Asthma And COPD

Question 1

Chronic inflammatory respiratory disease, increased airway hyperresponsiveness

Answer 1

Asthma

Question 2

Drugs used in asthma

Answer 2

Bronchodilators (B agonist and anticholinergic)
Leukotriene’s antagonists
Phosphodiesterase inhibitors
Corticosteroids

Question 3

Mild intermittent

Answer 3

Inhaled B2 agonist symptomatically

Question 4

Mild or moderate persistent

Answer 4

Inhaled steroid or leukotriene antagonist daily + inhaled B2 agonist symptomatically

Question 5

Severe persistent

Answer 5

Oral steroids+ inhaled high dose steroid daily + long acting B2 agonist or lekotriene antagonist daily+ inhaled B2 agonist for symptoms

Question 6

Nasal polyp
Asthma
Aspirin allergy

Answer 6

Samster’s triad

Question 7

Management for asthma pts

Answer 7

Late morning appts
Avoid allergens
Minimize stress- sedation
Keep salbutamol handy
Avoid aspirin
Avoid NSAIDs if persistent

Question 8

Management of asthma attack

Answer 8

Upright position
ABCs
Two deep inhale salbutamol and 1 puff if child
Repeat 2 more times every 5 mins
If persists then epi 0.3 to 0.5 mg IM call 911
Give theophyline 250-500mg IV slowly over 10 min period
Give hydrocortisone sodium succinate 100mg IV

Question 9

Excessive amount of mucus, difficulty breathing, chronic coughing

Answer 9

Chronic bronchitis
Meds: albutarol and fluticasone

Question 10

Air sacs over inflated, shortness of breath, impairs pt’s ability to exhale completely

Answer 10

Emphysema
Meds: theophylline

Question 11

Sedentary
Overweight
Cyanotic
Edematous
Breathless
Blue bloaters

Answer 11

Chronic bronchitis

Question 12

Pink puffers
Enlarged chest walls
Severe exertional dyspnea
Mild non productive cough
Lack of cyanosis
Pursing of lips

Answer 12

Emphysema

Question 13

Considerations for COPD pts

Answer 13

Semi supine or upright
If symptoms and oxygen <91% then reschedule
Avoid NsAIDs and aspirin
Relative contraindications for opioids and N2O