Asthma

Question 1

Asthma

Answer 1

inflammatory disorder of airways

Question 2

Risk factors for asthma attacks

Answer 2

allergens, exercise, polluntants, occupational hazards, respritory infections, GERD, emotional stress

Question 3

What is the primary response from exposure to allergens??

Answer 3

Chronic inflamation–> Asthma

Question 4

Early-Phrase

Answer 4

vascular congestion, edema formation, thick mucas, chronichal spasm and thickening of airway walls

Question 5

late-phase

Answer 5

response occurs within 4-10 hrs after inital attack, can be more severe

Question 6

S/S of asthma attack

Answer 6

cough, wheezing, chest tightness, SOB, expiration may be prolonged

Question 7

cough variant asthma

Answer 7

cough is only symptom

Question 8

acute asthma attack

Answer 8

hypoxic, restless, increased anxiety and pulse and BP

Question 9

acute asthma attack

Answer 9

hypoxic, restless, increased anxiety and pulse and BP

Question 10

severe asthma attack

Answer 10

RR>30 pulse>120, need for ER or hospitalization

Question 11

Life threatening attack

Answer 11

so dyspnic they cant speak

Question 12

Diagnostic Studies for Asthma

Answer 12

history/physical exam, pulmonary function test, peak flow monitoring, chest XR, ABG, oximetry, allergy test, eosinophils, sputum cultures

Question 13

severe exacerbations

Answer 13

increase dose of bronchodilators, IV corticosteriods, supplemental O2, IV fluids

Question 14

Quick relief drugs

Answer 14

coricosteroids, leukotriene modiers, monoclonal antibody to IgE

Question 15

corticosteroids

Answer 15

suppress inflammatory response

Question 16

leukotriene modifers

Answer 16

bronchoconstrictors; antiinflammatory

Question 17

Anti-IgE

Answer 17

decrease circulating IgE levels, take every 2-4 weeks

Question 18

Anti-IgE

Answer 18

decrease circulating IgE levels, take every 2-4 weeks

Question 19

Bronchodilators

Answer 19

B-adrenergic agnoist, methylxanthines, anticholinergics

Question 20

B-adrenergic agnoist

Answer 20

acute bronchospasm

Question 21

methylxanthines

Answer 21

alleviates early phase (with another medication)

Question 22

anticholinergic

Answer 22

block acetylcholine

Question 23

How much water to drink a day

Answer 23

2-3L it breaks up mucas

Question 24

Green zone O2

Answer 24

> 80%

Question 25

yellow zone O2

Answer 25

50-80%

Question 26

red zone O2

Question 27

SABA

Answer 27

most effecive b-adrenergicagonists

Question 28

SABA

Answer 28

most effecive b-adrenergicagonists

Question 29

mild exacerbations

Answer 29

pt has difficulty breathing only w/activity, peak flow is >70

Question 30

moderate exacerbations

Answer 30

dyspnea, interferes w/ ADLs peak flow is 40-60%

Question 31

severe exacerbations

Answer 31

life threatening, repitive SABA needed, corticosteriods via IV

Question 32

metered dose inhaler

Answer 32

dry powder inhaler and nebulizers

Question 33

metered dose inhaler

Answer 33

dry powder inhaler and nebulizers