Asthma and COPD

Question 1

Benefit of inhaled corticosteroids in asthma

Answer 1

Reduce airway inflammation - reduce oedema and secretion of mucus into the airway

If used regularly reduces the risk of exacerbation of asthma (must be used regularly for maximum benefit)

Question 2

Which is most effective in asthma?

• Beclometasone
• Budesonide
• Fluticasone
• Mometasone

Answer 2

TRICK QUESTION

all appear to be equally effective

Question 3

When may oral corticosteriods be necessary in asthma?

Answer 3

During episodes of stress or when airway obstruction or mucus prevent drug access to smaller airways

Question 4

Treatment for an acute asthma attack

Answer 4

Short course of an oral corticosteriod, starting with a high dose/

Patients whose asthma has deteriorated rapidly usually respond quickly..

Question 5

What is the weaning period for corticosteriods provided for an acute asthma attack?

Answer 5

None. Can usually be stopped abruptly; as long as its not required for 3 weeks or more.

Question 6

For asthma, what time should a corticosteriod be taken and why?

Answer 6

A single dose in the morning to reduce the disturbance to circadian cortisol secretion.

Question 7

Emergency treatment of acute severe asthma

Answer 7

Hydrocortisone injection

Question 8

During an acute exacerbation of COPD what should be given?

Answer 8

Prednisolone

Can be stopped abruptly
Prolonged treatment is of no benefit and maintenance treatment is not normally recommended