Asthma Flashcards
1
Q
Px
A
Wheeze
Exertional dysp
Irritative dry cough
Atopy
2
Q
Ix
A
Beta 2 agonist response
PEFR
Spirometry
FENO- forced exhaled nitric oxide, high indics inflamm
3
Q
signs
A
Obs/palp- reduced chest movem, hyperinflation, access muscs, chest wall retractions.
Percuss- hyper reson
Ausc- wheeze evolving into coarse crackles and rhonchi (modif by cough)
4
Q
Acute mx
A
A to E
Oxygen, aim for 94%, ABG if sats under 92
Neb salb or inhaled pressurised MDI with spacer. Can rep neb after 15 mins. Consider back to back salb if ipratropium not work.
Oral pred or IV HC
Neb ipratropium bromide if salb no effect in 10 mins
IV salb, IV aminoph
ITU
5
Q
Wheeze diffs
A
FB Other obstruc eg LN, tum, dysplasia Malacia CF Immunodefic Reflux Tracheoesoph fistula
6
Q
LT mx in 5-16yo
A
SABA as req Then add low ICS Add LTRA Stop LTRA and add LABA SABA and MART (ICS and LABA) Incr dose ICS, or SR theoph, oral beta2, LAMA, expert help Oral steroid, ICU
7
Q
LR mx under 5yo
A
SABA
Add mod ICS trial 8wk
Add LTRA
Stop LTRA and refer
