Asthma 2

Question 1

T/F: Cromolyn is not used often in asthma because it must be dosed 4 times a day and taken 2 to 4 times a week to see improvements while also being used with a nebulizer

Answer 1

True

Question 2

When would azithromycin added to an asthma treatment plan

Answer 2

When a patient is already taking high dose ICS and LABA

Question 3

What are side effects of azithromycin

Answer 3

Drug resistance and QT prolongaation

Question 4

T/F: Azithromycin has equal efficacy in all forms of asthma

Answer 4

False: Azithromycin is most beneficial for noneasinophilic asthma (blood count less than 200)

Question 5

When should patients see an asthma specialist

Answer 5

unresponsive to therapy or uncontrolled on Step 4 or higher, complicated or unclear diagnosis

Question 6

What are key counseling points on how to use a metered dose inhaler

Answer 6

Requires proper hand-breath coordination, requires a slow deep breath

Question 7

T/F: Dry powder Inhalers need a deep forceful breath inwards

Answer 7

True

Question 8

What are the risk factors for exacerbations

Answer 8

uncontrolled asthma, using to SABA too much, inadequate ICS use, ongoing trigger exposure, uncontrolled comorbidities, elevated eosinophils or IgE

Question 9

When would having exacerbations increase risk for exaerbations

Answer 9

More than one exacerbation in the past year, history of severe exacerbations that need ICU visits

Question 10

T/F: If there is an exacerbation patients are advised to increase the number of puffs of albuterol

Answer 10

True

Question 11

When treating an emergency exacerbation what is added to albuterol

Answer 11

Ipatropium

Question 12

What steroid is given in emergency exacerbation, how long

Answer 12

prednisone 40-60 mg for 3-7 days