Asthma Case Flashcards

1
Q

subjective tool for asthma severity

A

asthma control test

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2
Q

step 1 asthma is aka

A

exercise induced asthma

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3
Q

tx for exercise induced asthma

A

PRN SABA

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4
Q

step up tx for non exercise induced asthma

A
  1. PRN low dose ICS
  2. PRN low dose ICS/LABA + SABA
  3. daily low dose ICS/LABA + SABA
  4. daily medium dose ICS/LABA + SABA
  5. daily high dose ICS/LABA + SABA
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5
Q

ICS/LABA preferred in asthma

A

symbicort

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6
Q

name 3 ICS

A

beclomethasone (QVAR)
fluticasone (Flovent)
budesonide (Pulmicort)

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7
Q

asthma symptoms by steps

A
  1. symptoms less than twice a month
  2. symptoms twice a month or more
  3. symptoms most days AND night sx once/week
  4. symptoms most days AND night sx > once/week
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8
Q

what asthma drug has a black box warning for serious neuropsychiatric events

A

singulair (montelukast)

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9
Q

advair is a combo of

A

fluticasone/salmeterol

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10
Q

symbicort is a combo of

A

budesonide/formoterol

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11
Q

7 drug classes used for asthma

A

SABA/LABA
ICS
leukotriene modifiers
mast cell stabilizers
anticholinergics
anti-IgE antibody
theophylline

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12
Q

s.e of SABAs

A

tremor
palpitations
anxiety
insomnia
nervous
QT prolongation
hyperglycemia
hypoglycemia
hypomagnesemia

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13
Q

MOA for corticosteroids

A

inhibit cytokines via glucocorticoid receptor

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14
Q

s.e of ICS

A

oral candidiasis
dysphonia
reflex cough
bronchospasm

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15
Q

initial tx for all asthma dx

A

PRN ICS

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16
Q

most effective long term tx for control of asthma sx

17
Q

t/f: it is normal to cough after using ICS inhaler

18
Q

2 common LABAs

A

salmeterol (serevent)
formoterol

19
Q

4 s.e of LABAs

A

paradoxical bronchospasm
asthma exacerbations
laryngospasms
hypokalemia

20
Q

what drug should never be used as monotherapy for asthma bc it will increase symptoms

21
Q

3 common ICS/LABA combos

A

advair
symbicort
dulera

22
Q

s.e of ICS/LABA combo

A

tremor
muscle cramps
tachycardia
cardiac effects

23
Q

what asthma drug works by inhibiting actions of LTD4 at the CysLTI receptor w.o any agonist activity

A

leukotriene modifiers

24
Q

common leukotriene inhibitor

25
5 s.e of leukotriene inhibitors
abd pain nausea jaundice itching lethargy
26
when should leukotriene inhibitors be used for asthma
only when ICS or ICS/LABA combos are maxed out last line therapy
27
what asthma drug class isn't really used anymore
mast cell stabilizers
28
mc cause of asthma tx failure
lack of adherence to meds
29
class of drug that may cause asthma symptoms
NSAIDs
30
class of med that may decrease effectiveness of asthma meds
bb
31
5 migraine prophylactic meds that can be used as alternative in pt's w. asthma
atenolol or metropolol -> b1 selective blocker amitryptiline or nortriptyline verapimil -> non dihydropiridine valproic acid topiramate
32
what migraine prophylactic med can decrease effectiveness of OCPs
anticonvulsants
33
3 solutions for thrush from ICS
nystatin -> for all spacer rise after using ICS
34
all asthma patients should have what med on hand
SABA - albuterol
35
f/u for asthma pt after adjusting meds
2-4 weeks