
Q
What is a leading cause of pediatric morbidity?
A
Pediatric asthma
4
Q
Peak onset of pediatric asthma?
A
5 yo
5
Q
Which children have the worst asthma?
A
Asthma + eczema
Atopic triad
6
Q
When is asthma Dx?
A
≥3 episodes
7
Q
Tx for mild intermittent asthma?
A
SAβA PRN
8
Q
Dx for Mild Persistent Asthma?
A
- Sx > 2 weeks
- Sx < 1 daily
- Nocturnal ≥2 month
- PFTs 20-30% of baseline
9
Q
Tx for mild persistent asthma?
A
- SAβA PRN
- LD ICS, LT4 antagonist, cromolyn
10
Q
Dx for Moderate Persistent Asthma
A
- Sx: daily
- Nocturnal = 1 week
- PFTs = 30-40% baseline
11
Q
Tx for moderate persistent asthma
A
- MD ICS (OR) LD ICS w/ LAβA
- May need LT4 antagonist, additionally
12
Q
Dx for severe persistent asthma
A
- Sx: continuous
- Nocturnal: frequent
- PFTs = 40-50% of baseline
13
Q
Tx for severe persistent asthma
A
- HD ICS
- LAβA
- LT4 antagonist
- PO steroid
14
Q
What is the PEF & O2 sat of a mild asthmatic?
A
- PEF = 70-90% of baseline
- O2 sat > 95%
15
Q
What is the PEF & O2 sat of a moderate asthmatic?
A
- PEF = 50-70% of baseline
- O2 sat = 90-95%
