Asthma & COPD Flashcards
What are the different test used?
Lung function test spirometry
FEV1/FVC <0.70 diagnosis of COPD
Peak Expiratory Flow daily monitor do a total of 3 times and choose highest reading.
Personal best measure 2x daily for 2-3 weeks between noon to 2pm when asthma under control
3 zones green yellow red <50% red zone
What are the long term controllers ?
ICS
Mast cell stabalizers
anti leukotriences -singlulair
Methylxanthines -theophyline
LABA
Anti IgE -omalizumab
Anti -Il5
What are rescue meds?
ICS + formoterol
In ED- SABA via nebulizer
systemic steroids (PO/IV only not inhaled)
Oxygen
If severe add nebulized ipratropium
What are MDIs
Albuterol (proAir HFA, ventolin)
Levalbuterol (Xopenex)
Ipratropium (Atrovent HFA)
Gycopyrolate/formterol (Bevsepi)
Budesonide/formeterol (symbicrot)
Mometasone/Formterol (Dulera)
Ciclesonide (Alvesco) solution
Fluticasone/salmterol (Advair HFA)
Fluticasone propionate (Flovent)
Side effects for steroids?
PREDNISONE
Pud/pscyhiatric effects with food in am
Retention of Na/H20
Eye cataracts glaucoma
Diabetes inc glucose
Neurologic CNS insomnia seizures mood swings
Immunosupression
Swelling cushings syndrome
Osteoporosis
Nausea
Electrolyte changes hypokal hypernatremia
Zafirlukast
Accolateeee eat later empty stomach
Omalizumab
Xolair IgE monoclonal antibody used in allergy related asthma for childern >6yo
BBW anaphylaxis SQ
Tiotropium
Spiriva handihaler
Roflumilast
Daliresp
ADR: Suicide, weight loss
do not give with depression
last line
Aclidinium
Tudorzo pressair
