Astm Flashcards

1
Q

3 caract ale asmtului

A
  1. Obstructia difuza a cailor aeriene
  2. Hiperreactivitatea bronsica
  3. Inflamatia bronsica
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2
Q

Daca astmul are debut in copilarie pacientii au

A
  1. Wheezing la alergeni

2. Dermatita atopica

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3
Q

Alte subtipuri de astm

A
  1. Insabil - brittle asthma

2. Cortico-rezistent

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4
Q

IgE sunt asociate cu

A

Hiperreactivitatea bronsica

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5
Q

Medicamente care pot declansa astmul

A
  1. AINS - aspirina indometacin, ibuprofen

2. Beta blocante

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6
Q

De ce depinde astmul ocupational

A

Nivelul de expunere

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7
Q

Simptome astm

A

Wheezing, dispnee, tuse, senzatie de constrictie toracica

!!! accentuate noaptea

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8
Q

Explorari functionale pulm

A
  1. PEF -> variabilitatea limitarii fluxului de aer

2. VEMS / PEF -> +15% dupa bronhodilatator

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9
Q

Ce se adm la trat de proba cu CS

A

Prednison oral 30 mg/zi 2 sapt

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10
Q

Medicatia de salvare

A

Salbutamol si terbutalina

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11
Q

Combinatii BADLA si CSI

A

Salmeterol/Fluticazona

Formoterol/Budesonid

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12
Q

Montelukast este

A

Antagonist receptor de leucotriene

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13
Q

Anticolinergic cu durata scurta

A

Ipratropium

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14
Q

Exacerbare astmatica severa

A
  1. Nu termina o prop
  2. FR > 25
  3. Tahicardie > 110
  4. PEF = 33-50%
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15
Q

Exacerbare amenintatoare de viata severa

A
  1. PaCO2 > 45 mmHg
  2. PaO2 < 60
  3. pH arterial scazut
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16
Q

Rec muscarinici in tractul resp

A
  1. M3 - cai aeriene mari

2. M1 + M3 - tesut pulm periferic