bronchial asthma Flashcards
triad of asthma
recurrent wheezing
SOB
cough (night/morning)
chest tightness
physiologically
reversible bronchospasm
mucosal edema
^ mucous production
things to ask
atopy:
weather
environment
infection
emotional expression (laugh,cry)
allergens
exercise
severity:
miss school
limitation of activity
how frequent use inhaler
hx of neb
reccurent inf
FTT
present tx
night sx?
hx of atopy: eczema, rhinitis, allergies & how they present
FMH!!!
type of immune response
- type 1 mediated by IgE
- has acute & late phase
respi PE
respi distress
eczema
FTT
bcg scar
oral candidiasis
cushingoid features
hyperinflated chest-> displaced liver-> palpable liver
harrison’s sulcus
tachypnea
tachycardia
vesicular breath(prolonged expiratory phase)
rhonchi
reduced air entry
hypertrophied turbinates
cx of asthma
pneumonia
lung collapse
pneumothorax
type 1 respi failure
candidiasis
cushingoid
reversible airflow limitation
pefr 20%
fev1 >12%
with bronchodilator
management
ICS
B2 agonist
assessment of control
inhaler technique
asthma education
written asthma action plan
asthma predictive index
three or more wheezing epsiodes/year during the first 3 years
+ 1 major OR 2 minor
MAJOR
eczema
parental asthma
MINOR
allergic rhinitis
wheezing apart from cold
eosinophilia (≥4%)
risk factors for wheezing
infants of smoking mothers
premature infants
viral cold
atopy
treatment for wheezing
smptomatic
trigger avoidance
parental education
bronchodilators: b2 agonists
ICS
alternative: motelukast
