Asthma trigger Flashcards

1
Q

where are curschmann spirals found

A

asthma sputum culture

also charcot leyden crystals

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2
Q

where are charcot-leyden crystals found

A

asthma sputum culture

also curschmann spirals

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3
Q

when treating an asthmatic patient with cardiac complications, what medication is preferred

A

levalbuterol since it has less cardiac SE than albuterol

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4
Q

what would need to be monitored when a patient is using an ICS

A
  • regular eye exams when personal/fam hx of galucoma or cataracts
  • monitor growth in children on ICS as well as cortisol levels
  • Ca and Vit D in pregnant women and children
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5
Q

what inhaler is recommended in pregnant women

A

ICS, specifically budesonide

(can use albuterol but ICS preferred)

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6
Q

this medication is associated with cramping of hands, legs and feet

A

LABAs

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7
Q

this medication can worsen symptoms if it is overused

A

LABAs

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8
Q

when a patient is intolerant to ICS what can be given instead

A

Comolyn

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9
Q

what is cromolyn

A

mast cell stabilizer, used when intolerant to ICS

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10
Q

what form is cromolyn available in

A

neb only

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11
Q

what is the order of treatment for a SEVERE asthma attack

A

SABA, iprotropium bromide, O2, systemic corticosteroid.

last resort use nebulized epi!

(remember the three neb albuterol treatments are used in MILD-MOD asthma attacks)

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12
Q

what should you keep in mind when administering nebulized epi

A

need to monitor again after 4 hours!!!

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13
Q

used in allergy related asthma and chronic idiopathic urticaria

A

MAB - omalizumab

targets IgE mast cells

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14
Q

what has anaphylaxis as a BBW

A

omalizumab

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15
Q

what are the 6 steps of asthma treatment

A

i just keep forgetting this.

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16
Q

if a patient has been prescribed a SABA + medium dose ICS and is reporting that this combination is not properly treating their asthma, what is the next step in their treatment

A

SABA + medium dose ICS + LABA

17
Q

when should MAB be considered

A

when the patient has proceeded all the way to step 6 of asthma treatment

18
Q

what can lead to organ dysfunction and ARDS

A

status asthmaticus

19
Q

what requires ventilator support and intubation

A

status asthmaticus