Ch. 14 Flashcards
Describe the role of the national and international guidelines in the management of asthma.
• Six steps of asthma management based upon degree of
asthma control
• Four levels of asthma :intermittent and 3 levels of persis-
tent: mild, moderate, severe
• Adjustments to management based upon asthma control
• Use of actions plans for children and adults are
recommended.
• Increase awareness of asthma and its public health consequences
• Promote identification of reasons for the increased preva- lence of asthma
• Promote study of the association between asthma and the environment
• Reduce asthma morbidity and mortality
• Improve management of asthma
• Improve availability and accessibility of effective asthma
therapy
Describe the anatomic alterations of the lungs associated with asthma.
1) reversible bronchial smooth muscle constriction, (2) airway inflammation, and (3) increased airway respon- siveness to an assortment of stimuli.
Describe the etiology and epidemiology of asthma.
7.3% in 2001 to 8.4% in 2010. About 1 in 11 children have asthma; and 1 in 12 adults have asthma. It is estimated that 25.7 million people in the United States suffer from asthma.
The CDC further reported that about 9 people die from asthma each day in the United States—over 3200 each year.
List risk factors associated with asthma
Genetics, obesity, sex & gender, allergens, infections, tobacco smoke, drugs, food additives, GERD, sleep, emotional stress, peri menstrual asthma
Describe the general management of asthma.
Long-Acting Beta2 Agents (LABAs)
Salmeterol (Serevent Diskus)
Inhaled Corticosteroids (ICSs)
Beclomethasone - QVAR
Flunisolide -aerospan HFA
Fluticasone- Flovent HFA
Budesonide - pulmicort
Mometasone - asmsnex twisthaler
Ciclesonide- Alvesco
Inhaled Corticosteroids & Long-Acting Beta2 Agents (Combined)
Zafirlukast - accolate
Montelukast - singulair
Zileuton-zyflo
Monocional Antibody
Omalizumab - Xolair
Xanthine Derivatives
Theophylline - Theo 24
Oxtriphylline - Chledyl SA
Aminophylline
Dyphylline- Lufyllin
