Astma Adults Flashcards
people with asthma have a predisposition to develop what
IgE
symptoms of asthma
Wheeze
dyspnoea
chest tightness
possible dry cough and sputum
What time of day is asthma most likely to be more sever
morning and night
likely to be triggered by what
lots of things such as; pollen, exercise, cold air
what do you expect to hear on auscultation of asthma patient
wheeze
crepitation’s (not a sign of asthma)
what FEV1/FEVC ratio is suggestive of obstructive airway disease
<70%
what percentage of predicted FEV1 is considered obstructive
<80%
moderate asthma attack parameters
Able to speak, complete sentences HR < 110 RR < 25 PEF 50 - 75% predicted or best SaO2 ≥ 92% (no need for ABG) PaO2 ≥ 8kPa
sever asthma parameters
Inability to complete sentences in one breath HR ≥110 RR ≥25 PEF 33 - 50% predicted or best SaO2 ≥ 92% PaO2 ≥ 8kPa
life threatening
Grunting Impaired consciousness, confusion, exhaustion Bradycardia/ arrhythmia/ hypotension PEF < 33% predicted or best Cyanosis Silent chest Poor respiratory effort
SaO2 < 92% (definitely needs blood gas!) PaO2 < 8kPa PaCO2 normal (4.6 - 6.0kPa)
near fatal
Raised PaCO2
Need for mechanical ventilation
non-pharmacological treatments for asthma
smoking cessation
increased exercise
weight management
treatment for acute asthma attack
oral steroids
increased inhaler use
treatments for sever astma attacks
nebulised drugs
oral/IV steroids
magnesium
