Asthma / COPD

Question 1

Mild/Moderate Asthma (Adult)

Answer 1

Salbutamol PMDI and Spacer
4-12 doses @ 20/60 intervals
4 breaths per dose

Question 2

Severe Asthma (Adult)

Answer 2

Salbutamol 10 mg and Ipratropim Bromide 500 mcg nebulised
- repeat Salbutamol 5 mg nebulised at 5/60 intervals

Dexamethasone 8mg IV / Oral

Inadequate response:
Adrenaline 500 mcg IM
- repeat 500 mcg IM @ 5 - 10 min intervals (max 1.5mg)

Question 3

Mild/Moderate Asthma (paediatric)

Answer 3

Salbutamol PMDI and Spacer
2-5 years 2-6 doses
>= 6 years 4 - 12 doses
Repeat @ 20/60
4 breaths per dose

Question 4

Severe Asthma (paediatric)

Answer 4

Salbutamol nebulised
Small child (2-4 years) 2.5mg

Medium child (5-11 years) 2.5 - 5mg

Ado (12-15y) 5mg

• repeat @ 20/60 if required

Ipratropium Bromide neb
2-11y 250mcg

12-15y 500mcg

Question 5

Critical Asthma (paediatric)

Answer 5

2-11y
Salbutamol 10mg (5ml) nebulised

• repeat @ 5/60 if required

Ipratropium Bromide 250mcg (1ml) nebulised

Adrenaline 10 mcg/kg IM
- repeat @ 5-10 min as required (max 30 mcg/kg)

Dexamethasone 600 mcg/kg IV/Oral (max 12 mg)

Question 6

COPD treatment

Answer 6

Salbutamol 10 mg and Ipratropim Bromide 500 mcg nebulised

Dexamethasone 8mg IV / Oral

Titrate 02 flow to target Sp02 88-92%

If still inadequate after 10min
Non rebreather 10-15l

Question 7

What is COPD

Answer 7

Chronic Obstructive Pulmonary Disease

Question 8

Treatment for COPD

Answer 8

Salbutamol 10mg nebulise and Ipratroprium Bromide 500mcg nebulise
NO REPEAT
Dexametheosone 8mg (2ml) oral /IV

Titrate O2 SPO2 87-82%
2-6L/min
Nasal cannula

Question 9

If adequate response to nebulise therapy in COPD you then will…

Answer 9

Titrate o2 to SpO2 88-92%
With slow flow rate of 2-6L/ min via nasal cannula

Question 10

COPD- if inadequate response to nebulise therapy we must treat as …

Answer 10

Severe respritory and use non rebreathers 10-15L / min

Question 11

Define asthma / and basic patho

Answer 11

A chronic condition with acute reversible exacerbations in which the bronchial airways of the lungs become swollen and narrow.

Caused by

• increase mucos production and plugging
• smooth muscle contractions

Question 12

6 Triggers for asthma

Answer 12

Pet dander
Smoke
Dust/ mould
Pollen
Exercise
Cold air

Question 13

6 s&s asthma

Answer 13

Wheeze
Dry Coughing
SOB
Increase RR
Chest tightness
Tripod position