Chronic asthma

Question 1

What is chronic asthma?

Answer 1

Reversible obstructive airways

Question 2

Symptoms

Answer 2

Coughing (esp night)
SoB
Chest tightness
Wheezing

Question 3

Maintenance therapy

Answer 3

1. SABA
2. SABA + Low dose ICS
3. SABA + ICS + LTRA
4. Add in LABA, salmeterol or formoterol
5. Inhaled corticosteroid + LABA (MART)
6. Trial LAMA (tiotropium) or m/r theophylline

Question 4

When would a step-up in treatment be necessary?

Answer 4

Using inhaler or symptomatic 3x a week.
Night time symptoms 1x a week
Asthma attack requiring systemic steroids in the last 2 years.

Question 5

Refer

Answer 5

Using >1 inhaler a month
- Not well controlled

Question 6

Low dose ICS

Answer 6

Beclometasone
- 100 - 400 mcg

Budesonide
- 400 mcg

Fluticasone
- 200 - 400 mcg

Mometasone
- 400 mcg

Ciclesonide
- 160 mcg

Question 7

High dose ICS

Answer 7

Beclometasone
- 800 - 2000 mcg

Budesonide
- 1600 mcg

Fluticasone
- 1000 mcg

Question 8

LTRA

Answer 8

Montelukast
Zafirlukast

Question 9

LABA

Answer 9

Salmeterol
Formoterol
Vilanterol

Question 10

LAMA

Answer 10

Tioptropium bromide

Question 11

Oral steroid

Answer 11

Prednisolone

Question 12

Beta agonist tablet

Answer 12

Bambuterol