asthma/COPD

Question 1

asthma

Answer 1

1) SABA – Salbutamol, Terbutaline
a. Bronchodilator - reliever
2) Inhaled corticosteroid - Beclomethasone
3) Something else
a. LABA – Salmeterol
b. CystLT1 antagonists – Montelukast
i. relaxes bronchial smooth muscle
c. Cromoglicate – Sodium cromoglicate
i. mast cell stabiliser
d. Methylxanthines – Theophylline
i. inhibits phosphodiesterase – relaxes smooth muscle
e. Increase steroid dose
f. Omalizumab – anti-IgE
4) Oral corticosteroid - Prednisolone

Question 2

acute asthma

Answer 2

O – Oxygen
S – Salbutamol [nebulised through O2]
H – Hydrocortisone [IV]
I – Ipratropium
T – Theophylline or Aminophylline
M – Magnesium sulphate
A - Anaesthetist

Question 3

COPD

Answer 3

1) SABA/SAMA – Ipratropium
2) LABA [Formoterol] + LAMA [Tiotropium]
3) + ICS
If asthmatic – ICS > LAMA

Question 4

COPD exacerbation

Answer 4

I – Ipratropium
S – Salbutamol
O – Oxygen
A – Amoxicillin [if increase in sputum purulence, and/or consolidation]
P – Prednisolone