Asthma

Question 1

IgE is associated what pulm disease?

Racid or Ralk?

Answer 1

Asthma- Alk then acid

Question 2

What ABG is classic in Asthma?

Answer 2

hypervent - CO2 increases - cant exchange CO2

Question 3

How do you diag Asthma?

Answer 3

Reversible with albuterol & Peak flow

Question 4

Tx for Asthma? IT & SP

Answer 4

Rule of 2 IT- Saba

SP- Laba + Low ICS+ High ICS+ Tiotropium

Question 5

Tx for Asthma? MoP & Mild P

Answer 5

Mild P-Saba + Low ICS

MoP- ICS, Laba

Question 6

When can you step down with asthma?

Answer 6

good control for 3 months.

Question 7

What do you treat most PNAs with?

Answer 7

Azithromycin

Question 8

SE of Sabas?

Answer 8

Gittery and Tachy

Question 9

What med causes anaphylaxis in asthma?

Answer 9

Omalizumab- Recombinant DNA antibody to IgE

Question 10

What pulm disease is inflammatory with: air obstruction, hyperctivity, and inflammation?

Answer 10

Asthma-

Question 11

Patho of Asthma?

Answer 11

hypersensitive to IgE and block Beta 2 leads to inflammation and Edema with bronchoconstriction

Question 12

What is the classic sign is Asthma?

Answer 12

Wheezing

Question 13

FEV1/FVC in asthma looks like?

Answer 13

Can exhale much - obstruction.

Question 14

What does ABGs look in Astham?

Answer 14

Increase in C02 and low 02

Question 15

CXR in Asthma is?

Answer 15

Normal - maybe hyperinflated

Question 16

How do mast cell stabilizers work?

Answer 16

Reduce mast cell explosion. SE = cough sneezing.

Question 17

How do leukotriene inhibitors work?

Answer 17

reduce inflammation - sinusitis, liver function tests (Montalukast)

Question 18

Asthma Atopy is?

Answer 18

Asthma Allergic rhinitis, Dermatitis

Question 19

Longterm SE of ICS are

Answer 19

Candida in the mouth, Weird taste. Osteoporosis, Addisons, and Cataracts

Question 20

How do you diag COPD and Chronic Bronch?

Answer 20

PFTs

Question 21

Overuse of Albuterol leads to what electrolyte abn?

Answer 21

Hypokalemia bc activate NA-K-ATPase

Question 22

Acute Asthmatics in the ED needs?

Answer 22

Nebulizer Albuterol + Oral Prednisone

Question 23

What is the main stay tx for COPD?

Answer 23

Long-acting anticholinergics; tiotropium

Question 24

What is COPD’s greatest risk factor?

Answer 24

Smoking

Question 25

Cystic Fibrosis is associated with what?

Answer 25

Pancreatic deficiency, Vit ADEK decifiency

Question 26

Asthma and Atopy has an allergy to?

Answer 26

PCN

Question 27

Worsening Asthma in the ICU needs?

Answer 27

Intubation + albuterol and ICS

Question 28

What medication acts by blocking muscarinic receptors to allow vasodilation?

Answer 28

Ipatropium (antichols)

Question 29

most common source of thombi?

Answer 29

iliofemoral

Question 30

What do you do with a Pnx of <20%?

Answer 30

High 02 and serial CXR.

Question 31

If a child comes to the clinic coughing without immunizations, what do you do?

Answer 31

Erythromycin - Pertussis