Asthma and COPD Diagnostics

Question 1

Fractional exhaled nitric oxide (FeNO)

Answer 1

• Positive result when 40 ppb or more

Question 2

Fractional exhaled nitric oxide (FeNO)

Answer 2

• 35ppb or more children and young people

Question 3

Obstructive spirometry

Answer 3

• FEV <70%

Question 4

Bronchodialator reversibility

Answer 4

• Improvement in FEV1 of 12% or more increase in volume of 200ml

Question 5

Peak flow Variability

Answer 5

• Variability over 20%

Question 6

Breath actuated metered dose

Answer 6

• Easi-breathe and other autohalers

Question 7

Dry powder inhaler

Answer 7

• Accuhaler
• Easyhaler
• Turbohaler
• NEXThaler

Question 8

How to take pMDI

Answer 8

• Remove inhaler cap
• Hold inhaler upright and shake well
• Breath out gentely away from inhaler
• Put mouthpiece between teeth without biting and close lip to form good seal
• Breath in slowly through the mouth at the same time press down firmly on canister
• Kepp breathing slowly and and deeply and hold your breath for 5s until comfortable
• While holding breath remove inhaler from the mouth
• Breath out away from inhaler
• Repeat and replace cap

Question 9

Spacer pMDI

Answer 9

• Help increase the amount
  of medicine that reaches the
  lungs

Question 10

How do you use Spacers

Answer 10

• Breathe in through your
  mouth, slowly and steadily
  over 4 to 5 seconds or, breathe
  in and out through your mouth,
  slowly and steadily

Question 11

Spacers cleaning

Answer 11

• Keeping spacer clean last long will be effective
• Use warm water and mild detergent such as washing up liquid

Question 12

Caution when using Spacers

Answer 12

• Must use the same same space as diffrent spacer may give diffrent dosages

Question 13

Peak Flow Test and Diary

Answer 13

• Comfortable either sitting or standing
• Push pointer back to the first line of the scale
• Hold peak flow meter horizontal
• Breath in as deeply as you can and place lips tightly around the mouthpiece
• Breath out as quickly an as hard as you can

Question 14

Poor asthma control

Answer 14

• How many doses are taken and the syptoms and reedings each day
• Monitor before review

Question 15

Steroid cards

Answer 15

• Prolong high dose of ICS
• People taking inhaled
  corticosteroids plus drugs that
  inhibit their metabolism 450
  inhibitors
• Support early recognition and
  treatment of adrenal crisis in
  adults Steroid Cards