Asthma and Chronic obstructive pulmonary diease Flashcards
Chronic inflammatory disease of the airways
asthma
acute asthma
flares or exacerbation that require the use of rescue medications
status asthmaticus
acute asthma that continues to worsen despite rescue therapy
acute asthma that continues to worsen despite rescue therapy
status asthmaticus
Child onset ASthma
due to IgE response to enviromental allergens,
Adult onset asthma
not IgE mediated, due to occupational issues
Goals for treating asthma TQ
prevent chronic and troublesome symptoms
what is the cornerstone of asthma therapy
patient education
what heart med should be avoided in those with asthma
beta blockers
written action plans for asthma patient include
directions, on how to use asthma controller, peak flow meter use, and adjusting therapy to symptoms
in asthma the short acting beta agonists are the
quick relief RESUE DRUGS
first line treatment for chronic asthma not for use as resue
inhaled corticosteriods
acute asthma purpose of beta-2 agonists
cause brochodilation
acute asthma purpose of corticosteriods
relieve airway inflammation edema
acute asthma purpose of humidified oxygen
corrects ventatilation/perfusion mismatch
what is the purpose of a anticholinergic in treatment of acute asthma
while not the drug of choice it provides additive bronchodilation
Is COPD reversible
irreversible
What is the primary cause of COPD
cigarette smoking
A difference between asthma and COPD is, that copd is only?
a. an inflammatory disease
b. characterized by progressively irreversible airway obstruction
c. associated with allergic rhinitis
d. expected to be treated and monitored for the rest of the patients life
B
The primary cause of COPD in the us is?
smoking
Combivent is made of? what is its purpose tq?
albuterol and ipratropium, its for BRONCHDILATION
tq albuterol is an example of a…..
beta 2 agonists
Can long-acting Beta-2 agonist be used for rescue therapy
no!!
short acting beta 2 agoinsts moa
stimulate adenylate cyclase production leading to bronchial smooth muscle relaxion
long acting beta 2 agonists moa
stimulate adenylate cyclase production leading to bronchial smooth muscle relaxion
TQ inhaled corticosteriods place in therapy
first-line for chornic symptoms control and preventing the progression of asthma and for severe COPD
MOA of inhaled corticosteriods
reduce the amount of inflammatory process by decreaseing the mediators of inflammation
anticholinergic drug ending
tropium
anticholigergic drug exmaples
ipratropium, oxatropium
TQ what are leukotriene receptor blockers for
chronic asthma, (CANNOT BE USED FOR COPD_
examples of leukotriene receptor blockers
montelukast and zafirlukast
methylxanthine use
COPD
moa of methylxanthines
brochodilation
tq exmple of selective phosphodiesterase type 4 inhibitor
romflumilast
Romflumilast use
severe COPD
mast cell stabizer agents
cromolyn
cromolyn is a
mast cell stabilizer
for treatment of moderate to severe allergic asthmawith elevated igE
Omalizumab
Omalizumab
for treatment of moderate to severe allergic asthma
the drug of choice for treating an acute asthma episode is a
SABA short acting beta agoinst
The drug of choice for treating a acute COPD attack
brochodilator
