Asthma 2 Flashcards

1
Q

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

A

True

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2
Q

When would azithromycin added to an asthma treatment plan

A

When a patient is already taking high dose ICS and LABA

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3
Q

What are side effects of azithromycin

A

Drug resistance and QT prolongaation

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4
Q

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

A

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

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5
Q

When should patients see an asthma specialist

A

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

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6
Q

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

A

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

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7
Q

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

A

True

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8
Q

What are the risk factors for exacerbations

A

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

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9
Q

When would having exacerbations increase risk for exaerbations

A

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

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10
Q

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

A

True

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11
Q

When treating an emergency exacerbation what is added to albuterol

A

Ipatropium

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12
Q

What steroid is given in emergency exacerbation, how long

A

prednisone 40-60 mg for 3-7 days

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