Exam 3 - Asthma/COPD Flashcards
intermittent asthma (0-4 yrs)
symptoms = 2 days/week
0 night time awakenings
SABA use = 2 days/week
intermittent asthma (5-11 yrs)
symptoms = 2 days/week
= 2 nighttime awakenings/week
SABA use = 2 days/week
mild asthma (0-4 yrs)
symptoms > 2 days/week (not daily)
1-2 nighttime awakenings/month
SABA use > 2 days/week (not daily)
minor normal activity limitation
mild asthma (5-11 yrs)
symptoms > 2 days/week (not daily)
3-4 nighttime awakenings/month
SABA use > 2 days/week (not daily)
minor normal activity limitation
moderate asthma (0-4 yrs)
symptoms daily
3-4 nighttime awakenings/month
SABA use daily
some normal activity limitation
moderate asthma (5-11 yrs)
symptoms daily
> 1 nighttime awakening per week (not nightly)
SABA use daily
some normal activity limitation
severe asthma (0-4 yrs)
symptoms throughout the day
> 1 nighttime awakening/week
SABA use several times per day
extreme normal activity limitation
severe asthma (5-11 yrs)
symptoms throughout the day
nighttime awakenings often (7/week)
SABA use several times per day
extreme normal activity limitation
step 1 therapy (0-4 yrs)
SABA prn
step 2 therapy (0-4 yrs)
preferred:
low-dose ICS
alternative:
montelukast or cromolyn
step 3 therapy (0-4 yrs)
medium dose ICS
step 4 therapy (0-4 yrs)
medium-dose ICS
AND
montelukast or LABA
step 5 therapy (0-4 yrs)
high-dose ICS
AND
montelukast or LABA
step 6 therapy (0-4 yrs)
high-dose ICS AND montelukast or LABA AND oral coricosteroids
step 1 therapy (5-11 yrs)
SABA prn
step 2 therapy (5-11 yrs)
preferred:
low-dose ICS
alternative:
LTRA, cromolyn, OR nedocromil
step 3 therapy (5-11 yrs)
preferred:
medium-dose ICS
OR
low-dose ICS + LABA, LTRA, or theophylline
step 4 therapy (5-11 yrs)
preferred:
medium dose ICS + LABA
alternative:
medium-dose ICS + LTRA or theophylline
step 5 therapy (5-11 yrs)
preferred:
high-dose ICS + LABA
alternative:
high-dose ICS + LTRA or theophylline
step 6 therapy (5-11 yrs)
preferred:
high-dose ICS + LABA + oral corticosteroid
alternative:
high-dose ICS + LTRA or theophylline + oral corticosteroid
intermittent asthma (>/= 12 yrs)
symptoms = 2 days/week
= 2 nighttime awakenings/month
SABA use = 2 days/week
mild asthma (>/= 12 yrs)
symptoms > 2 days/week
3-4 nighttime awakenings/month
SABA use > 2 days/week (not daily)
minor normal activity limitation
moderate asthma (>/= 12 yrs)
symptoms daily
> 1 nighttime awakening/week (not nightly)
SABA use daily
some normal activity limitation
severe asthma (>/= 12 yrs)
symptoms throughout the day
nighttime awakenings often (7/week)
SABA use several times/day
extreme normal activity limitation
step 1 therapy (>/= 12 yrs)
SABA prn
step 2 therapy (>/= 12 yrs)
preferred:
low-dose ICS
alternative:
cromolyn, nedocromil, LTRA, or theophylline
step 3 therapy (>/= 12 yrs)
preferred:
medium-dose ICS
OR
low-dose ICS + LABA
alternative:
low-dose ICS + LTRA, theophylline or zileuton
step 4 therapy (>/= 12 yrs)
preferred:
medium-dose ICS + LABA
alternative:
medium-dose ICS + LTRA, theophylline, or zileuton
step 5 therapy (>/= 12 yrs)
high-dose ICS + LABA
AND
omalizumab (pts w/ allergies)
step 6 therapy (>/= 12 yrs)
high-dose ICS + LABA + oral corticosteroid
AND
omalizumab (pts w/ allergies)
name the SABAs
albuterol levalbuterol pirbuterol metaproterenol terbutaline
brand names for albuterol
Ventolin
Proventil
ProAir HFA
ProAir Respiclick
brand names for levalbuterol
Xopenex
brand names for pirbuterol
Maxair
Autohaler
brand names for metaproterenol
Alupent (D/c)
brand names for terbutaline
Bricanyl
name the ICSs
beclomethasone budesonide ciclesonide flunisolide fluticasone mometasone
brand names for beclomethasone
Qvar
brand names for budesonide
Pulmicort Flexhaler/Respules
brand names for ciclesonide
Alvesco
brand names for flunisolide
Aerospan
brand names for fluticasone
Flovent
brand names for mometasone
Asmanex
dosing for ICSs
beclomethasone 40/80 mcg budesonide 90 - 200 mcg ciclesonide 80/160 mcg flunisolide 80 mcg fluticasone 44-220 mcg mometasone 110/220 mcg
ICS that is not BID
mometasone
mast cell stabilizers
cromolyn
nedocromil
brand name for cromolyn
Intal
brand name for nedocromil
Tilade
LTRAs
montelukast
zafirlukast
brand name for montelukast
Singulair
brand name for zafirlukast
Accolate
methylxanthines
theophylline
aminophylline