asthma 2 Flashcards

1
Q

What is the most commonly encountered asthma classification?

A

Moderate

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2
Q

In moderate severity asthma, how often are symptoms experienced?

A

daily

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3
Q

In moderate severity asthma, how often are they woken up at night with symptoms?

A

> 1 a week but not nightly

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4
Q

In moderate severity asthma, how often are they using their rescue SABA (short acting beta 2 agonist)

A

daily

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5
Q

In moderate severity asthma, is there a limitation with normal activity?

A

some limitation

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6
Q

In moderate severity asthma, what is the FEV1?

A

FEV1 is >60% but less than 80% predicted

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7
Q

In moderate severity asthma, what is the FEV1/FVC ratio?

A

FEV1/FVC reduced by 5%

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8
Q

In moderate severity asthma, how many exacerbations required OCS over the last year?

A

2 or more

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9
Q

What is the step and course of action for moderate severity asthma?

A

step 3
OCS
re-evaluate in 2-6 weeks to adjust therapy if needed

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10
Q

Step 3 is the most common treatment plan, what is the preferred?

A

Preferred:

Medium dose ICS (Pulmicort or Flovent)or Low dose ICS + LABA (Symbicort or Advair)

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11
Q

Step 3 is the most common treatment plan, what is the alternative?

A

Low dose ICS (Pulmicort or FLovent)plus either LTM (Singulair) or theophylline

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12
Q

The therapeutic goal for asthma 12 years and older for nighttime awakenings?

A

2 or less a month

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13
Q

The therapeutic goal for asthma 12 years and older for symptoms?

A

2 or less days a week

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14
Q

The therapeutic goal for asthma 12 years and older for SABA (short acting beta 2 agonist) use?

A

2 or less days a week

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15
Q

The therapeutic goal for asthma 12 years and older for FEV1 or peak flow?

A

> 80% predicted personal best

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16
Q

If the patient is well controlled when should you follow up?

A

1-6 months

consider step down after 3 months of being well controlled

17
Q

If the patient is well not controlled when should you follow up?

A

Step up and re-evaluate in 2-6 weeks

18
Q

Why would you see hyper resonance on a CXR with Asthma?

A

Asthma reduces the ability to get the air out DURING AN EXACERBATION!