Asthma 2 Flashcards
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
True
When would azithromycin added to an asthma treatment plan
When a patient is already taking high dose ICS and LABA
What are side effects of azithromycin
Drug resistance and QT prolongaation
T/F: Azithromycin has equal efficacy in all forms of asthma
False: Azithromycin is most beneficial for noneasinophilic asthma (blood count less than 200)
When should patients see an asthma specialist
unresponsive to therapy or uncontrolled on Step 4 or higher, complicated or unclear diagnosis
What are key counseling points on how to use a metered dose inhaler
Requires proper hand-breath coordination, requires a slow deep breath
T/F: Dry powder Inhalers need a deep forceful breath inwards
True
What are the risk factors for exacerbations
uncontrolled asthma, using to SABA too much, inadequate ICS use, ongoing trigger exposure, uncontrolled comorbidities, elevated eosinophilsor IgE
When would having exacerbations increase risk for exaerbations
More than one exacerbation in the past year, history of severe exacerbations that need ICU visits
T/F: If there is an exacerbation patients are advised to increase the number of puffs of albuterol
True
When treating an emergency exacerbation what is added to albuterol
Ipatropium
What steroid is given in emergency exacerbation, how long
prednisone 40-60 mg for 3-7 days