Asthma + COPD Flashcards

1
Q

Asthma

A

Chronic inflammatory disorder, responsive to tirggers

airway inflamamtion contributes to airway hyperresponsiveness, airflow limitation

Reversible

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2
Q

Cellular Response of Asthma

A
mast cell
eosinophils
neutrophils
T lymphocytes
macrophages
epithelial cells
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3
Q

Presenting Symptoms

A

wheezing
cough worse at night
difficulty breathing
chest tightness

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4
Q

Asthma Dx

A

airflow obstruction is partially reversible on spirometry

increase of FEV1 greater than 200mL and greater than 12% from baseline measure after using short acting beta 2 agonist

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5
Q

Goal of therapy for asmtha

A

reduce impairment

require infrequent use of SABA (less than 2x/week)
maintain normal pulm fxn and activity levels

prevent–>exacerbations, er visits, loss of lung fxn

provide optimal pharacotherapy w/minimal effects

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6
Q

COPD onset

A

later in life

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7
Q

COPD etiology

A

cigarette smoke

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8
Q

COPD course

A

chronic, progressive (nonreversible)

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9
Q

Clinical Features of COPD

A

chronic cough/sputum, persistant worsening dyspnea

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10
Q

Inflammatory mediator for COPD

A

neutrophils

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11
Q

Inflammatory mediator for Asthma

A

eosinophils

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12
Q

Nonpharm tx of COPD

A
stop smoking
avoid triggers (cold air, pollutants)
filter air
adjust ADL's
diet
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13
Q

most common cause COPD exacerbation

A

infection and air pollution

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14
Q

Albuterol
Levabuterol
Pirbuterol

A

SABA

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15
Q

Ipatropium

A

Anticholinergic (short acting bronchodilator)

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16
Q

Combivent

A

SABA + Anticholinergic

17
Q
Budesonide
Fluticasone
Mometasone
Ciclesonide
Beclomethasone
A

ICS

18
Q

Cromolyn

Nedocromil

A

Mast Cell Stabilizer

19
Q

Montelukast

Zafirlukast

A

LTRA

20
Q

Theophylline

A

Methylxanthine

21
Q

Salmeterol
Formeterol
Arformoterol
Indacaterol

A

LABA

22
Q

Vilanterol

A

combination LABA and corticosteroid
or
combination LABA and anticholinergic

23
Q

Tiotropium

Aclidinium

A

long acting bronchodilator (anticholinergic)

24
Q

Rofulmilast

A

oral PDE-4 enzyme inhibitor