Asthma & COPD

Question 1

Name the stepwise process of asthma meds? (6)

Answer 1

#1:  Inhaled beta-2 agonist prn for sxs 
#2:  Low dose ICS daily 
#3/4: Low-to-medium dose ICS + long-acting inhaled Beta-2 agonist 
**Steps 2-4 consider SC allergy shots 
#5: High dose ICS + long act B-2 agonist 
#6: High dose ICS + long-acting inhaled B-2 agonist PLUS long-acting inhaled muscarinic antagonist

Question 2

What RABA inhaler should all patients with asthma have?

Answer 2

Albuterol or formoterol

Question 3

Well controlled asthma but frequent EIB symptoms, what do you use to treat?

Answer 3

Abluterol 10 min prior

If side effects with albuterol use cromolyn sodium

Question 4

Strenuous exercise or exercise in extreme conditions? What is the tx for asthma?

Answer 4

Albuterol + cromolyn sodium

Question 5

Frequent EIB with poorly controlled asthma, what treatment?

Answer 5

RABA + inhaled glucocorticoids

–oral leukotriene inhibitors decrease EIB within 2 hrs and last for 24 hrs

Question 6

What is the only effective tx for breakthrough EIB?

Answer 6

Albuterol