Asthma

Question 1

Asthma vs COPD onset and symptoms

Answer 1

ASTHMA
❑ Before age 20 years
❑ Variation over minutes, hours or days
❑ Worse during the night or early morning
❑ Triggered by exercise, emotions
including laughter, dust or exposure
to allergens
COPD
❑ After age 40 years
❑ Persistent despite treatment
❑ Good and bad days but always daily
symptoms and exertional dyspnea
❑ Chronic cough & sputum preceded
onset of dyspnea, unrelated to triggers

Question 2

Asthma vs COPD lung function

Answer 2

Lung function

Aathma
❑ Record of variable airflow limitation
(spirometry or peak flow)
COPD
❑ Record of persistent airflow limitation
(FEV1/FVC < 0.7 post-B

Answer 3

Chest X-ray
ASTHMA
❑ Normal
COPD
❑ Severe hyperinflation

Question 4

Aathma vs COPD tratment

Answer 4

In asthma never give LABA alone
In COPD never give steroids alone

Question 5

Asthma definition

Answer 5

Chronic heterogeneous disorder characterized by air way inflammation and hyperresponsivnes with cough.. dyspnea and wheezing.

Question 6

Asthma definition

Answer 6

Chronic heterogeneous disorder characterized by air way inflammation and hyperresponsivnes with cough.. dyspnea and wheezing.

Question 7

Diagnosis

Answer 7

PFT spirometry
fEV decrease FEV/FVC below 0.7
2. Peak expiratory flow rate
Peak expiratory flow rate (PEFR) is the volume of air forcefully expelled from the lungs in one quick exhalation

Question 8

Asthma treatment

Answer 8

Step 1_2 as needed low dose ICS_fermetrol
Step 3
Maintanc Low dose ICS_fermetrol
Step 4
Medium dose ICS fermetrol
Step 5
Add lAMA to high dose ICS_fermetrol
And in any stage we use
Low dose ICS_fermetrol as reliver when needed.
The alternative of ICS_fermetrol is ICS
SABA

Question 9

The cycle of asthma management

Answer 9

Asses
Adjust
Review
A. Symptom control
Treatment issues
Comorbidities Think of rhinosinusitis, GERD, obesity, obstructive sleep apnea,
depression, anxiety
▪ These may contribute to symptoms