Asthma / COPD Flashcards
Mild/Moderate Asthma (Adult)
Salbutamol PMDI and Spacer
4-12 doses @ 20/60 intervals
4 breaths per dose
Severe Asthma (Adult)
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)
Mild/Moderate Asthma (paediatric)
Salbutamol PMDI and Spacer
2-5 years 2-6 doses
>= 6 years 4 - 12 doses
Repeat @ 20/60
4 breaths per dose
Severe Asthma (paediatric)
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
Critical Asthma (paediatric)
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)
COPD treatment
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
What is COPD
Chronic Obstructive Pulmonary Disease
Treatment for COPD
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
If adequate response to nebulise therapy in COPD you then will…
Titrate o2 to SpO2 88-92%
With slow flow rate of 2-6L/ min via nasal cannula
COPD- if inadequate response to nebulise therapy we must treat as …
Severe respritory and use non rebreathers 10-15L / min
Define asthma / and basic patho
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
6 Triggers for asthma
Pet dander
Smoke
Dust/ mould
Pollen
Exercise
Cold air
6 s&s asthma
Wheeze
Dry Coughing
SOB
Increase RR
Chest tightness
Tripod position
What does COPD stand for?
Chronic Obstructive Pulmonary Disease
True or False: COPD is primarily caused by long-term exposure to irritating gases and particulate matter, most often from cigarette smoke.
True
Fill in the blank: The two main conditions that make up COPD are ______ and ______.
chronic bronchitis, emphysema
Which of the following is NOT a common symptom of COPD? a) Chronic cough b) Wheezing c) High fever d) Shortness of breath
c) High fever
What is the primary pathological change in emphysema?
Destruction of the alveoli and loss of elastic recoil in the lungs.
What does COPD stand for?
Chronic Obstructive Pulmonary Disease
True or False: COPD is a reversible condition.
False
Fill in the blank: COPD primarily affects the _____ system.
respiratory
Which of the following is a common cause of COPD? A) Smoking B) Exercise C) Healthy diet
A) Smoking
What are the two main types of COPD?
Chronic bronchitis and emphysema
COPD patho
A chronic irreversible lung disease characterised by narrowing of the airways and destruction of the alveoli
