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Respiratory block > Asthma management in adults > Flashcards

Asthma management in adults Flashcards

1
Q

What is non-pharmalogical therapies ?

A 
Patient education and self management 
Exercise
Smoking cessation
Weight management
Flu/pneumococcal vaccinations
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2
Q

How can patient education help manage asthma ?

A 
Known triggers
Asthma review
What to take and when
Personalised peak flow
Steps to take when asthma is aggravated
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3
Q

What is the pharmalogical management of asthma ?

A

Inhaled therapy
Oral steroids
Specialist treatment

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4
Q

Why are inhalers useful ?

A

Small dose of drugs
Delivery directly to target organ (airways and lungs)
Onset of effect is faster
Minimal systemic exposure
Systemic adverse effects are less severe and less frequent

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5
Q

What are the different inhaler types ?

A

pMDI

Dry powder inhalers (DPI)

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6
Q

What are considerations for pMDI ?

A

Needs correct technique

Use with spacer

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7
Q

Why are DPI useful ?

A

Good for patients who struggle with dexterity

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8
Q

What are some examples of inhaled therapies ?

A

SABA
LABA
ICS
LAMA

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9
Q

What are some examples of SABA ?

A

Salbutamol

Terbutaline

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10
Q

What are some examples of LABA ?

A

Salmeterol
Vilanterol
Formoterol

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11
Q

What are some examples of LAMAs ?

A

Ipratropium
Tiotropium
Aclidinium Bromide
Umeclidinium

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12
Q

What are some examples of ICS ?

A

Beclomethasone
Budesonide
Fluticasone

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13
Q

What are some examples of oral therapies ?

A

LTRA
oral corticosteroids
Theophylline’s

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14
Q

What are some examples of LTRA ?

A

Montelukast

Zafirlukast

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15
Q

What are some examples of oral steroids ?

A

Prednisolone

Dexamethasone

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16
Q

What are some specialist treatments ?

A

Omalizumab (anti IgE)
Mepolizumab (anti-interleukin-5)
Bronchial thermoplasty

17
Q

How can a mild/moderate asthma attack be treated ?

A 
Increased inhaler use
Oral steroid
Treat trigger
Early follow up 
Back up plan
17
Q

How can a mild/moderate asthma attack be treated ?

A 
Increased inhaler use
Oral steroid
Treat trigger
Early follow up 
Back up plan
18
Q

How can a moderate/severe asthma attack be treated ?

A 
Nebulisers- salbutamol/ ipratropium
Oral/ IV steroids
Magnesium
Aminophylline
Triggers- infection/ allergen
Complications- CXR
Review
Level 2/3 care
19
Q

What is the contrast with COPD ?

A 
Age of onset 
Smoking history
Response to treatment
Treatment goals 
Trajectory

Similar therapies
Non-pharmalogical interventions are the same

Respiratory block (38 decks)

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