asthma management in adults

Question 1

what are the aims of treatment of asthma in adults

Answer 1

no daytime symptoms
no night wakening 
no need for rescue meds 
no asthma attacks 
no limitations on activity
minimal side effects from meds

Question 2

what are examples of non pharmacological management

Answer 2

smoking cessation
exercise 
weight management
patient education 
flu and pneumococcal vaccs

Question 3

what are some features of inhalers

Answer 3

small dose of drug 
deleivers drug directly to target organ
onset of effect faster
minimal systemic exposure
adverse effects are less severe

Question 4

what are examples of pharmacological treatment

Answer 4

inhaled therapy
oral therapy
specialist treatments

Question 5

what are specialist treatments

Answer 5

omalizumab (anti igE)
mepolizumab (anti-interleukin -5)
bronchial thermoplasty

Question 6

how do you treat mild/moderate asthma

Answer 6

increase inhaler use
oral steroid
treat trigger
early follow up
back up plan

Question 7

how is severe asthma asthma/acute asthma attacks treated

Answer 7

hospital ?
nebulisers - salbutamol and ipatropium
oral/IV steroid
magnesium
aminophylline
triggers-infection/allergy
complications -CXR
review 
level 2/3 care