Asthma management in adults Flashcards

1
Q

What medication should someone newly diagnosed with asthma be started on?

A

Short-acting beta agonist (SABA)

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2
Q

What are exmplaes of SABA’s?

A

Salbutamol
Terbutaline

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3
Q

What medicaiton would you add if symptoms not controlled with SABA or symptoms 3x week/ night-time waking?

A

Low-dose inhaled corticosteroid (ICS)

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4
Q

What are examples of ICS?

A

Beclometasone
Budesonide,
Ciclesonide

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5
Q

What medication could you add if asthma is still not controlled with SABA and ICS? (third step)

A

Leukotriene receptor antagonist (LTRA)

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6
Q

What is an example of a leukotriene receptor antagonist?

A

Montelukast

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7
Q

What might you add if the asthma is still not controlled on SABA, ICS and LTRA? (fourth step)

A

Long-acting beta agonist (LABA)

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8
Q

What are exmaples of LABA?

A

Salmeterol
Formoterol
Olodaterol

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9
Q

What is the fifth step in the management of asthma if it still not controlled on SABA, ICS, LTRA and LABA?

A

SABA +/- LTRA

Switch ICS/LABA for a maintenance and reliever therapy (MART), that includes a low-dose ICS

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10
Q

What should you switch ICS/LABA for in the fifth step in the managemen of asthma?

A

Switch ICS/LABA for a maintenance and reliever therapy (MART), that includes a low-dose ICS

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11
Q

What does MART stand for?

A

Maintenance and reliever therapy (MART)

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12
Q

What is a MART composed of?

A

A form of combined ICS and LABA treatment in a single inhaler

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13
Q

What is a MART used for?

A

Daily maintenance therapy and the relief of symptoms as required

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14
Q

What is classed as a low dose of ICS?

A

<= 400 micrograms budesonide or equivalent

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15
Q

What is classified as a moderate dose of ICS?

A

400 micrograms - 800 micrograms budesonide or equivalent

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16
Q

What is classified as a high dose of ICS?

A

> 800 micrograms budesonide or equivalent

17
Q

What is the non-pharmacological management of asthma?

A

Smoking cessation
Avoidance of precipitating factors (eg. known allergens)
Review inhaler technique