Diagnosis & Treatment Of Asthma And COPD

Question 1

What are the symptoms of COPD?

Answer 1

Breathlessness when exerting themselves 
Chronic cough 
Sputum production 
Frequent winter chest infection 
Wheeze

Question 2

What do inhale corticosteroids do to eosinophilic inflammation?

Answer 2

Reduce it

Question 3

What are the side effects of ICS?

Answer 3

Pneumonia
Adrenal suppression
Diabetes
osteoporosis

Question 4

How would you diagnose and treat acute asthma?

Answer 4

Able to walk
Plus 110beats/ minute
Peak flow > 50%

Inhaled SABA via spacer or nebuliser
Prednisolone 40-50mg PO for 3 to 5 days

Question 5

How would you diagnose and treat acute asthma - severe?

Answer 5

Can’t complete one sentence in one breath
Resp > 25 breaths/min
Pulse > 100 beats/ min
Peak flow 33-50%

High flow oxygen
SABA
Ipratropium bromide
Prednisolone like moderate or IV hydrocortisone

Question 6

How would you diagnose and treat acute asthma - life threatening?

Answer 6

Silent chest feeble resp effort
Hypotension, bradycardia
Peak flow

Question 7

How do corticosteroids work?

Answer 7

Reduce airway inflammation

Question 8

How do leukotriene receptor antagonists work?

Answer 8

Block effect of leukotrienes

Question 9

How do theophylline and aminophylline work?

Answer 9

PDE inhibitor causing bronchodilator

Question 10

What is COPD and what predominately causes it?

Answer 10

Constructive obstructive pulmonary disease

Airflow obstruction due to neutrophilic inflammation

Caused by smoking