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ccfp > asthma > Flashcards

asthma Flashcards

1
Q

what are some aggravating comorbidities to asthma? Name 5

A

GERD
Sleep apnea
obesity
stress/depression
rhinitis/rhinosinusitis

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2
Q

risk factors for severe asthma? list 5

A

-hx of severe exacerbation
-poorly controlled asthma
-current smoker
-vit D deficiency
-comorbidities

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3
Q

how is asthma diagnosed in a child 5 or younger?

A

-at least TWO episodes of:

  1. documented airflow obstruction
  2. documented reversibility of airflow obstruction
  3. No clinical evidence of alternative diagnosis
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4
Q

what factor predicts persistant asthma?

A

atopy

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5
Q

GOOD ASTHMA CONTROL HAS:
Daytime symptoms ____

A

≤2 days per week

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6
Q

GOOD ASTHMA CONTROL HAS:
Night time symptoms:

A

<1 per week and mild

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7
Q

GOOD ASTHMA CONTROL HAS:
___ physical activity impact

A

NO

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8
Q

GOOD ASTHMA CONTROL HAS:
____ absence from work or school

A

NO

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9
Q

GOOD ASTHMA CONTROL HAS:
___ exacerbations

A

mild, infrequent

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10
Q

GOOD ASTHMA CONTROL HAS:
Need for ventolin or bud/form __

A

≤2 per week

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11
Q

GOOD ASTHMA CONTROL HAS:
FEV1 or PEF of ____

A

≥90% of personal best

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12
Q

what is considered a mild exacerbation of asthma?

A

one that does not require systemic steroids or ER visit/hospitilization

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13
Q

what med should people with asthma consider avoiding?

A

NSAIDS

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14
Q

what is symbicort?

A

combo of budesonide/formoterol

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15
Q

what is the first treatment step for very mild asthma for someone <12?

A

SABA PRN

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16
Q

what is the first treatment step for very mild asthma for someone >12?

A

SABA prn OR symbicort PRN (bud/form)

17
Q

what is the SECOND treatment step (for mild asthma with high risk exacerbation or uncontrolled on saba prn) for <12 yo?

A

SABA prn PLUS ICS low dose

18
Q

what is the SECOND treatment step (for mild asthma with high risk exacerbation or uncontrolled on saba prn) for >12 yo?

A

symbicort PRN (reliever +ics)

OR

ventolin + ICS (flovent) low dose

19
Q

What step in the asthma treatment plan should you start at if you have symptoms most days?

A

step 3 - moderate

20
Q

What is the step 3 (moderate) treatment for <12 yo?

A

SABA prn + increased dose of ICS

*and refer

21
Q

What is the step 3 (moderate) treatment for > 12 yo?

A

reliever PRN + ICS
Preferred: Symbicort BID + ventolin PRN

*and refer

22
Q

What is step 4 (severe) treatement asthma for <12 yo?

A

SABRA prn + ICS + LABA/LTRA

23
Q

what is a mild pram score?

A

1-3

24
Q

what is a moderate pram score?

A

4-7

25
Q

what is a severe PRAM score?

A

8-12

26
Q

management of mild PRAM (1-3) score?

A

salbutomol q30-60 min
+/- oral steroids

27
Q

management of a mod PRAM (4-7)?

A

salbutamol + /- ipratropium PLUS oral steroids

PLUS admission

28
Q

management of a severe PRAM (8-12)

A

oral steroid + SABA/iptratropium q20 min, continues nebulized salbutomol, IV access, IV salbutomol, IV magnesium

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